Costco Lift Inspection Report

• Store/Club #

• Location - if location services is used please verify correct address, edit as needed
  Address

• Bay number

  Select

• Manufacturer

  Select Challenger Rotary Wheeltronic Forward Blaser Other

  • Challenger
  • Rotary
  • Wheeltronic
  • Forward
  • Blaser
  • Other

• Serial number, if not available then please answer as not available

• Model number

• Estimated age of the lift

  Less than a year

  1-5 years

  6-10 years

  10+ years

• Conducted on

  Date

• Prepared by

Accessibility of Documents

• Is One Set of Safety Material Per Store available at the Store? A Set includes:<br>Installation/Operation/Parts Manual, ALI “Lift It Right” Guide and Safety Requirements for Operation, Inspection and Maintenance Guide (ALOIM 5.6.2.1)

  Yes

  No

  Not Applicable

• Is a copy of the ALI/LP-Quick Reference Guide, Vehicle Lifting Points for Frame Engaging Lifts available at the location? (ALOIM 5.6.2.3)

  Yes

  No

  Not Applicable

• Identify Year

• If an answer to a question shows a failed response add relevant notes (including action performed (if any) , QTY, other). Take photos to document the condition noted. References in the questions are to the current ANSI/ALI ALOIM Standard for Automotive Lifts Safety Requirements for Operation, Inspection and Maintenance
  - Choose "Actions" to assign a task to another member within the organisation

• Rated Load Capacity Label, is it legible? (ALOIM 5.6.2.5)

  Yes

  No

  Not Applicable

• Record capacity (lbs)

• What Type of Lift is being inspected?

  2 Post

  4 Post

  Short Rise

  Cassette Inground

  Low Pressure Inground

Lift and Bay Inspection

• Are the Lift Safety Labels ALI/WL101 present and legible? (ALOIM 5.6.2.4)

  Yes

  No

  Not Applicable

• Is there adequate clearances around the lift to accommodate anticipated service activities? (ALOIM 5.6.2.7)

  Yes

  No

  Not Applicable

• Is the concrete floor within 12 inches of the base plate free of any cracks and/or spalls? (INSTALLATION/OPERATION MANUAL)

  Yes

  No

  Not Applicable

• Examine all accessible structural components<br>for signs of fatigue, overloading, misuse or<br>abuse including welds (ALOIM 5.6.2.8)

  Acceptable

  Not Acceptable

• Are there any exposed surfaces and/or edges with burrs or sharp edges?<br> (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Is the lift free of any signs of excessive corrosion on the Lift? (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Are all nuts and bolts present and secure? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Check with operator to ascertain any unusual<br>operating characteristics (ALOIM 5.6.3.4)

  No Action Required

  Action Required

Cables or Chains

• Check for master links (ALOIM 5.6.2.23)

  No Action Required

  Action Required

  Not Applicable

• Check for corrosion (ALOIM 5.6.2.23)

  Acceptable

  Not Acceptable

• Check for wear (ALOIM 5.6.2.23)

  Acceptable

  Not Acceptable

• Check for stretching (ALOIM 5.6.2.23)

  Acceptable

  Not Acceptable

• Check for damage (ALOIM 5.6.2.23)

  No Action Required

  Action Required

• Check tension & adjust as needed (ALOIM 5.6.2.20) <br>If Action Required, state action needed

  No Action Required

  Action Required

• Locks synchronized, Check the operation of<br>the synchronization/equalization system by<br>running the lift through its full excursion (ALOIM 5.6.2.20)

  No Action Required

  Action Required

Sheaves & Axles

• Check for cracks (ALOIM 5.6.2.24)

  Acceptable

  Not Acceptable

• Check to see if the axles or sheaves are loose (ALOIM 5.6.2.24)

  Acceptable

  Not Acceptable

• Check bushings (ALOIM 5.6.2.24)

  Acceptable

  Not Acceptable

• Are sheaves turning freely? (ALOIM 5.6.2.24)

  Yes

  No

  Not Applicable

Arms

• Clean and lubricate arm pins (anti-seize) (ALOIM 5.6.2.19)

  Completed

  Not Completed

• Check arm pin holes in carriage for<br>excessive wear (ALOIM 5.6.2.14)

