Hand Pallet Truck Inspection Checklist
Complete this form to document the inspection and condition of a hand pallet truck before use.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Pallet Truck ID / Serial Number
*
Location of Inspection
*
Overall Condition Rating
*
1
2
3
4
5
Inspection Checklist
*
Rows
Pass
Fail
N/A
Wheels and rollers in good condition
1
2
3
Forks are straight and undamaged
4
5
6
Handle and controls operate smoothly
7
8
9
Hydraulic system free of leaks
10
11
12
Brakes functioning properly (if equipped)
13
14
15
Warning labels and markings visible
16
17
18
No visible structural damage
19
20
21
Load capacity plate present and legible
22
23
24
Describe any issues found during inspection
Is the pallet truck safe to use?
*
Yes
No
Upload photos of any defects (if applicable)
Upload a File
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Choose a file
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of
Inspector's Signature
*
Submit Inspection
Submit Inspection
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