6 month certification

• Conducted on

  Date

• Prepared by

• Certification ID#

• Location
  Address

• Fleet Number

• Customer

Initial Details

• Type Of Check

  6 Month Certification

• Date Of Check

  Date

• Machine Make

• Machine Model

• Serial Number

• Hour Meter Reading

• Commission Date

Maximum safe working loads and capacities through it's full working range at 0m/s

• Persons

• Weight: Kg

Maximum safe working loads and capacities through it's full working range at 12.5m/s

• Persons

• Weight: Kg

• Machine Type

  Internal Combustion

  Electric

• Engine Oil & Filters

  Pass

  Fail

  N/A

• Fuel Filters / Strainers / Water Trap

  Pass

  Fail

  N/A

• Transmission Oil & Filter

  Pass

  Fail

  N/A

• Air Filter

  Pass

  Fail

  N/A

• Coolant System Condition / Level

  Pass

  Fail

  N/A

• Pressure Test Coolant System

  Pass

  Fail

  N/A

• Belt Condition

  Good

  Fair

  Poor

  N/A

• Ignition System

  Pass

  Fail

  N/A

• Engine / Radiator / Exhaust / Mounts Condition

  Good

  Fair

  Poor

  N/A

• Engine - Idle / Throttle / Speed

  Pass

  Fail

  N/A

• Hose & Pipe Condition

  Good

  Fair

  Poor

  N/A

• Fuel System

  Good

  Fair

  Poor

  N/A

• Leaks

  Pass

  Fail

  N/A

• Electric Motor / Noise / Brushes / Mounts

  Good

  Fair

  Poor

  N/A

• Mains Inlet / RCD Condition / PAT Test

  Pass

  Fail

  N/A

• Hydraulic Oil / Filter / Breather Condition

  Good

  Fair

  Poor

  N/A

• Hub / Gear Oils

  Pass

  Fail

  N/A

• Slew System / Brake

  Pass

  Fail

  N/A

• Wheel Nuts / Bearings / Wheels / Castors / Tyres

  Good

  Fair

  Poor

  N/A

• Chains / Forks / Couplings / Attachments / Cables

  Good

  Fair

  Poor

  N/A

• Brake System

  Good

  Fair

  Poor

  N/A

• Basket / Platform Condition / Secure

  Pass

  Fail

  N/A

• Safety Decals / Operation Instructions / Manual

  Pass

  Fail

  N/A

• Emergency Controls / Aux Power / Manual Lower

  Pass

  Fail

  N/A

• Lower Controls

  Pass

  Fail

  N/A

• Control Stops / Limit Switches / Cut Outs / Interlocks

  Pass

  Fail

  N/A

• Charging System / Ammeter

  Pass

  Fail

  N/A

• Wear Pads / Bearings / Bushes / Pins

  Pass

  Fail

  N/A

• Steering Componentry

  Pass

  Fail

  N/A

• Platform Levelling System

  Pass

  Fail

  N/A

• Cylinders / Valves Operation / Condition

  Pass

  Fail

  N/A

• Drive Motors Condition / Secure

  Pass

  Fail

  N/A

• Welding / Structural Condition

  Pass

  Fail

  N/A

• Emergency Stop Function

  Pass

  Fail

  N/A

• Deadman / Enable System

  Pass

  Fail

  N/A

• Keeper Pins / Fasteners Condition / Secure

  Pass

  Fail

  N/A

• Oil Leaks / Fluid Levels

  Pass

  Fail

  N/A

• Harness Anchor Point

  Pass

  Fail

  N/A

• Hoses / Pipes Condition

  Good

  Fair

  Poor

  N/A

• Tilt System Operation

  Pass

  Fail

  N/A

• Overload System Operation

  Pass

  Fail

  N/A

• Motion / Distress / Warning Alarms / Horn

  Pass

  Fail

  N/A

• Wiring / Cable Condition

  Good

  Fair

  Poor

  N/A

• Covers / Cabinets / Doors Condition

  Good

  Fair

  Poor

  N/A

• Oscillating Axle Operation

  Pass

  Fail

  N/A

• Key Switch

  Pass

  Fail

  N/A

• Battery Terminals / Cables / Levels

  Pass

  Fail

  N/A

• Outriggers / Stabilisers

  Pass

  Fail

  N/A

• Linkage / Actuators / Springs

  Pass

  Fail

  N/A

• Instruments / Gauges / Lights Operation

  Pass

  Fail

  N/A

Additional Notes

• Additional Notes

• Photos

  Media