Generic Safety Checklist for Carts/Utility Vehicles
This file provides a checklist to ensure the safety and proper functioning of carts and utility vehicles. It includes inspection items for both visible and functional aspects. Any issues found should be reported to the Supervisor and vehicles should be taken out of service until repaired.
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How do I fill this out?
To fill out this form, carefully inspect the cart or utility vehicle for any visible and functional issues. Mark 'Y' for Yes, 'N' for No, and 'NA' for Not Applicable for each item in the checklist. Make sure to report any issues to your Supervisor and take the vehicle out of service if necessary.

How to fill out the Generic Safety Checklist for Carts/Utility Vehicles?
1
Inspect the cart for any visible issues.
2
Check the functional aspects of the vehicle.
3
Mark 'Y', 'N', or 'NA' for each item.
4
Report any issues to the Supervisor.
5
Take the vehicle out of service if necessary.
Who needs the Generic Safety Checklist for Carts/Utility Vehicles?
1
Maintenance staff need this file to ensure vehicle safety.
2
Supervisors need this file to monitor vehicle conditions.
3
Drivers need this file to perform pre-operation checks.
4
Safety inspectors need this file for compliance checks.
5
Fleet managers need this file to maintain service records.
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What are the instructions for submitting this form?
Submit this form to your Supervisor via email, fax, or physical copy. If submitting via email, attach the completed PDF form to the email and send it to the designated Supervisor's email address. For fax submissions, send the completed form to the department's fax number. You may also hand in a printed copy to your Supervisor. Always ensure to keep a personal copy of the submitted form for your records.
What is the purpose of this form?
The purpose of this form is to ensure the safety and proper maintenance of carts and utility vehicles through regular inspections. By using this checklist, operators and maintenance staff can identify and address any issues before they become serious problems. Ensuring vehicle safety helps prevent accidents and maintain compliance with safety regulations, ultimately protecting both personnel and equipment.

Tell me about this form and its components and fields line-by-line.

- 1. Authorization: Verify if the user has completed specific cart safety instruction and possesses a valid driver's license.
- 2. Visible Items: Check for tire pressure, rust damage, fluid levels, fluid leaks, and any loose parts.
- 3. Functional Aspects: Inspect vehicle steering, reverse alarm, brakes, mirrors, hazard lights, seat belts, horn, signals, and battery charge.
- 4. Signature: Ensure all operational and safety features are maintained, and record the inspection date.
What happens if I fail to submit this form?
Failure to submit this form can result in unsafe vehicle operations and potential compliance issues.
- Unsafe Operations: Vehicles may operate with undiscovered issues, leading to accidents or breakdowns.
- Compliance Issues: Failure to maintain proper documentation can result in regulatory non-compliance and potential fines.
How do I know when to use this form?

- 1. Pre-operation Check: Conduct daily inspections before using the vehicle.
- 2. Maintenance Records: Maintain a record of vehicle inspections for compliance and maintenance history.
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What should I do if the vehicle does not pass the inspection?
Report the issues to your Supervisor and take the vehicle out of service until it is properly repaired.
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