Title Page

  • Site conducted

  • Location
  • Conducted on

  • Prepared by

MEWP INSPECTION CHECKLIST

  • Name/Type of MEWP:

  • Model or Equipment No:

  • The manufacturer’s operating manual is available with MEWP

  • Six month through examination certificate available with MEWP

  • Operating and emergency controls are in proper working conditions, EMO button or emergency stop

  • Drive controls function property & are accurately labelled (up, down, right, left, forward, back.)

  • Lower operating controls successfully over ride the upper controls

  • All safety indicator lights work

  • Motion alarms are working

  • All powered movements are working including telescoping, raising, lowering, slewing & steering

  • All switch & mechanical guards are in good condition and properly installed

  • Decals identifying the controls, SWL, harness anchor points, maximum wind speeds etc are in place and readable

  • Platform guard rails, entrance gate latches and harness points checked for security

Workplace Assessment

  • Floor/ground conditions: Excavations, uneven surfaces, unstable ground, sloping ground etc

  • Surrounding Hazardous: Obstructions, debris, stockpiled materials, moving plant & machinery etc

  • Overhead Obstructions: Electrical power cables or panels, building structure, trees etc

Operators Signature

  • Operators Signature:

  • Date & Time:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.