Information
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Client / Site
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Conducted on
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Prepared by
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Location
Main Info
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Unit Number
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Hour Meter
General info
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Are you trained and qualified to operate this equipment?
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Equipment walk around (exterior condition, obstructions)
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Fall arrest anchor point
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Engine oil
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Engine coolant
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Belts tension / condition
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Gauges & instruments
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Hydraulic oil
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Battery and cables
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Tire pressure / condition
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Wheels, nuts & tires
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Steering arms & cylinder
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Limit switch
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Fuel tank
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Test all ground controls
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Emergency lower sticker
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Fire extinguisher
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Emergency buttons
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Horn
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Platform
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Handrails & kickplate
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Platform controls
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Steering control
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Warning lights & alarm
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Parking brake
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Operations manual
Scissor Lift
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Storage compartments, doors latched
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Scissors, pins, keepers and pads
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Scissor lift cylinders
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Test tilt alarm censor
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Boarding ladder & gate
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Guardrail lock pins
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Warning stickers
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Platform extension lock pin
Work site inspection
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Absent of any structural damages
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Absent of holes, drop offs, or soft spot in your work path
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Absent of any debris that will hinder your work<br>
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Absent of grease and/or dirt
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Absent of overhead wires or other obstructions<br>
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Absent of electrical, telephone, or cable boxes on the ground<br><br>
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Is the environment suitable for planned work? (wind, rain, mud, ice, lightning)<br>
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Is the work surface able to support the lift<br>
Comments / Repair & maintenance required reported to:
Sign off
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Operator
