Fillable checklist

Forklift Inspection Checklist: PIT Pre-Shift Daily Look (Free Printable PDF)

Fillable PIT pre-shift inspection: data plate, mast, hydraulics, tires, LP or battery, brakes, and remove-from-service. Print blank or save a filled PDF.

Commercial & Fleet Fillable form · 9 sections · 73 checks Download filled or blank PDF and CSV Cross-checked against OSHA 1910.178, OSHA-ITA checklists, NIOSH 2022-100 · Last verified Aug 31, 2026

BenchTab fillable checklist

Fill this on screen, then download a PDF or CSV. Download a blank copy to complete by hand. Answers stay in this tab only. The next visitor sees a blank form.

  • 9 sections
  • 73 checks
  • Blank for each visitor

Form details

Truck and operator

Identify the unit before you walk it. 29 CFR 1910.178(q)(7) requires this examination at least daily, and after each shift when the truck runs around the clock.

14 fields
Truck and operator

Inspection station

Identification and safety equipment

Key off. Confirm the plate, guard, restraint, and markings before you start the truck. Mark N/A only if the truck never had the part.

11 items
Identification and safety equipment

Nameplate / data plate

Attached, legible, and in place. Information matches the model, serial number, and attachments on the truck (29 CFR 1910.178(a)(6); OSHA-ITA sample).

Nameplate / data plate: OK, Defect, N/A

Rated capacity

Capacity on the plate matches this truck and any installed attachment. Do not handle a load beyond the rated capacity (29 CFR 1910.178(o)(2)). Modifications that change capacity need the manufacturer's prior written approval and an updated plate (1910.178(a)(4)).

Rated capacity: OK, Defect, N/A

Overhead guard

Securely attached. No bent, twisted, cracked, or missing members. High-lift rider trucks need a guard unless operating conditions do not permit (29 CFR 1910.178(e)(1), (m)(9)). The guard is for small falling packages, not a falling capacity load.

Overhead guard: OK, Defect, N/A

Seat belt / operator restraint

Both sides mounted to the seat frame. Webbing not frayed, worn, or cut. Latch and ratchet lock function. Sit-down trucks: seat belt. Man-up trucks: fall protection or restraining means (OSHA-ITA electric sample; NIOSH 2022-100).

Seat belt / operator restraint: OK, Defect, N/A

Seat mount and seat deck

Seat securely mounted. Seat-deck latch locks closed. Seat adjustment locks. Cushions in place. Lateral or hip restraints mounted if the seat has them (NIOSH 2022-100).

Seat mount and seat deck: OK, Defect, N/A

Load backrest extension

Securely attached. Use it when the load can fall rearward (29 CFR 1910.178(e)(2), (m)(10); OSHA-ITA sample). Mark N/A only if this truck never uses a backrest.

Load backrest extension: OK, Defect, N/A

Fire extinguisher (if equipped)

Present, charged, and inspected if the truck carries one (NIOSH 2022-100). Mark N/A if the unit is not equipped.

Fire extinguisher (if equipped): OK, Defect, N/A

Safety warnings and decals

Warning plates and decals attached, legible, and in the locations the parts or operator manual shows (OSHA-ITA sample).

Safety warnings and decals: OK, Defect, N/A

Operator's manual

Physically on the truck, in its container, and legible (OSHA-ITA sample; NIOSH 2022-100).

Operator's manual: OK, Defect, N/A

Finger guards

Attached where the truck is equipped (OSHA-ITA sample). Mark N/A if this model has none.

Finger guards: OK, Defect, N/A

Operator compartment

No grease or debris behind pedals. Pedal pads and floor mat present. Clear line of sight to maximum fork elevation (OSHA eTool pre-operation; NIOSH 2022-100).

Operator compartment: OK, Defect, N/A

Inspection station

Forks, mast, chains, carriage, and tilt hardware

Key off. Do not put hands inside the mast. Use a stick to check chain tension. Annual B56.1 fork inspection is not this daily look.

