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POWERED PALLET JACK PRE-USE INSPECTION CHECKLIST

This pre-use checklist intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.
MaintainX
07/21/2022

POWERED PALLET JACK PRE-USE INSPECTION CHECKLIST

This pre-use checklist intends to identify defects and safety hazards before operation. The main aim of a pre-start checklist inspection is to ensure that your equipment is safe to use.

    Operators must complete this checklist prior to operating any powered pallet jack. Only persons who are trained and authorized may inspect and operate this equipment.

    Make:

    Shift:

    Model #:

    Hours:

    If an item is defective indicate a NO and give detail in the COMMENTS section below. If an item is OK and no problem is detected indicate a YES. Return this completed checklist to you supervisor.

    Motor Off Inspection

    Fluid leaks on floor below vehicle

    • Yes
    • No
    • N / A

    Check for missing and loose parts (bolts, guards, etc.)

    • Yes
    • No
    • N / A

    Check for physical damage (control handle, body, forks, mast, etc.)

    • Yes
    • No
    • N / A

    Hand guards: attached

    • Yes
    • No
    • N / A

    Tires/wheels: condition & pressure

    • Yes
    • No
    • N / A

    Forks: condition

    • Yes
    • No
    • N / A

    Check for modifications and additions that can affect safe operation

    • Yes
    • No
    • N / A

    Check cleanliness of vehicle

    • Yes
    • No
    • N / A

    Safety warnings: attached and legible

    • Yes
    • No
    • N / A

    Capacity plate: attached & legible

    • Yes
    • No
    • N / A

    Operator’s manual in container

    • Yes
    • No
    • N / A

    Motor On Inspection

    Brakes: functional

    • Yes
    • No
    • N / A

    Unusual noises

    • Yes
    • No
    • N / A

    Horn: functional

    • Yes
    • No
    • N / A

    Hour meter: functional

    • Yes
    • No
    • N / A

    Battery discharge indicator: functional

    • Yes
    • No
    • N / A

    Lights and alarms: functional

    • Yes
    • No
    • N / A

    Steering operation: functional

    • Yes
    • No
    • N / A

    Drive operations: forward and reverse

    • Yes
    • No
    • N / A

    Load-handling, up and down operation: functional

    • Yes
    • No
    • N / A

    COMMENTS:

    IF THE POWERED PALLET JACK FAILS ANY PART OF THIS INSPECTION, REMOVE THE KEY AND REPORT THE PROBLEM TO YOUR SUPERVISOR. DO NOT ATTEMPT TO MAKE REPAIRS UNLESS YOU ARE A TRAINED AND AUTHORIZED SERVICE PERSON.

    By signing below, I certify that the equipment has passed all pre-use inspection checklist items and no defects or deficiencies were identified.

    Print Name

    Sign

    Click here to sign

    Date

Source: MaintainX (Community Member)

Please note that any procedure, checklist, or other document available in the MaintainX Procedure Hub is provided for general education and information only and does not constitute legal, medical, or financial advice. MaintainX makes the materials available AS IS and AS PROVIDED, without warranties of any kind. By downloading or using any such materials, you assume the risk that they may not be appropriate for your specific situation and agree that you are solely responsible for any such use, including compliance with applicable law and with meeting any conditions of product warranties.