Title Page
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Conducted on
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Department
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Site
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Prepared by
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Location
Unit Inspection Item and Description
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Unit Type
- Scissor Lift
- Articulating Boom
- Man Lift
- Other:
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Please specify
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The manufacturer’s operations manual is stored on the unit<br>
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Operating and emergency controls are in proper working condition (including emergency stop mechanism)
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Functional platform drive controls are in proper working condition
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Emergency lowering mechanism operates properly
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Lower operating controls successfully override the upper controls
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Both upper and lower controls are adequately protected from inadvertent operation
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Control panel is clean and all buttons/switches are clearly visible
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All switch and mechanical guards are in good condition and properly installed
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All safety indicator lights work
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All drive controls function properly and are accurately labeled
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Motion alarms function properly
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Safety decals are in place and readable
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All guard rails are sound and in place, including basket chains
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Work platform and extension slides are clean, dry, and clear of debris
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Models with platform extensions: slides in and out freely with functioning safety locking pins
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Inspect for defects, including cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.
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Tires and wheels are in good condition with adequate air pressure if pneumatic
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Braking devices are operating properly
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Oil level/Hydraulic Oil Level/Fuel Level/Coolant Level is acceptable
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Battery Charge is acceptable
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Outriggers in place or functioning and associated alarms working
Safety Precautions to Consider/Have/Be Aware Of
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Personal Protection in use (harness, lanyard, hardhat, etc.)
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See manufacturer guidelines for use in windy conditions (always lower if lift begins to rock in the wind)
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Floor/ground conditions: drop offs, holes, uneven surfaces, and sloped floors
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Housekeeping: debris, floor obstructions, cords, construction materials and supplies
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Location of electrical power cables or panels (keep minimum 10 ft. away) Contact Facilities Management Department for guidance on larger lines or wet conditions.
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Look for chemical lines, gas lines, drain lines, and utilities
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Location of overhead obstructions
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DO NOT exceed load capacity
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Watch for vehicular and pedestrian traffic (set up barricades if necessary)
Completion
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If the Aerial Lift fails any part of this inspection, remove the key and report the problem to your supervisor. DO NOT operate. Submit completed checklist to your supervisor.
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Inspected by: (name and signature)
