Title Page
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Boom Lift Inspection
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Jobsite Location
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Job Name:
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Manufacturer
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Model
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Date of Inspection:
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Hour Meter
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Weather - Select all that apply
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Project Superintendent(s)
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Operator Name:
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Prepared by
Items for Inspection
BEFORE STARTING ENGINE
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Has the operator been instructed in the safe operation of this type of Boom Lift?
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Ensure Annual Inspection has been completed within the last 13 months.
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Labels. In place, secure & legible.
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Ensure limit switches are properly secured with no signs of visible damage and movement is not obstructed.
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Hydraulic Pumps. Tight fittings, hoses & bolts. No damage, missing parts or leaks.
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Hydraulic Tank. Filler cap secure & no damage or evidence of hydraulic leakage.
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Hydraulic Oil. Level between minimum & maximum marks on site glass
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Battery. No damage, tight connections, adequate fluid levels. Clean terminals and cable ends.
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Engine Oil. Level in the "safe" zone. Ensure oil change interval has not been exceeded.
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Engine Fuel Leaks. No damage or leaks from tank, shutoff valve & hoses and fittings.
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Fuel Tank. Filler cap is secure & no visible damage or fuel leakage.
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Engine fuel level
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Wheel/Tire Assembly. Check all tires for damage, wear & proper alignment.
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Manuals & Required Documents. In storage box, in good condition & legible.
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Floorboard free of debris and garbage
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Railings and Gate. Ensure all railings are properly positioned and secured.
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Ensure footswitch is in good working order and has not been modified, disabled or blocked.
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Platform Control Console. Switches in neutral position & secure. No damage or missing parts.
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Boom. No damage or missing parts. No deformation or cracks in welds. Tight hoses and bolts & no leaks.
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Wear Pads. No damage or missing parts. Bolts tightened.
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Lanyard Attachment Anchorage. Attachment rings secure & no damage.
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Personal Fall Arrest Equipment Inspected and Training Completed
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Presence of fire extinguishers
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Oil & fuel filter clean.
AFTER STARTING THE ENGINE
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All-function motion alarm should sound while operating any boom and drive function.
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Turn main power disconnect switch to off position. Result: Aerial platform functions should not operate.
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Push in Red emergency stop button. Result: Engine should shut down and aerial platform functions should not operate.
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Test Horn
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Test Brakes: Drive forward, then reverse at full speed. Remove your foot from footswitch. Result: Aerial platform should come to an instant and abrupt stop
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Outriggers/stabilizers operate properly.
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Upper drive control interlock mechanism is functional (i.e., foot pedal, spring lock, or two hand controls).
JOBSITE INSPECTION
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Floor conditions: Holes or drop-offs, ditches, floor obstructions, overhead obstructions, electrical cords, wind or weather conditions, inadequate surface support
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Perform a thorough jobsite inspection prior to operating the aerial platform, to identify potential hazards in your work area.