Aerial Boom Lift

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Pre start up inspection

• Wheels, tires, axels in good condition and inflated?

  Good

  Needs Repair

• Hydraulic components in good condition?

  Good

  Needs Repair

  Needs Fluids Added

• Hydraulic Levels?

  Good

  Needs Fluid Added

• Battery tray opens, closes easily?

  Good

  Needs Repair

• Turret turntable - gears, lock pin and stops?

  Good

  Needs Repair

• Cover panels operational and latches secure?

  Good

  Needs Repair

• Engine - belts, hoses, filters, fluids OK?

  Good

  Needs Repair

  Needs Fluid Added

  Needs Oil Change

  Needs New Air Filter

• Fuel tank level?

  Good

  Needs Fuel

• Lights and Strobes working properly?

  Yes

  Needs Repair

  N/A

• Warning placards, labels and decals legible?

  Good

  Needs Repair

• Is boom in good working condition, free of cracks?

  Good

  Needs Repair. STOP! Do Not Use Lift

• DO NOT USE LIFT. Notify project superintendent

• Are all controls clearly marked?

  Yes

  No

  N/A

Power Checklist

• Engine starts and has oil pressure?

  Yes

  No

  N/A

• Battery charge level working?

  Yes

  No

  N/A

• Gauges and instruments (hour meter/warning lights work)?

  Yes

  No

  N/A

Ground and Platform Controls

• Boom - raise/lower/extend and contract?

  Yes

  Needs Repair

  N/A

• Turret rotates?

  Good

  Needs Repair

• Drive - Forward and backwards

  Yes

  Needs Repair

  N/A

• Steer- Left /Right?

  Yes

  Needs Repair

  N/A

• Platform- Rotate & Tilt?

  Yes

  Needs Repair

  N/A

• Horn in working condition?

  Good

  Needs Repair

Safety Checklist

• Are anchor points for harness lanyards accessible and in good condition?

  Good

  Needs Repair. STOP! Do Not Use Lift