  Acceptable

  Not Acceptable

• Is stop bolt present on arm (ALOIM 5.6.2.12)

  Yes

  No

  Not Applicable

• Are Arm Shims Present (ALOIM 5.6.2.12)

  Yes

  No

  Not Applicable

Support Stands

• Ensure genuine Challenger support stand. Check support stand is not bent or dented. Check pads for excessive contamination from oil, rust or dirt (ALOIM 5.6.2.17)

  No Action Required

  Action Required

  Not Applicable

Rubber Pads

• What kind of footpads does the lift have? (ALOIM 5.6.2.17)

  Flip-up

  Drop-in

  Telescoping

• Do footpads show signs of damage? (ALOIM 5.6.2.17)

  Yes

  No

  Not Applicable

Arm Restraints

• Check for debris and damage to<br>threaded rod or gears (ALOIM 5.6.2.13)

  Acceptable

  Not Acceptable

• Do the arm restraints operate smoothly? (ALOIM 5.6.2.13)

  Yes

  No

  Not Applicable

Lock Mechanism

• Operate the Lift & check the operation of the positive stop & the lift locks ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Check for damage to latch cable (ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Check cable adjustment (ALOIM 5.6.2.16)

  Acceptable

  Not Acceptable

• Do locks operate smoothly? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

• Are safety lock covers present (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

Overhead

• Check for bowed overhead or loose bolts (ALOIM 5.6.2.8)

  No Action Required

  Action Required

• Are cables or hoses free of any tanglement or rubbing? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Verify safety shutoff is working properly and not loose, exposed or unstranded wires (ALOIM 5.6.2.22)

  Acceptable

  Not Acceptable

Hydraulic Steel Lines / Hoses & Cylinders

• Are all fittings tight? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

• Are there any leaks? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

Power Unit

• Check fluid level and for contamination- Re-fill with 10wt hydraulic oil anti foam or anti rust (AW32) (ALOIM 5.6.3.9)

  Completed

  Not Completed

• Check electrical motor switch cover for damage or exposed wires (ALOIM 5.6.2.9)

  Acceptable

  Not Acceptable

• Check lift controls to ensure accessibility, unobstructed view and automatic return to neutral, or off when released (ALOIM 5.6.2.10)

  No Action Required

  Action Required

• Are the electrical components labeled appropriately? (ALOIM 5.6.2.9)

  Yes

  No

  Not Applicable

• Check integrity of tamper resistant seals on relief valves (ALOIM 5.6.3.10)

  No Action Required

  Action Required

• Operate Lift through full travel & observe that lift travels smoothly while raising and lowering (ALOIM 5.6.3.2)

  No Action Required

  Action Required

Columns

• Are anchor bolts torqued to 80 ft./lbs.? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Check columns for plumbness (INSTALLATION/OPERATION MANUAL)

  No Action Required

  Action Required

• Check to make sure all hardware is tight (ALOIM 5.6.2.14)

  No Action Required

  Action Required

• Check that grease is present and free<br>of dirt and debris (ALOIM 5.6.2.19)

  No Action Required

  Action Required

Lift and Bay Inspection

• Is there adequate clearances around the lift to accommodate anticipated service activities? (ALOIM 5.6.2.7)

  Yes

  No

  Not Applicable

• Is the concrete floor within 12 inches of the base plate free of any cracks and/or spalls? (INSTALLATION/OPERATION MANUAL)

  Yes

  No

  Not Applicable

• Examine all accessible structural components for signs of fatigue, overloading, misuse or abuse including welds (ALOIM 5.6.2.8)

  No Action Required

  Action Required

• Are there any exposed surfaces and/or edges with burrs or sharp edges?<br>sharp edges (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Are all nuts and bolts present and secure? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Check with operator to ascertain any unusual operating characteristics (ALOIM 5.6.3.4)

  No Action Required

  Action Required

• Check all surfaces for old and/or excessive grease buildup and for any excessive corrosion on any surface of the lift (ALOIM 5.6.2.15 & 5.6.2.21)

  No Action Required

  Action Required

Cables or Chains

• Are all master links in good working order? (ALOIM 5.6.2.23)

