Aerial Lift Pre Use Inspection Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date
• Add location
  Address

• Operator:

AERIAL LIFT PRE-USE INSPECTION

• SCISSOR LIFT

• ARTICULATING BOOM

• MAN LIFT

• OTHER

• Below the ALL Identification Numbers will need to be listed if available

• EQUIPMENT ID:

• COMPANY ID:

• SERIAL NUMBER:

• MODEL NUMBER

Inspection Item & Description

• Operating and emergency controls are in proper working condition EMO/Emergency Stop Device

  Safe

  At Risk

  N/A

• Functional upper drive control interlock (I.e. Foot Pedal, Spring Lock, or Two Hand Controls)

  Safe

  At Risk

  N/A

• Emergency lowering function works properly

  Safe

  At Risk

  N/A

• Lower operating controls function properly

  Safe

  At Risk

  N/A

• Both Upper & Lower controls are adequately protected from inadvertent operation

  Safe

  At Risk

  N/A

• Control panel is clean & all buttons/switches are clearly visible (no paint/over spray)

  Safe

  At Risk

  N/A

• All switch & mechanical guards are in good condition & properly installed

  Safe

  At Risk

  N/A

• All safety indicator lights work

  Yes

  No

  N/A

• Drive controls function properly & accurately labeled ( up, down, right, left, forward, reverse, etc.)

  Yes

  No

  N/A

• Motion alarms are functional

  Safe

  At Risk

  N/A

• Safety decals are in place & legible

  Yes

  No

  N/A

• All guard rails are sound & in place, including basket chains

  Safe

  At Risk

  N/A

• Work platform extension & slides are clean of debris

  Yes

  No

  N/A

• Work platform extension slides in & out freely with safety locking pins in place to lock setting on models with extension platforms.

  Yes

  No

  N/A

• Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness

  Yes

  No

  N/A

• Tires & wheels are in good condition, with adequate air pressure

  Yes

  No

  N/A

• Braking devices are operating properly

  Yes

  No

  N/A

• The Manufacture's Operations manual is available

  Yes

  No

  N/A

• Oil level. Hydraulic oil level, Fuel level, Coolant level all appropriate

  Yes

  No

  N/A

• Battery Charge

  Yes

  No

  N/A

• Outriggers in place or functioning, associated alarms working<br>(If available on equipment)

  Yes

  No

  N/A

SAFETY PRECAUTIONS (Have, Look For, Be Aware Of)

• PPE in use ( Harness, Lanyard, Hardhat, Etc.)

• Lower lift if wind becomes over bearing

• Floor conditions: drop offs, holes, uneven surfaces, & sloped floors

• Housekeeping: debris, floor obstructions, cords, construction material & supplies

• Electrical power cables or panels, (min. of 10' away).

• Chemical lines, gas lines, drain lines, & utilities observed

• Loads do not exceed posted capacity

• Watch for vehicular & pedestrian traffic, set up barricades if necessary

• Signature of Operator

  Sign

• Signature of Spotter

  Sign