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Shift *
BEFORE STARTING ENGINE
Machine Cleaned before start?
Good
Low
n/a
Coolant level
Good
Low
n/a
Engine Oil Level
Good
Low
n/a
Hydraulic oil level
Good
Low
n/a
Fuel level
Good
Low
n/a
Transmission level
Good
Low
n/a
Windshield and windows
Good
Cracked
n/a
Windshield wipers
Good
need replacement
n/a
Horn
Good
need repair
n/a
Fire Extinguisher
Good
need service
n/a
Fans and belts
Good
need repair
n/a
Mirrors
Good
need repair/ replacement
n/a
START ENGINE
Water Temp
Good
Too hot
gauge broken
Transmission Temp
Normal
overheating
Gauge broken
Brake test
working
Not working
Emergency Brake
Working
Service Required
WITH ENGINE RUNNING
Cuts in tires?
yes
no
pre-existing
If yes, which tires are affected *
Front Left
Front Right
Rear Left
Rear Right
Leaks in tires
Yes
No
If yes, which tires are affected *
Front Left
Front Right
Rear Left
Rear Right
Tire Condition
New
Good
Ok
Replace
Front Left tire pressure *
Front Right tire pressure *
Rear Left tire pressure *
Rear Right tire pressure *
Fluid leakage
Hydraulics
Good
Leaking slightly
Needs repair
Engine oil
Good
Leaking slightly
Needs repair
Transmission
Good
Leaking slightly
Needs repair
Coolant
Good
Leaking slightly
Needs repair
Other checks
Lights
Good
Need repair
If light out, which? *
Emergency Flashers
Good
Needs repair
N/A
Backup warning
Good
Needs repair
N/A
Forks
Good
Needs repair
N/A
Platform
Good
Needs repair
N/A
Boom
Good
Needs repair
N/A
Chains and hooks
Good
Needs repair
N/A
Wheel Chocks
Good
missing
N/A
Grease all points (engine off) at time: *
Work order submitted?
yes
no
N/A
Comments *
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