  Yes

  No

  Not Applicable

• Check for corrosion (ALOIM 5.6.2.23)

  Acceptable

  Not Acceptable

• Check for wear (ALOIM 5.6.2.23)

  Acceptable

  Not Acceptable

• Check for stretching (ALOIM 5.6.2.23)

  No Action Required

  Action Required

• Check for damage (ALOIM 5.6.2.23)

  No Action Required

  Action Required

• Check tension & adjust as needed (ALOIM 5.6.2.20)

  No Action Required

  Action Required

• Locks synchronization. Check the operation of the synchronization/equalization system by running the lift through its full excursion (ALOIM 5.6.2.20)

  No Action Required

  Action Required

Sheaves & Axles

• Check for cracks (ALOIM 5.6.2.24)

  Acceptable

  Not Acceptable

• Check to see if loose (ALOIM 5.6.2.24)

  No Action Required

  Action Required

• Check bushings (ALOIM 5.6.2.24)

  Acceptable

  Not Acceptable

• Are sheaves turning freely? (ALOIM 5.6.2.24)

  Yes

  No

  Not Applicable

Lock Mechanism

• Operate the Lift & check the operation of the positive stop & the lift locks (ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Check for damage to latch cable (ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Check cable adjustment (ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Do locks operate smoothly? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

• Are safety lock covers present? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

Hydraulic Steel Lines/ Hoses & Cylinders

• Check for tight fittings (ALOIM 5.6.3.1)

  Acceptable

  Not Acceptable

• Are there any leaks? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

Power Unit

• Check fluid level and for contamination- Re-fill with 10wt hydraulic oil anti foam or anti rust (AW32) (ALOIM 5.6.3.9)

  No Action Required

  Action Required

• Check electrical motor switch cover for damage or exposed wires (ALOIM 5.6.2.9)

  No Action Required

  Action Required

• Check lift controls to ensure accessibility, unobstructed view and automatic return to neutral, or off when released (ALOIM 5.6.2.10)

  No Action Required

  Action Required

• Are the electrical components labeled appropriately? (ALOIM 5.6.2.9)

  Yes

  No

  Not Applicable

• Check integrity of tamper resistant seals on relief valves (ALOIM 5.6.3.10)

  No Action Required

  Action Required

• Operate Lift through full travel & observe that lift travels smoothly while raising and lowering (ALOIM 5.6.3.2)

  No Action Required

  Action Required

Columns

• Are anchor bolts torqued to 80 ft./lbs.? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Are columns for plumb? (INSTALLATION/OPERATION MANUAL)

  Yes

  No

  Not Applicable

• Check to make sure all hardware is tight (ALOIM 5.6.2.14)

  No Action Required

  Action Required

• Check that grease is present and free of dirt and debris

  No Action Required

  Action Required

Lift and Bay Inspection

• Is there adequate clearances around the lift to accommodate anticipated service activities? (ALOIM 5.6.2.7)

  Yes

  No

  Not Applicable

• Is the concrete floor within 12 inches of the base plate free of any cracks and/or spalls? INSTALLATION/OPERATION MANUAL)

  Yes

  No

  Not Applicable

• Examine all accessible structural components for signs of fatigue, overloading, misuse or abuse including welds (ALOIM 5.6.2.8)

  No Action Required

  Action Required

• Are there any exposed surfaces and/or edges with burrs or sharp edges?<br>sharp edges (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Are there signs of excessive corrosion on the Lift? (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Are all nuts and bolts present and secure? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Are spotting blocks present?

  Yes

  No

  Not Applicable

• Are rubber pads present?

  Yes

  No

  Not Applicable

• Check with operator to ascertain any unusual operating characteristics (ALOIM 5.6.3.4)

  No Action Required

  Action Required

Lift Platform, Legs and Lock Bar

• Check hinge barrels & pins for wear & that they pivot freely (ALOIM 5.6.2.19)

  No Action Required

  Action Required

• Insure all pivot points are lubricated (ALOIM 5.6.2.19)

  No Action Required

  Action Required

• Check for corrosion (ALOIM 5.6.2.23)

  No Action Required

  Action Required

• Does lock operate smoothly? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

• Check for damage (ALOIM 5.6.2.23)

  No Action Required

  Action Required

• Does the lock release return to neutral when fully lowered? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

• Are anchor bolts torqued to 80 ft./lbs.? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

Hydraulic Steel Lines / Hoses & Cylinders

• How many cylinders does the Short Rise have?

