Aerial Lift Inspection Form

• I understand that if aerial lift fails any part of this inspection, remove the key and report the problem to the site supervisor.

  Yes

  No

• Job Name & Number

• Aerial Lift Inspection

Aerial Lift

• Type of Lift:

• Model:

• Unit / Serial#:

• Beginning of the week

  Date

• Personnel conducting inspection

  Sign

• Is it Monday

Vehicle Inspection

• Oil Level

  Safe

  At Risk

  N/A

• Hydraulic Oil Level

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Ground Control Switches

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Tire Pressure and Condition of Wheels and Tires

  Safe

  At Risk

  N/A

• Battery and Charger

  Safe

  At Risk

  N/A

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

Check Operations:

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Attachments or accessories

  Safe

  At Risk

  N/A

• Backup Alarm or Warning Buzzer

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Ground Controls Function

  Safe

  At Risk

  N/A

• Lift and Travel Controls and Switches

  Safe

  At Risk

  N/A

Platform Lift Equipment

• Placards, Decals and Control ID labels

  Safe

  At Risk

  N/A

• Handrails, Guardrails and Safety Chains

  Safe

  At Risk

  N/A

• Platform Deck and Toe Boards

  Safe

  At Risk

  N/A

• Electrical Lift cords are in good working condition (no cuts, abrasion or missing ground prong)

  Safe

  At Risk

  N/A

• Is it Tuesday

Vehicle Inspection

• Oil Level

  Safe

  At Risk

  N/A

• Hydraulic Oil Level

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Ground Control Switches

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Tire Pressure and Condition of Wheels and Tires

  Safe

  At Risk

  N/A

• Battery and Charger

  Safe

  At Risk

  N/A

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

Check Operations:

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Attachments or accessories

  Safe

  At Risk

  N/A

• Backup Alarm or Warning Buzzer

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Ground Controls Function

  Safe

  At Risk

  N/A

• Lift and Travel Controls and Switches

  Safe

  At Risk

  N/A

Platform Lift Equipment

• Placards, Decals and Control ID labels

  Safe

  At Risk

  N/A

• Handrails, Guardrails and Safety Chains

  Safe

  At Risk

  N/A

• Platform Deck and Toe Boards

  Safe

  At Risk

  N/A

• Electrical Lift cords are in good working condition (no cuts, abrasion or missing ground prong)

  Safe

  At Risk

  N/A

• Is it Wednesday

Vehicle Inspection

• Oil Level

  Safe

  At Risk

  N/A

• Hydraulic Oil Level

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Ground Control Switches

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Tire Pressure and Condition of Wheels and Tires

  Safe

  At Risk

  N/A

• Battery and Charger

  Safe

  At Risk

  N/A

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

Check Operations:

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Attachments or accessories

  Safe

  At Risk

  N/A

• Backup Alarm or Warning Buzzer

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Ground Controls Function

  Safe

  At Risk

  N/A

• Lift and Travel Controls and Switches

  Safe

  At Risk

  N/A

Platform Lift Equipment

• Placards, Decals and Control ID labels

  Safe

  At Risk

  N/A

• Handrails, Guardrails and Safety Chains

  Safe

  At Risk

  N/A

• Platform Deck and Toe Boards

  Safe

  At Risk

  N/A

• Electrical Lift cords are in good working condition (no cuts, abrasion or missing ground prong)

  Safe

  At Risk

  N/A

• Is it Thursday

Vehicle Inspection

• Oil Level

  Safe

  At Risk

  N/A

• Hydraulic Oil Level

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Ground Control Switches

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Tire Pressure and Condition of Wheels and Tires

  Safe

  At Risk

  N/A

• Battery and Charger

  Safe

  At Risk

  N/A

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

Check Operations:

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Attachments or accessories

  Safe

  At Risk

  N/A

• Backup Alarm or Warning Buzzer

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Ground Controls Function

  Safe

  At Risk

  N/A

• Lift and Travel Controls and Switches

  Safe

  At Risk

  N/A

Platform Lift Equipment

• Placards, Decals and Control ID labels

  Safe

  At Risk

  N/A

• Handrails, Guardrails and Safety Chains

  Safe

  At Risk

  N/A

• Platform Deck and Toe Boards

  Safe

  At Risk

  N/A

• Electrical Lift cords are in good working condition (no cuts, abrasion or missing ground prong)

  Safe

  At Risk

  N/A

• Is it Friday

Vehicle Inspection

• Oil Level

  Safe

  At Risk

  N/A

• Hydraulic Oil Level

  Safe

  At Risk

  N/A

• Fuel Level

  Safe

  At Risk

  N/A

• Ground Control Switches

  Safe

  At Risk

  N/A

• Coolant Level

  Safe

  At Risk

  N/A

• Tire Pressure and Condition of Wheels and Tires

  Safe

  At Risk

  N/A

• Battery and Charger

  Safe

  At Risk

  N/A

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

Check Operations:

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Lights

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Attachments or accessories

  Safe

  At Risk

  N/A

• Backup Alarm or Warning Buzzer

  Safe

  At Risk

  N/A

• Warning Lights

  Safe

  At Risk

  N/A

• Ground Controls Function

  Safe

  At Risk

  N/A

• Lift and Travel Controls and Switches

  Safe

  At Risk

  N/A

Platform Lift Equipment

• Placards, Decals and Control ID labels

  Safe

  At Risk

  N/A

• Handrails, Guardrails and Safety Chains

  Safe

  At Risk

  N/A

• Platform Deck and Toe Boards

  Safe

  At Risk

  N/A

• Electrical Lift cords are in good working condition (no cuts, abrasion or missing ground prong)

  Safe

  At Risk

  N/A