Operator`s Daily Check Sheet
Legend: (√) Good; (X) No Good; (R) For Replacement; (T) For Top up; (O) Complete/Done
STATUS
Date: Date: Date: Date: Date: Date: Date: Date:
Operator: Operator: Operator: Operator: Operator: Operator: Operator: Operator:
No. Items Inspection Points
Time In: Time Out: Time In: Time Out: Time In: Time Out: Time In: Time Out: Time In: Time Out: Time In: x`x` Time In: Time Out: Time In: Time Out:
1 Back Body Scratch/ Deform/Dent
2 Platform Deformation/ Damage
3 Forks Cracked/ Deform/ Scratch
4 Hydraulic System Leakage /Defective /Effectiveness
Caster / Load Wheels / Drive
5 Wear/Missing/ Deformation/ Cracked
Wheels
6 Battery Caps Missing/ Damage
7 Battery Cable Brittleness/ Cracked/ Damage
8 Battery Unit Water Level/Condition
9 Safety Break Function/ Effectiveness
10 Battery Water Water Level/ Condition
11 Control Gauges Function and Display
12 Steering Handle Function/ Effectiveness
13 Emergency Forward & Button Function/ Effectiveness
Clean, no garbage and foreign objects,
14 Overall unit
compliance to GWP
15 FOR IFM: Overall unit No scratch
Operator's Signature
Checked by:
IFM Technician/ IFM Supervisor
Remarks
FIMS-NPI-117 Rev 00