10 items
Forks, mast, chains, carriage, and tilt hardware

Forks

Not cracked, bent, worn, or mismatched. No excessive oil or water on the blades. Surface damage that can impair safe use is a defect (OSHA-ITA sample; OSHA generic PIT checklist).

Forks: OK, Defect, N/A

Top clip retaining pin and heel

Retaining pin and heel in place, not broken or bent, so forks and any extensions stay on the carriage (OSHA-ITA sample; NIOSH 2022-100).

Top clip retaining pin and heel: OK, Defect, N/A

Fork tips even

Tips even with each other, not bent up or down. NIOSH 2022-100 flags 3 degrees or more of deflection as a replacement call. Confirm with the OEM. This is not a 1910.178 numeric limit. Annual fork inspection under ANSI/ITSDF B56.1 section 6.2.8 is a separate mechanic job, not this daily look.

Fork tips even: OK, Defect, N/A

Carriage and fork position locks

Carriage not bent or cracked. Fork positioning locks or stops hold the forks where set (OSHA generic mast assembly look).

Carriage and fork position locks: OK, Defect, N/A

Mast assembly

No broken welds, cracked or bent channels, or worn or missing stops (OSHA generic PIT checklist).

Mast assembly: OK, Defect, N/A

Lift chains

No wear, kinks, rust, or missing lubrication. No squeak that points to a dry chain. Use a stick to check tension. Do not put hands or any body part inside the mast (OSHA eTool pre-operation; NIOSH 2022-100).

Lift chains: OK, Defect, N/A

Chain rollers and sheaves

Rollers turn, are not seized, and show no obvious damage (OSHA generic lift chains and rollers).

Chain rollers and sheaves: OK, Defect, N/A

Cables and mast stops

Cables (if equipped) not frayed. Stops present and not worn through (OSHA-ITA sample; NIOSH cables and stops).

Cables and mast stops: OK, Defect, N/A

Tilt hardware

Tilt pins, bushings, and stops not loose, cracked, or missing. Visual look with the key off before you prove tilt under power in the operational station (OSHA generic mast).

Tilt hardware: OK, Defect, N/A

Side shift or attachment carriage

If a side shift, clamp, or other carriage attachment is fitted, it is secure and matches the data plate. Mark N/A if the truck has forks only (29 CFR 1910.178(a)(5); OSHA-ITA attachment control is proven later).

Side shift or attachment carriage: OK, Defect, N/A

Inspection station

Hydraulics, hoses, leaks, and cylinders

Key off, mast down. A fuel-system leak takes the truck out of service until it is corrected (29 CFR 1910.178(p)(4)).

7 items
Hydraulics, hoses, leaks, and cylinders

Hydraulic fluid level

Mast down, in neutral. Check the dipstick or sight (often a red cap) per the OEM. Do not add fluid unless you are trained to do so (NIOSH 2022-100; OSHA-ITA sample).

Hydraulic fluid level: OK, Defect, N/A

Hydraulic hoses

No cracks, chafing, blisters, or leaks on visible hoses and fittings (OSHA-ITA sample; OSHA eTool pre-operation).

Hydraulic hoses: OK, Defect, N/A

Lift cylinders

No leakage or damage on the lift function of the cylinders (OSHA generic PIT checklist; OSHA eTool).

Lift cylinders: OK, Defect, N/A

Tilt cylinders

No leakage or damage on the tilt cylinders (OSHA generic PIT checklist).

Tilt cylinders: OK, Defect, N/A

Attachment cylinders

No leakage or damage on side-shift, clamp, or other attachment cylinders. Mark N/A if none fitted (OSHA generic load-handling attachments).

Attachment cylinders: OK, Defect, N/A

Leaks under the truck

No puddles of fuel, hydraulic oil, engine oil, coolant, or battery electrolyte under the truck (OSHA-ITA leaks row; NIOSH 2022-100).

Leaks under the truck: OK, Defect, N/A

Excess oil on cylinders

No excessive oil on the cylinders that would indicate a packing or seal leak (OSHA generic load-handling attachments).

