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.