  1

  2

• Are all fittings tight? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

• Are there any leaks? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

Power Unit

• Check fluid level and for contamination- Re-fill with 10wt hydraulic oil anti foam or anti rust (AW32) (ALOIM 5.6.3.9)

  Completed

  Not Completed

• Check electrical motor switch cover for damage or exposed wires (ALOIM 5.6.2.9)

  No Action Required

  Action Required

• Check lift controls to ensure accessibility, unobstructed view and automatic return to neutral, or off when released (ALOIM 5.6.2.10)

  No Action Required

  Action Required

• Are the electrical components labeled appropriately? (ALOIM 5.6.2.9)

  Yes

  No

  Not Applicable

• Check integrity of tamper resistant seals on relief valves (ALOIM 5.6.3.10)

  No Action Required

  Action Required

• Operate Lift through full travel & observe that lift travels smoothly while raising and lowering (ALOIM 5.6.3.2)

  No Action Required

  Action Required

Lift and Bay Inspection

• Is there adequate clearances around the lift to accommodate anticipated service activities? (ALOIM 5.6.2.7)

  Yes

  No

  Not Applicable

• Is the concrete floor within 12 inches of the lift free of any cracks and/or spalls? (INSTALLATION/OPERATION MANUAL)

  Yes

  No

  Not Applicable

• Examine all accessible structural components for signs of fatigue, overloading, misuse or abuse including welds (ALOIM 5.6.2.8)

  No Action Required

  Action Required

• Are there any exposed surfaces and/or edges with burrs or sharp edges?<br>sharp edges (ALOIM 5.6.2.15)

  Yes

  No

  Not Applicable

• Are all nuts and bolts present and secure? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Report presence of water in cassette tubs covering bottom frame supports (ALOIM 5.6.2.27)

  No Action Required

  Action Required

• While raising and lowering the lift ensure the lift is synchronized (ALOIM 5.6.2.20)

  No Action Required

  Action Required

• Check with operator to ascertain any unusual operating characteristics (ALOIM 5.6.3.4)

  No Action Required

  Action Required

Arms

• Clean and lubricate arm pins (anti-seize) (ALOIM 5.6.2.19)

  Completed

  Not Completed

• Check arm pin holes in carriage for excessive wear (ALOIM 5.6.2.14)

  No Action Required

  Action Required

• Is stop bolt present on arm ? (ALOIM 5.6.2.12)

  Yes

  No

  Not Applicable

Rubber Pads

• Present? (ALOIM 5.6.2.17)

  Yes

  No

  Not Applicable

• Damaged ? (ALOIM 5.6.2.17)

  Yes

  No

  Not Applicable

Support Stands

• Ensure genuine Challenger support stand. Check support stand is not bent or dented. Check pads for excessive contamination from oil, rust or dirt (ALOIM 5.6.2.17)

  No Action Required

  Action Required

  Not Applicable

Arm Restraints

• Check for debris and damage to threaded rod or gears (ALOIM 5.6.2.13)

  No Action Required

  Action Required

• Do the arm restraints operate smoothly? (ALOIM 5.6.2.13)

  Yes

  No

  Not Applicable

Lock Mechanism

• Operate the Lift & check the operation of the positive stop & the lift locks (ALOIM 5.6.2.16)

  No Action Required

  Action Required

• Do locks operate smoothly? (ALOIM 5.6.2.16)

  Yes

  No

  Not Applicable

Hydraulic Steel Lines/ Hoses & Cylinders

• Are all fittings tight? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

• Are there any leaks? (ALOIM 5.6.3.1)

  Yes

  No

  Not Applicable

Power Unit

• Check fluid level and for contamination- Re-fill with 10wt hydraulic oil anti foam or anti rust (AW32) (ALOIM 5.6.3.9)

  No Action Required

  Action Required

• Check electrical motor switch cover for damage or exposed wires (ALOIM 5.6.2.9)

