Operating Controls

Emergency Stop & Brakes

Base Operation Controls

Basket Operation Controls

Foot Controls (if applicable)

Safety Signs (Readable)


Hydraulic Leaks

Extension Chain & Pivot Pins

Electrical Lines

Basket Cage & Gate

Anchorage Points

Base (Visual)

Broken, Cracked, or Loose Parts



Tires & Outriggers

Back Up Alarm (if applicable) & Manual

Engine Compartment (Visual)

Oil Level

Fuel Level

Belt, Hose & Motor Condition

Battery & Electrical

Additional comments or observations

Additional Notes:




I hereby certify that all information is accurate and that an actual inspection was conducted as per company policy.

Inspector's Printed Name & Signature
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.