Plant - Pre-Use Inspection Checklist Please enable JavaScript in your browser to complete this form. - Step 1 of 12Plant Type: Fork Lift TruckScissor LiftCherry PickerOther..Make:Model:Serial Number: Date: *NextVisual Checks - Documentation Manufacturers Operators Manual - (Weather resistant compartment)PassFailN/AAssessment Rescue PlanPassFailN/ANextVisual Checks - Wheels or TyresWheel Security (nuts and retainers: loose, damaged, missing)PassFailN/ATyre Pressure (pneumatic, foam filled, solid)PassFailN/ACuts, splits, exposed braids, damaged rimsPassFailN/ANextVisual Checks - Engine or Power SourceFluid Levels (engine oil, coolant, fuel) PassFailN/ALeakage on the ground and around the enginePassFailN/ABattery (electrolyte, security, charging plugPassFailN/ANextVisual Checks - HydraulicsHydralic Fluid Levels, leaks (hoses, pipe connections, rams, cylinders)PassFailN/ANextVisual Checks - Hoses & Cables Security, condition (cuts, chaffing, bulges)PassFailN/APower track cable traysPassFailN/ANextVisual Checks - Outriggers & StabilisersGeneral Condition - pins, retainers, footplatePassFailN/ASpreader Plates (present, condition, secure for travel)PassFailN/AInterlocks - functioning, engagedPassFailN/ANextVisual Inspection - Chassis, Boom & Scissor PackGeneral Condition (damage, misalignment, corrosion, cracks in welds)PassFailN/APins, retainers, chains (security, signs of wear)PassFailN/ACanopies, guards, engine covers (security, condition)PassFailN/ANextVisual Inspection - Platform, Cage or Bucket Steps for access / egress (Secure, undamaged, clear)PassFailN/AEntrance Gate, guardrails, retaining pinsPassFailN/AHarness anchor points (inspect body harness, lanyardPassFailN/AFibreglass and insulating components (undamaged, not contaminated)PassFailN/AClear of rubbish, debris, obstructionsPassFailN/ANextVisual Inspection - Decals & SignageID Plate, safety, warning, information decals (legible)PassFailN/AControls (identification decals, directional arrows)PassFailN/APlatform Loads (SWL, max windspeed, max no. persons)PassFailN/ADecal indicating annual inspection within the last 13 monthsPassFailN/ANextFunction Checks - ControlsSecurity Device (power isolator, keypad, smartcard)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/ASecurity Device (power isolator, keypad, smartcard)PassFailN/AFunction enable (ignition key, foot switch, hold to run device)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AEmergency stops, emergency lowering deviceGround - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AAll switches, function controls (move freely, do not stick)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AAll switches, function controls (move freely, do not stick)PassFailN/ALifting functions (raise, lower, slew, tele-out, tele in)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/ATravel functions (forward, reverse, steer, brakes)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AElevated drive speed (reduced, prevented)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/ALights, beacons, warning devices, alarms (tilt, decent, travel)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/ALights, beacons, warning devices, alarms PassFailN/ALimit switches (decent, load, outreach, rotation)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/APothole protection device (fully deploys, retracts)Ground - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AOscillating axle locks, extending axelsGround - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AAccessories, power to platform, extending decksGround - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/AJacks-legs, stabilisers, outriggers, levelling devicesGround - PassGround - FailGround - N/APlatform - PassPlatform - FailPlatform - N/ANextComments / Observations Operator Name *Signature - by signing the below, I certify the equipment has passed the pre-use inspection checklist and no defects/deficiencies were identified: Clear Signature Submit