  No Action Required

  Action Required

• Check lift controls to ensure accessibility, unobstructed view and automatic return to neutral, or off when released (ALOIM 5.6.2.10)

  No Action Required

  Action Required

• Are the electrical components labeled appropriately? (ALOIM 5.6.2.9)

  Yes

  No

  Not Applicable

• Check integrity of tamper resistant seals on relief valves (ALOIM 5.6.3.10)

  No Action Required

  Action Required

• Operate Lift through full travel & observe that lift travels smoothly while raising and lowering (ALOIM 5.6.3.2)

  No Action Required

  Action Required

Lift and Bay Inspection

• Is there adequate clearances around the lift to accommodate anticipated service activities? (ALOIM 5.6.2.7)

  Yes

  No

  Not Applicable

• Is the concrete floor within 12 inches of the base plate free of any cracks and/or spalls? (Installation/Operation Manual)

  Yes

  No

  Not Applicable

• Examine all accessible structural components for signs of fatigue, overloading, misuse or abuse including welds (ALOIM 5.6.2.8)

  No Action Required

  Action Required

• Are all nuts and bolts present and secure? (ALOIM 5.6.2.14)

  Yes

  No

  Not Applicable

• Is there presence of water in sub-floor pits or enclosures? If yes, make note of the amount of water present. (ALOIM 5.6.2.27)

  Yes

  No

  Not Applicable

• Check all accessible piping, tubing, hose, valves and fittings. Report any hydraulic leaks (ALOIM 5.6.3.1)

  No Action Required

  Action Required

• Report Type of Oil

• With lift loaded, stop the load at midpoint of travel and report slow drift down. Also check the plunger oil seal and report leakage or oil or air. (ALOIM 5.6.3.3)

  No Action Required

  Action Required

• On air-oil operated lifts report the absence of the low oil control or shut off device. Be sure to release internal pressure before opening access ports. (ALOIM 5.6.3.5)

  No Action Required

  Action Required

• On single post lifts, confirm presence of non-rotating device (ALOIM 5.6.3.8)

  No Action Required

  Action Required

  Not Applicable

• On lifts utilizing pumping units, confirm the presence of oil in the reservoir when raised to full height. (ALOM 5.6.3.9)

  Yes

  No

  N/A

Arms

• Clean and lubricate arm pins (anti-seize) (ALOIM 5.6.2.19)

  Completed

  Not Completed

• Check arm pin holes in carriage for excessive wear (ALOIM 5.6.2.14)

  No Action Required

  Action Required

• Is stop bolt present on arm? (ALOIM 5.6.2.12)

  Yes

  No

  Not Applicable

Support Stands

• Ensure genuine Challenger support stand. Check support stand is not bent or dented. Check pads for excessive contamination from oil, rust or dirt (ALOIM 5.6.2.17)

  No Action Required

  Action Required

OSHA Lockout/Tag Out Status

• For this Lift at the time of the inspection are there any conditions in existence which, under OSHA Guidelines, require that this Lift be Locked Out/Tagged Out (OSHA Part # 1910 Subpart Title General Environmental Controls Standard # 1910.147 App A

  Yes

  No

  Not Applicable

Lift Replacement Status

• For this Lift at the time of the inspection are there any conditions in existence which require that this Lift be replaced?

  Yes

  No

  Not Applicable

Inspection Control Label Number

• Enter the Inspection Control Number of the Inspection label affixed to the lift.

Acceptance of Terms and Conditions of Inspection - This lift inspection is not intended as a guarantee against failure, malfunction, or misuse. Its purpose is to verify that the lift has been maintained in a reasonable and safe manner and that the supporting documents supplied by the manufacturer are accessible to the operator to assist in the safe operation of the lift and to call to the repairs that may be needed to correct existing or potential malfunctions where such can be determined by visual and ordinary examination methods. The inspector or the inspector's company assumes no liability for the use, operation, management or control of this lift. The inspector or inspector's company will NOT BE HELD LIABLE for ANY failures, injuries, or damages relating to the operation of this lift. The signature below acknowledges these statements and releases the inspector and his company form ANY liabilities relating to the above noted lift.

• Lift inspected by

  Sign

• Store manager

  Sign