Title Page

  • Site conducted

  • Client

  • P/O Number

  • Document No.

  • Plant #

  • Service Technician

  • Location
  • Date

  • Instructions

    1. Please answer the questions accordingly.
    2. Add Photos and Notes by clicking on the Paperclip icon
    3. To add a Corrective Measure click on the Paperclip icon then ""Add Action"", provide a description, assign to a member, set priority, and due date
    4. Complete audit by providing digital signature
    5. Share your report by exporting as PDF, Word, Excel or Web Links

Equipment Details

  • Make & Model #

  • Serial#

  • Hr. Meter

  • Last Annual Inspection

  • Last Engine Service

  • Hrs since last service

Service Details

  • Select type of inspection

Safety Checks

  • No Damage

  • Take photo of any damage

  • Clean Machine as Required

  • Logbook - No faults, inspect due

  • Ops Manual intact, decals legible

  • Overall Condition incl. Fluids, Guards

  • No LED or LCD Fault codes

  • Platform, Basket, Railings, Entry Point & Gate ok

  • Hi drive' correctly defaults to 'creep speed

  • E-Stop',Deadman & Batt. Isolator

  • Brake Operation - Refer to manufactures specs

  • Hydraulic Cylinders

  • Hydraulic Leaks

  • Hydraulic oil level

  • Hydraulic Hoses - Not worn.

  • Tilt Light and Tilt Alarm Operational

  • Level Bubble(s) Condition

  • Tie Down & Lifting Point Condition

  • Steering Linkages & Bushes

  • Tyres, Wheels, Wheel Nuts Ok

  • Chassis, Mast, scissor & boom

  • Condition incl. Pivot Pin Clips

  • Top Hat' Type Free - Wheeling Hubs. Inspect plunger

  • Level Cones

  • Limit Switches

  • Platform Control Operation

  • Ground Control Operation

  • Horn Motion Alarm

Engine I.C

  • Engine Oil Level

  • Check Engine Mounts, Radiator/Cooler Mounts. Check For Any Fuel/Oil Leaks.

  • Check Belts - Alt & Generator

  • Air Cleaner - Clean

  • OutRiggers

  • Wear pad - condition

  • Manual Desent / Aux. Power Operational Check

Electric Checks

  • Visual Inspection : 24ov Electrics ok

  • PAT Test : Battery Charger Current

  • RCD Test : Power to Platform Current

Other items to be Inspected

  • Select items to be inspected

Booms

  • Basket Rotator Assembly Ok

  • Oscillating Axle Operation

  • Telescope Axle Operation

  • Drive Enable - Operation, Light and Locks

  • Slew bearing tolerance

  • Slew Ring Gear - Bolts correct torque, gear etc

  • Rotary Coupling

  • Slew Lock Pin

  • Self Closing Gate

  • Mesh Condition

  • Platform Mounts

  • Secondary protection opertation

  • JoyStick Boots

  • Check Hub Oils

  • Platform Over Load - Test function

Scissor Lift Only

  • Saftey Props Not Damaged / Missing

  • Restriced drive Height / Platform Elevation Cutout

  • Drive Cuts Out If Any Outrigger Extended

  • With Outriggers Retracted/Platform Elevated - Outrigger Not To Extend

  • With Outriggers Deployed/Platform Elevated - Outrigger Not To Retract

  • Static Strap - No Damage / Missing

  • Extension Deck - Correct Operation

  • Pothole Bars - Deploy / Retract

  • Platform Over load - Test Function

  • Check Hub Oils

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

Tele Work Platforms

  • Mast Sequence Cables, Chains, Slides

  • Pothole Bars - Deploy / Retract

  • Caster Wheels - Free Moving

  • Locks / Pins - In place / Not damaged

  • Check Hub Oils

  • Platform Over Load - Test Function

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

Trailer Mounted Booms

  • Basket / Boom Level Rods ok

  • Boom Outrigger Lockout Operation

  • Axle & Suspension OK

  • Tow Hitch, Chains, Drawbar & Jockey Wheel Condition Ok

  • Road Lights Ok & Rego Current

  • Tyre Pressures Ok

  • Platform Over Load - Test Function

  • Battery Voltage Under Load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Service Notes

