Pre-start up Circle Check for Electric Tugger/Tow Tractor

Truck #____________________

 

A circle check is to be completed and recorded, when the Electric Tugger/Tow Tractor is used for the first time on a shift.

 

Physical Checks include looking for:

- signs of battery leaks, cable damage   -low water levels (dry moss shield once a week).

- recent dints or gouges.                        - damaged wheels or material caught in wheels.

 

Mechanical Checks include:

- listening unusual noises with power on            - check that the horn is working.           

- proving that the up, down, forward and back controls are operate and return to neutral..

- proving that the brake works - lower position (pressed down) - upper position. (released)

- checking that plugging (changing the direction controls) acts as a brake

-  making pallet truck move forward by pushing bumper button.

- proving that the coupler is operating properly           

- checking for signs of slow oil leaks if parked for a long period

 

If there are no reasons for concern write your initials besides today’s date on the reverse side and return this check sheet to its proper place.

 

If there are concerns, write them in the space below and contact your supervisor. The supervisor will decide the action required and record it beside your comments.

 

Date    Concerns            Operator’s Initials                

Action to be taken.  Supervisor’s Initials

 

________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 ________________________________________________________________________

 

created by LTS            visit www.safetycoach.ca for details about material handling training

 

              

 

 

Circle Check Record Sheet for  ___________  __________

 

At least once a month the supervisor demonstrates due diligence by asking a worker to complete an extra checks with the supervisor present and then adds his/her initial besides the worker's.

 

 

 

 date

 

 

month of ______________________

shift  1st            2nd            3rd

 

 

date

    

    year   200 ___

shift  1st         2nd              3rd

 1

 

 

 

16

 

 

 

 2

 

 

 

17

 

 

 

 3

 

 

 

18

 

 

 

 4

 

 

 

19

 

 

 

 5

 

 

 

20

 

 

 

 6

 

 

 

21

 

 

 

 7

 

 

 

22

 

 

 

 8

 

 

 

23

 

 

 

 9

 

 

 

24

 

 

 

 10

 

 

 

25

 

 

 

 11

 

 

 

26

 

 

 

 12

 

 

 

27

 

 

 

 13

 

 

 

28

 

 

 

 14

 

 

 

29

 

 

 

 15

 

 

 

30

 

 

 

 

 

 

 

31

 

 

 

 

At the end of each month the completed sheets should be filed for a period of at least one year.

Potential Uses

Trend analysis by the committee members                        Mechanical history of the equipment

Demonstrate "due diligence" to the MOL                        Reference sheet for the mechanic

visit www.safetycoach.ca for details about material handling training

 

created by and copyright of  LTS (Laing Training Systems)