Excess oil on cylinders: OK, Defect, N/A

Inspection station

Tires, wheels, and axle

Do not set pneumatic pressure unless you are trained. Cushion and pneumatic tires both get a condition look.

6 items
Tires, wheels, and axle

Tire condition

Look for chunking, cracking, cuts, gouges, missing rubber, or pieces separated from the rim (NIOSH 2022-100; OSHA generic PIT checklist).

Tire condition: OK, Defect, N/A

Tire pressure / flattened tires

Tires not low or flattened. Do not adjust pneumatic pressure unless you are trained to do so (NIOSH 2022-100; OSHA-ITA tires, condition and pressure).

Tire pressure / flattened tires: OK, Defect, N/A

Wheels and rims

No cracks, abnormal wear, or damage to the wheel or rim (NIOSH 2022-100).

Wheels and rims: OK, Defect, N/A

Lugs and fasteners

Lugs present. No missing fasteners that would let a wheel walk (OSHA generic PIT checklist).

Lugs and fasteners: OK, Defect, N/A

Bond / rubber-to-rim

No bond separation that could cause slippage on a cushion tire (OSHA generic PIT checklist).

Bond / rubber-to-rim: OK, Defect, N/A

Axle (visible)

No obvious cracks, bent housings, or leaking axle seals you can see without going under the truck.

Axle (visible): OK, Defect, N/A

Inspection station

Power unit (engine, LP, or battery)

Mark N/A on rows that do not apply to this fuel or power type. Wear PPE for electrolyte and LP tank looks. Do not operate with a fuel leak.

18 items
Power unit (engine, LP, or battery)

Battery charge / electrolyte (electric)

Charge status acceptable for the shift. Electrolyte only if you are trained, with gauntlet gloves, rubber apron, and face shield. Never use an open flame to check electrolyte (29 CFR 1910.178(p)(5); OSHA eTool; NIOSH 2022-100). Mark N/A on trucks with no traction battery to service.

Battery charge / electrolyte (electric): OK, Defect, N/A

Battery restraint

Restraint adjusted and fastened so the battery cannot shift (OSHA-ITA electric sample). Mark N/A if this truck has no removable battery pack.

Battery restraint: OK, Defect, N/A

Battery cables and connectors

No frayed or exposed wires, missing insulation, or heavy corrosion. Cell caps and terminal covers in place if that battery uses them (OSHA eTool electric; OSHA generic battery check).

Battery cables and connectors: OK, Defect, N/A

Charger disconnect / plugging and regen (electric)

Charger unplugged before travel. Plugging or regen operation correct if the truck has it (NIOSH 2022-100). Mark N/A on internal-combustion trucks.

Charger disconnect / plugging and regen (electric): OK, Defect, N/A

Engine oil (IC)

Engine off. Level between add and full on the dipstick (OSHA-ITA sample; NIOSH 2022-100). Mark N/A on electric trucks.

Engine oil (IC): OK, Defect, N/A

Transmission fluid (IC)

Level on the dipstick per the OEM (OSHA-ITA sample). Mark N/A if sealed or not equipped, or on electric trucks with no dipstick.

Transmission fluid (IC): OK, Defect, N/A

Brake fluid reservoir

Level between add and full if the truck has a hydraulic brake reservoir (OSHA-ITA sample; NIOSH 2022-100). Mark N/A if not equipped.

Brake fluid reservoir: OK, Defect, N/A

Engine coolant (IC)

Level in the reservoir or sight glass. Never remove a radiator cap on a running or hot engine. Stand to the side and protect your hand (OSHA generic PIT checklist; NIOSH 2022-100). Mark N/A on electric trucks.

Engine coolant (IC): OK, Defect, N/A

Engine belts (IC)

Visible belts not frayed, cracked, or missing (OSHA-ITA sample; NIOSH 2022-100). Mark N/A on electric trucks.