  • Parts Used

  • Flagged Items

  • Take a photo

Signatory

  • Service Tech Name and Signature

3 Monthly Inspection

Safety Checks

  • No Damage

  • Take photo of any damage

  • Clean Machine as Required

  • Logbook - No faults, inspect due

  • Ops Manual intact, decals legible

  • Overall Condition incl. Fluids, Guards

  • No LED or LCD Fault codes

  • Platform, Basket, Railings, Entry Point & Gate ok

  • Hi drive' correctly defaults to 'creep speed

  • E-Stop',Deadman & Batt. Isolator

  • Brake Operation - No excess run on

  • Hydraulic Cylinders

  • Hydraulic Leaks

  • Hydraulic fluid level

  • Hydraulic Hoses - Not worn.

  • Tilt Light and Tilt Alarm Operational

  • Level Bubble(s) Condition

  • Tie Down & Lifting Point Condition

  • Steering Linkages & Bushes

  • Tyres, Wheels, Wheel Nuts Ok

  • Chassis, Mast, scissor & boom

  • Condition incl. Pivot Pin Clips

  • Top Hat' Type Free - Wheeling Hubs. Inspect plunger

  • Level Cones

  • Locate & Check All Level Cones & Limit Switches

  • Platform Control Operation

  • Ground Control Operation

  • Horn Motion Alarm

  • OutRiggers

  • Thorough Visual Insp Incl. Hoses/Cables

  • Wear pad & Slide Condition

  • Manual Desent / Aux. Power Operational Check

  • All Drive Speeds Correct

  • Battery Charger Interlock

Engine I.C

  • Engine Oil Level

  • Check Engine Mounts, Radiator/Cooler Mounts. Check For Any Fuel/Oil Leaks.

  • Check Belts - Alt & Generator

  • Air Cleaner - Clean

Electric Checks

  • Visual Inspection : 24ov Electrics ok

  • PAT Test : Battery Charger Current

  • RCD Test : Power to Platform Current

Other items to be Inspected

  • Other items to be inspected

Scissor Lift Only

  • Saftey Props Not Damaged / Missing

  • Restriced drive Height / Platform Elevation Cutout

  • Drive Cuts Out If Any Outrigger Extended

  • With Outriggers Retracted/Platform Elevated - Outrigger Not To Extend

  • With Outriggers Deployed/Platform Elevated - Outrigger Not To Retract

  • Static Strap - No Damage / Missing

  • Hydraulic Manifold - Leaks

  • Extension Deck - Correct Operation

  • Pothole Bars - Deploy / Retract

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

Booms

  • Basket Rotator Assembly Ok

  • Oscillating Axle Operation

  • Telescope Axle Operation

  • Drive Enable - Operation, Light and Locks

  • Slew Ring Gear - Visual Check

  • Rotary Coupling

  • Slew Lock Pin

  • Self Closing Gate

  • Mesh Condition

  • Platform Mounts

  • Secondary protection opertation

  • JoyStick Boots

  • Counter Weight Bolts - Secure

  • Platform Slew Limit - Check

  • King Pins

  • Compression Arm - No Damage

  • Retainer Pins Secure

  • Slew Motor Bolts - visual inspection

  • Grease Slew Ring Bearing

  • Grease Platform Over Load

  • Power Track Free of Damage

  • Wire Ropes In Good Condition

Trailer Mounted Boom

  • Check Brake Operation

  • Check Park Brake Operation

  • Wheel Bearings - Check Play

  • Fly Jib Basket Mounting No Cracks

  • Outrigger Pads

  • Slew Bolts - Visual Check

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

Vertical Mast Lifts Only

  • Rollers and Wear Pads - Check for wear

  • Outriggers - No Missing or Damaged Parts

  • Pot hole Protection - Deploy Retract

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Battery voltage under load

  • Ready to hire tag attached

  • Service Notes

  • Parts Used

  • Flagged Items

  • Take a photo

Signatory

  • Service Tech Name and Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.