7.1.7 SCISSOR / VERTICAL LIFT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Date:

• Equipment I.D.#:

• Operator's Name or I.D.#:

• Hr. Meter Reading:

• Shift:

PRE-SHIFT INSPECTION: Before use each day or at the beginning of each shift, the aerial platform shall be given a visual inspection and functional test including but not limited to the following:

• DAILY INSPECTION CHECK LIST

• 1. "Operating" and "Emergence" Controls

• O.K.

• NEED ATTENTION / REMARKS

• 2. Safety Devices

• O.K.

• NEED ATTENTION / REMARKS

• 3. Personal Protective Devices including Fall Protection

• O.K.

• NEED ATTENTION / REMARKS

• 4. Air, Hydraulic and Fuel System(s)

• O.K.

• NEED ATTENTION / REMARKS

• 5. Cables and Wiring Harness

• O.K.

• NEED ATTENTION / REMARKS

• 6. Loose or Missing Parts

• O.K.

• NEED ATTENTION / REMARKS

• 7. Tires and Wheels

• O.K.

• NEED ATTENTION / REMARKS

• 8. Placards, Warning, Controls Markings and Operating Manual(s)

• O.K.

• NEED ATTENTION / REMARKS

• 9. Outriggers, Stabilizers, Extendible Axles and other Structures

• O.K.

• NEED ATTENTION / REMARKS

• 10. Guard Rail System

• O.K.

• NEED ATTENTION / REMARKS

• 11. Items Specified by Manufacturer

• O.K.

• NEED ATTENTION / REMARKS

• ~~~ANY PROBLEMS OR MALFUNCTIONS THAT AFFECT THE SAFTY OF
  OPERATES SHALL BE REPAIRED PRIOR TO THE USE OF THE AERIAL PLATFORM.~~~

• SUPERVISOR:

  Sign

• Additional Remarks: