AOA Aerial Work Platform Preoperational Inspection Form

• Market

  Select

• Make

  Select Ford GMC Terex Sky Hook Elliot Arm Lift

  • Ford
  • GMC
  • Terex
  • Sky Hook
  • Elliot
  • Arm Lift

• Serial #

• Model #

• Conducted on

  Date

• Prepared by

Physical Damage and Defects

• Cracked welds

  Safe

  At Risk

  N/A

• Bent or broken structural members Fuel leaks

  Safe

  At Risk

  N/A

• Fuel leaks

  Safe

  At Risk

  N/A

• Hydraulic systems, visual for leaks

  Safe

  At Risk

  N/A

• Damaged controls and cables

  Safe

  At Risk

  N/A

• Loose wiring

  Safe

  At Risk

  N/A

• Tire condition

  Safe

  At Risk

  N/A

• Fuel, Hydraulics and other fluid levels

  Safe

  At Risk

  N/A

• Fall protections anchor point

  Safe

  At Risk

  N/A

• Covers for shafts, gears and other moving parts

  Safe

  At Risk

  N/A

Operating Controls

• Return to off or neutral when released

  Pass

  Fail

  N/A

• Protected against inadvertent operation

  Pass

  Fail

  N/A

• Be clearly marked as to function

  Pass

  Fail

  N/A

• Proper function of override or lower controls

  Pass

  Fail

  N/A

Labels, Markings, Manuals

• Operators manual and safety rules

  Pass

  Fail

  N/A

• Rated capacity

  Pass

  Fail

  N/A

• Electrical insulation

  Pass

  Fail

  N/A

• Danger signs and labels

  Pass

  Fail

  N/A

• Warning signs and labels

  Pass

  Fail

  N/A

• Boom angle load chart

  Pass

  Fail

  N/A

Site/Workplace Survey

• Ditches, drop offs, holes

  Safe

  At Risk

  N/A

• Bumps or debris

  Safe

  At Risk

  N/A

• Ground and overhead obstructions

  Safe

  At Risk

  N/A

• Electrical power lines

  Safe

  At Risk

  N/A

Other Manufacturers Recommendations

• undefined