Checklist – PiggyBack Forklift Location(Required)Atlanta, GACharlotte, NCCosta Mesa, CADallas, TXLas Vegas, NVNorth Hills, CAPort Chester, NYSan Leandro, CADriver Name(Required) First Last Manager Name(Required) First Last Date(Required) Month Day Year Time(Required) Hours : Minutes 24 hour format.PiggyBack Forklift ID (Last 4 Digits)(Required)Time Reading(Required)Visual ChecksThe Moffett Truck Mounted Forklift must be parked on a firm level surface in a SAFE ZONE with the keys removed and the park brake engaged. Starting at the operator station, walk around the forklift and complete the following visual checks. If defects are identified during the pre-shift visual inspection, notify your supervisor immediately.Seat – must not be loose; vinyl should not be torn. Yes No CommentsSeat Belt – The seat belt should extend smoothly and retract fully. The seat belt must not be frayed or worn. The mechanical latch must be fully functional. Yes No CommentsTilt Cylinder -Check for leaks at the fitting and glands (where the cylinder rod extends and retracts). Check for scratches and nicks on the cylinder rod. Check the mounts for cracks on either end of the cylinder. Check for missing or loose bolts on the cylinder retaining pins at either end of the cylinder. Yes No CommentsFront Tire and Wheel – Look for debris, mud, or binding behind and around the wheel. There should be no missing or loose wheel nuts. There should be no chunks, cuts, or excessive wear on the tire. Check for proper inflation, REPLACE if the body ply cords are visible, or show any signs of cuts, bulges, or other signs of damage, or has a loss of traction (regardless of tire tread height). Look for bent or corroded rims. Yes No CommentsFork – lock pins should be functional and making positive engagement in fork board; check the top and bottom carriage mountings for cracks and wear; check the fork for bends, cracks, and wear horizontally (along the blade), vertically (along the shank), and at the heel; ensure that both forks are in the same level plane. Yes No CommentsStabilizer – Check for missing or loose bolts on either end. Yes No CommentsEngine Oil – mark should be between the minimum and maximum; top off if below minimum. Yes No CommentsCoolant – check Min / Max level on the overflow bottle which is connected to the radiator: Do not attempt to remove the radiator cap if the engine is hot. Yes No CommentsOperational ChecksOperational inspections are done by starting the engine, operating all controls, and test driving. Never start a forklift to perform the operational inspections if the visual inspection indicates immediate safety hazards. Constantly monitor the gauges, listening for unusual noises, loose parts, fluid leaks, and unusual conditions. If a problem is suspected, take the forklift out of service, and have it inspected and repaired.Gauges and Indicators – engine oil light and the battery light should illuminate when the ignition turned on and then go out when the engine is started; preheat indicator (if equipped) should illuminate when preheating and go out after the engine is started; temperature gauge should rise to the safe operating temperature range when operating. Yes No CommentsHour Meter – should “count” as the forklift is operated. Yes No CommentsPedals – depress the accelerator pedal slowly and return to neutral; engine should run smoothly and accelerate/decelerate to idle; drive the forklift forward and backward at low RPM (depressing the forward/reverse pedal fully in each direction) – forklift should respond accordingly; releasing the forward/reverse pedal should stop the Moffett Truck Mounted Forklift. Yes No CommentsSeat Belt – The internal electrical isolator switch must be functioning i.e. when the seatbelt is disconnected the drive pedal isolated machine will not drive. Yes No CommentsMast – the mast should raise and lower fully and smoothly. Yes No CommentsTilt – there should be no binding or jerking when tilting the mast fully forward and rearward. Yes No CommentsSideshift – there should be no binding or jerking when the mast is sideshifted fully left and fully right. Yes No CommentsPark Brake (ON/OFF) – the Moffett Truck Mounted Forklift should not move when the park brake is on. Yes No CommentsSteering Response – the steering should be responsive; no excessive free play, jerking, binding, or unusual noises. Yes No CommentsBack-up Alarm – must be operational; the back-up alarm should NEVER be disconnected. Yes No CommentsHorn – should be operational; do not operate forklift if horn does not work. Yes No CommentsWork Lights – all work lights should be operational. Yes No CommentsStreet lights – all street lights should be operational. Yes No CommentsStrobe (if fitted) – should be operational when the ignition is switched to the ON position. Yes No CommentsScissor assembly – Check for damage and bends. Check the center pin for wear & cracks. Check for leaks at the fitting and glands (where the cylinder rod extends & retracts), check for scratches & nicks on the cylinder rod. Check the mounts for cracks on either end of the cylinder. Check for missing or loose bolts on the cylinder retaining pins at either end of the cylinder. Yes No CommentsTransport ChecksTransport inspections are done by inspecting the mounting kit and then mounting the Moffett Truck Mounted Forklift onto a truck or trailer before making deliveries. Never attempt to mount the forklift to perform the transport inspections if the visual or operational inspections indicate immediate safety hazards. If a problem is suspected with the mounting kit or forklift, take the either the mounting kit or forklift out of service and have it inspected and repaired.Mounting Kit – Check the mounting kit and chain hanger brackets for cracks and bends. Yes No CommentsPins and Locks – Ensure that the transport pins on either side are not worn and that both flip locks are working Yes No CommentsTransport Chains – Check for damaged or dislodged pins on the end shackles at either end of both chains. The bolts and lock nuts that retain the transport chains on either side of the Moffett Truck Mounted Forklift should be in place. Mount the forklift on the rear of the truck or trailer. If any unusual noises, jerking, or binding are noticed, immediately lower the forklift to the ground and have it inspected by a forklift technician Yes No CommentsRear Bumper Lights – All rear bumper lights should be working: Yes No CommentsSMV Triangle (Slow Moving Vehicle) – Ensure that the SMV Triangle is clean and opens & closes and latches fully in both positions Yes No CommentsAdditional Comments (Optional)URLThis field is for validation purposes and should be left unchanged. Return to Forms