Compliance Inspection Sheet - EWP

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Observation Criteria

• Has the plant log book been completed

  Safe

  At Risk

  N/A

• Is a copy of the operator's manual maintained with the machine

  Safe

  At Risk

  N/A

• Is the EWP free from defect likely to affect the integrity of the machine's operation

  Safe

  At Risk

  N/A

• Are operating controls legible and safety devices in an operable condition

  Safe

  At Risk

  N/A

• Is the self closing mechanism on the gate in a functional condition

  Safe

  At Risk

  N/A

• Is the EWP being operated in a safe manner i.e. proximity to adjacent services, pipe racks, line of fire

  Safe

  At Risk

  N/A

• Is the operator appropriately secured within the basket and correct PPE worn for the task

  Safe

  At Risk

  N/A

• Has a spotter/escort been provided and is within sight of the operation of the machine

  Safe

  At Risk

  N/A

• Is the spotter competent in the operation of the machine and familiar with the emergency ground controls

  Safe

  At Risk

  N/A

• Have adequate precautions such as flagging, cones or warning signs been erected to warn of hazards

  Safe

  At Risk

  N/A

• Has bonding been provided between the machine and adjacent structure in the case of electrical welding work

  Safe

  At Risk

  N/A

• Is a permit displayed on the machine for exiting the platform in an elevated position

  Safe

  At Risk

  N/A