Engine belts (IC): OK, Defect, N/A

Engine air cleaner (IC)

Squeeze the dirt trap or check the restriction alarm if equipped. Do not remove the filter unless trained (OSHA-ITA sample; NIOSH 2022-100). Mark N/A on electric trucks.

Engine air cleaner (IC): OK, Defect, N/A

Fuel sedimenter (diesel)

Check as the OEM shows on diesel trucks (OSHA-ITA sample; NIOSH 2022-100). Mark N/A on LP, gasoline, and electric trucks.

Fuel sedimenter (diesel): OK, Defect, N/A

Radiator (IC)

No obvious cracks. Coolant look is visual at the reservoir, not a cap pull on a hot engine (NIOSH 2022-100). Mark N/A on electric trucks.

Radiator (IC): OK, Defect, N/A

Hood latch

Adjusted and securely fastened before travel (OSHA-ITA sample; NIOSH 2022-100). Mark N/A if the truck has no hood.

Hood latch: OK, Defect, N/A

Fuel system leaks and cap (IC)

No leak in the fuel system. Cap on. Do not operate until a leak is corrected (29 CFR 1910.178(p)(4)). Fuel tanks are not filled with the engine running (1910.178(p)(2)). Mark N/A on electric trucks.

Fuel system leaks and cap (IC): OK, Defect, N/A

LP tank mount and relief valve

Tank properly and securely mounted. Locator pin engaged. Pressure-relief valve in the 12 o'clock position, not pointed at the operator. Tank fits within the truck profile. Wear PPE (gauntlet gloves, apron, face shield) for tank inspection (OSHA eTool LP; NIOSH 2022-100). Mark N/A if the truck is not LP.

LP tank mount and relief valve: OK, Defect, N/A

LP hoses, connectors, and brackets

Hose not frayed, pinched, kinked, or bound. Connector threaded on squarely and tightly. Restraint brackets intact (OSHA generic propane hose; OSHA-ITA propane tank). Mark N/A if the truck is not LP.

LP hoses, connectors, and brackets: OK, Defect, N/A

LP tank condition and odor

No rust, corrosion, dents, dings, or leaks. If you smell propane, shut the tank valve and report it (OSHA-ITA sample; OSHA generic propane odor). Mark N/A if the truck is not LP.

LP tank condition and odor: OK, Defect, N/A

Exhaust sparks, flames, or overheat

No hazardous sparks or flames from the exhaust. No part of the truck above its normal operating temperature in a way that creates a hazard. Either condition requires removal from service until the cause is eliminated (29 CFR 1910.178(q)(8) and (q)(9)). Mark N/A on electric trucks with no exhaust, but still use overheat if the motor or controller is abnormally hot.

Exhaust sparks, flames, or overheat: OK, Defect, N/A

Inspection station

Brakes, steering, horn, lights, backup alarm, and gauges

Engine or motor on. Unusual noises must be investigated immediately (OSHA-ITA sample). Report them and remove the truck if it is unsafe.

11 items
Brakes, steering, horn, lights, backup alarm, and gauges

Service brake

Functions smoothly. Pedal not to the floor. Brakes work in reverse as well as forward (OSHA-ITA engine-on; OSHA generic brakes).

Service brake: OK, Defect, N/A

Parking brake

Functions smoothly. The truck should not be capable of movement when the parking brake is engaged (OSHA-ITA sample; OSHA generic parking brake).

Parking brake: OK, Defect, N/A

Deadman / operator presence / seat brake

If equipped, the deadman, seat switch, or operator-presence brake works (NIOSH 2022-100). Mark N/A if this truck has none.

Deadman / operator presence / seat brake: OK, Defect, N/A

Steering

Functions smoothly. No excessive free play. Power steering pump working if equipped. No hydraulic leak at the steering (OSHA-ITA sample; OSHA generic steering; NIOSH 2022-100).

Steering: OK, Defect, N/A

Horn

Horn functions. Operators must be able to sound it at cross aisles and where vision is obstructed (29 CFR 1910.178(n)(4); OSHA-ITA sample).

