Pallet jack checklist
Date
Time
Location
Operator name
Jack or unit number
Manual or powered
Frame and forks
PassFailN/A- Forks are straight, with no cracks or bent tips
- Frame and welds show no cracks
- Load wheels and steer wheels turn freely and aren't chipped or worn
- No wire, shrink wrap or debris wrapped around the wheels
- Handle and handle pivot are secure
Controls and brakes
PassFailN/A- Lift and lower control works smoothly
- Jack lowers under control and doesn't drop
- Steering moves freely
- Brake works, if the jack has one
- No hydraulic leaks at the pump or cylinder
Powered units only
PassFailN/A- Battery is secure, with no cracks, leaks or loose cables
- Charger cord and plug are undamaged
- Horn works
- Travel and brake controls return to neutral when released
- Emergency stop or reverse button works, per the maker's manual
Labels
PassFailN/A- Capacity plate is in place and readable
- Warning labels are in place and readable
Defects found and action taken
Taken out of service? Yes NoReported to
Inspector signature
Date
Supervisor review
Date
A starting point. Adapt it to your equipment, your procedures and the rules that apply to you.Free template from portalbaseai.com