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Rider Operated

Forklift Truck Pre-use assessment

INSTRUCTOR NAME TEST DATE

CANDIDATE NAME FLT ID NO

ITEM CHECK N/A


1. FORKS Cracks, distortion, are pins secure?
2. CARRIAGE PLATE Stop bolts secure, damage
3. BACKREST EXTENSION Secure, distortion
4. MAST Damage, foreign bodies
5. LIFT CHAIN Damaged links, dirt, wear
6. HYDRAULIC CYLINDER Leaks
7. WHEELS Damage, tyre-wear
8. BATTERY LIDS Security, damage
9. BATTERY LEADS Damage
10. OVERHEAD GUARD Security, damage
11. SEAT Security, damage
12. COCKPIT Loose objects, dirt
13. HYDRAULIC OIL Correct level (if accessible)
14. ENGINE OIL Correct level (where applicable)
15. COOLANT Correct level (where applicable)
16. BRAKE FLUID Correct level (where applicable)
17. FUEL Check levels
18. ALL CONTROLS Steering, hydraulics, instruments, brakes, etc
19. HORN Working

CANDIDATE RESULT Passed Referred Re-Test

Candidate Signature: Date:

Instructor Signature: Date:

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