Horn: OK, Defect, N/A

Lights

Head, tail, brake, and work lights function if the truck is equipped (OSHA-ITA horn and lights; OSHA eTool operational inspection). Mark N/A on lamps the truck never had.

Lights: OK, Defect, N/A

Backup alarm

Backup alarm functions if equipped (OSHA eTool operational inspection; NIOSH 2022-100). Mark N/A if the unit has none.

Backup alarm: OK, Defect, N/A

Gauges and hour meter

Ammeter, engine oil pressure, hour meter, fuel level, temperature, and other instrument monitors function as equipped (OSHA-ITA gauges). Electric: battery discharge indicator and hour meter (OSHA-ITA electric sample).

Gauges and hour meter: OK, Defect, N/A

Accelerator / direction control

Pedal or direction control functions smoothly and is not binding (OSHA-ITA sample; NIOSH 2022-100).

Accelerator / direction control: OK, Defect, N/A

Inching control

Inching pedal or control functions if equipped (OSHA eTool operational inspection; NIOSH 2022-100). Mark N/A if none.

Inching control: OK, Defect, N/A

Cab heater, defroster, and wipers

If a cab is fitted, heater, defroster, and wipers function (OSHA-ITA cab row). Mark N/A on open trucks.

Cab heater, defroster, and wipers: OK, Defect, N/A

Inspection station

Operational (lift, lower, tilt, travel, parking brake hold)

Prove lift, tilt, and travel in a clear area. If the truck is unsafe, stop, park it, and remove it from service (29 CFR 1910.178(p)(1), (q)(1)).

10 items
Operational (lift, lower, tilt, travel, parking brake hold)

Lift (hoist)

Hoist control functions smoothly. No hesitation when raising. Levers return to neutral. No unusual noise (OSHA-ITA hoist and lowering; OSHA generic load-handling attachments).

Lift (hoist): OK, Defect, N/A

Lower

Lowering control functions smoothly. No hesitation. Load-handling means can be brought down in a controlled way (OSHA-ITA sample).

Lower: OK, Defect, N/A

Tilt forward and back

Tilt control functions smoothly in both directions (OSHA-ITA tilt control; OSHA eTool operational inspection).

Tilt forward and back: OK, Defect, N/A

Travel forward

Drive control forward functions smoothly. Operate the truck forward in a clear area (OSHA-ITA drive control; NIOSH 2022-100).

Travel forward: OK, Defect, N/A

Travel reverse

Drive control reverse functions smoothly. Backup alarm (if equipped) already proven in the controls station (OSHA-ITA drive control).

Travel reverse: OK, Defect, N/A

Parking brake hold

With the parking brake engaged, the truck must not move (OSHA generic parking brake). This is the hold proof after you already marked parking-brake function.

Parking brake hold: OK, Defect, N/A

Attachment control

Side shift, clamp, or other attachment operates. No hesitation in lateral travel if a side shift is fitted (OSHA-ITA attachment control). Mark N/A if forks only.

Attachment control: OK, Defect, N/A

Unusual noises or vibration

No unusual noises or vibration during lift, tilt, or travel. Investigate immediately and report (OSHA-ITA engine-on heading; OSHA eTool operational inspection).

Unusual noises or vibration: OK, Defect, N/A

Reach / order picker: emergency stop and mast guard

Class 2 reach trucks and order pickers: emergency stop works. Mast guard (windshield or screen) present (NIOSH 2022-100). Mark N/A on sit-down counterbalance and walkies.

Reach / order picker: emergency stop and mast guard: OK, Defect, N/A

Walkie: emergency reverse

Class 3 walkie trucks: emergency reverse operates (NIOSH 2022-100). Mark N/A on sit-down and reach trucks.

Walkie: emergency reverse: OK, Defect, N/A

Form details

Defects and sign-off

If the truck is unsafe, remove it from service. Defects must be immediately reported and corrected (29 CFR 1910.178(q)(7)). Repairs are by authorized personnel only (1910.178(q)(1)).

8 fields
Defects and sign-off

Draw your signature, or upload an image to replace it.

Draw your signature, or upload an image to replace it.

Done with this walkaround?

Download a filled or blank PDF, or a CSV. Answers stay in this tab. The next visitor sees a blank form.

Printable checklist PDF and image

Blank printable PDF and a preview image of this checklist.

Forklift Inspection Checklist: PIT Pre-Shift Daily Look blank checklist
Blank checklist PDF Download PDF
Checklist image Download image

These checklists are provided for general reference only. Always verify the steps against the vehicle manufacturer's service information, your shop's procedures or a qualified technician before relying on them, especially for safety-critical work.

What this checklist is for

Think of this as a pre-shift look sheet for a powered industrial truck. Fill it out on screen. Download it as a CSV or PDF. It includes the following:

This is the hour meter.

The governing rule is 29 CFR 1910.178. Paragraph (q)(7) requires industrial trucks to be examined before they are placed in service, at least daily, and after each shift when they run around the clock. The truck shall not be placed in service if that examination shows any condition adversely affecting safety. Defects must be immediately reported and corrected. Operator training, including the inspection the operator will perform, sits in 1910.178(l), especially (l)(3)(i)(J).

Station order follows OSHA's eTool pre-operation and operational inspection and the OSHA-ITA sample daily checklists, with extra lines from NIOSH 2022-100. OSHA does not require this look to be written. A filled sheet is how most employers prove the exam happened. It is not OSHA's official blank.

What it is not

  • It is not a CMV pre-trip walkaround under 49 CFR 392.7 and not a Post Trip Inspection Checklist (49 CFR 396.11 DVIR). Gladhands, fifth wheels, 4/32 inch steer tread, and air-brake pop-out are highway items. For a Class A yard walk use the published Pre Trip Inspection Checklist.
  • It is not a CDL inspection checklist and not a skills-test score sheet. Pass / Fail boxes on an examiner pad are a different job. Do not treat OK / Defect on this PIT form as a CDL automatic failure.
  • It is not an automobile pre-purchase inspection and not a trailer inspection checklist. Those pages, if they exist later on BenchTab, are different forms. Do not copy passenger-car PPI stations or trailer conspicuity tape onto this truck.
  • It is not the annual ANSI/ITSDF B56.1 fork inspection (section 6.2.8, not more than 12 months) and not a full battery-room charging procedure under 1910.178(g).

How to fill each block

Truck and operator. Date, operator, unit number, serial if you use it, fuel or power type, hour meter, location, and shift. Select sit-down counterbalance, reach, order picker, stand-up, walkie, or other. Name attachments so the data plate check has something to match. Check that you are trained and evaluated on this type under 1910.178(l) before you operate (except supervised training). It is a violation of federal law for anyone under 18 to operate a forklift in non-agricultural work, and for anyone 18 or older who is not properly trained and certified (OSHA PIT overview).

This refer to the power or fuel type.

The form records the unit, operator, fuel or power type, and hour meter.

Forks, mast, chains, carriage, and tilt hardware. Still key off. Forks not cracked, bent, worn, or mismatched. Retaining pin and heel in place. Use a stick on chain tension. Do not put hands inside the mast. NIOSH flags 3 degrees or more of tip deflection as a replacement call. That figure is NIOSH and OEM guidance, not a number 1910.178 states. The ANSI/ITSDF B56.1 annual fork inspection is a separate mechanic job. Prove powered tilt later, not here.

The form record the operator.

Perform OK, Defect, or N/A checks at each station every day.

This is a list of defects.

Was the truck placed in service?

Was the truck removed?

Turn the key off. Read the nameplate. Section 1910.178(a)(6) says that plates and markings must be easy to read and stay in place. They must match the truck and any attachment. Any modification of capacity must have prior written approval from manufacturer, plus new plate. This is required by 1910.178(a)(4).

For high-lift rider trucks, an overhead guard is mandatory unless conditions make it impossible. According to 1910.178(e)(1), check the seat belt or man-up restraint, load backrest, operator's manual and warnings, finger guards, and the clean compartment. If the truck has a fire extinguisher, it must be present.

Read the hydraulic level while the mast is down. Only trained people can adds fluid. Inspect the floor, lift/tilt & attachment cylinders. Under 1910.178(p)(4), do not operate the equipment with a fuel-system leak until it is fixed.

Examine axles, wheels & tires for cracks in rims, missing lug nuts, flats, cuts & chunks. Untrained personnel should never inflate pneumatics. Do not invent a 49 CFR 393.75 tread fail. PIT limits is not published by 1910.178 at 2/32 or 4/32 inches. Mark Defect and pull that unsafe tire from service.

In the Power Unit Section, mark N/A for the family this truck does not have.

What varies

Check the electric charge, cables, and restraints, then unplug the charger.

Internal combustion engines include the fuel cap, radiator, diesel sedimenter, air cleaner, belts, coolant (no hot cap), oil, transmission, and brake fluid.

Sit-down counterbalance, reach, and walkie trucks share the header and most stations. Honest N/A marks are the difference: LP rows on a battery truck, battery restraint on a gas truck, reach emergency-stop on a sit-down, walkie reverse on a rider. OSHA's UAW-Ford samples also list type-specific extras (order-picker interlock, tow-hook safety catch). Add those in Notes if your fleet uses them. Rough-terrain forklifts follow ANSI/ITSDF B56.6, not this indoor B56.1 / 1910.178 sheet.

Check the LP for odor, hoses, dents, the locator pin, the tank mount, and the relief valve at 12 o'clock facing away from the operator. Wear PPE when handling electrolyte/LP fittings. Do not use an open flame when checking electrolyte/gasoline (1910.178(p)(5)). If there are sparks/flames in the exhaust or the truck gets too hot for comfort, remove it from service (1910.178(q)(8) and (q)(9)).

Turn the motor on. Check the cab extras, inching, accelerator, gauges, backup alarm, lights, horn, steering, deadman if equipped, service brakes, and parking brakes. Listen for unusual noises; report now! 1910.178(n)(4) requires a functioning horn at blind crossings.

After you finish

The controls include travel forward and reverse, lift and lower, tilt up and down, and attach/detach. Order pickers and reach trucks also feature an emergency stop and mast guard, while walkie trucks includes an emergency reverse.

Stop. Park the truck. Take Out of Service. (1910.178(p)(1), (q)(1)), Take it out of service if it is unsafe to operate. Only Authorized Personnel make repairs. List defects in the defect section. Select Service Status: In Service/Removed From Service. Report Immediately. Sign Safe for Shift. Or mark it as removed. Only supervisor signature needed if employer requires.

This is OSHA's US General Industry Standard. Other Rules exist for Agriculture, Maritime and Construction. State Plan OSHA may impose record keeping rules. This template is not an official form for any state. Daily Checklist is not required by OSHA. See NIOSH 2022-100 which mentions documentation can help.

Follow the operator's manual provided by the OEM and follow your employer's procedure. No need to create your own Pass/Fail number. 1910.178 does not specify. Want Copy? Download a filled PDF or CSV if you want a copy that leaves this tab. Open a full PDF or download as CSV with this Tab Left. Answer stays in this Browser. Next user gets a fresh form.

Forward the signed record to the employer's maintenance process or supervisor. Until the truck is brought back into service by people authorized to do so, it remains out of service.

Note: 1910.178(l)(4) doesn't replace refresher training following an event, doesn't red-tag the truck in your CMMS, and doesn't call OSHA. The source does not mention emailing anyone.

Not a substitute for the OEM or a licensed inspection

This page is the form. Preview and printable PDF are below the form.

This is not legal advice. It is not a substitute for 29 CFR 1910.178, ANSI/ITSDF B56.1, or a qualified mechanic. This is a recordkeeping template only. Do not make up your own OK / Defect limits unless they are stated in the cited B56.1, NIOSH, or OSHA text.