Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Hoist Type

  • Hoist ID/Serial Number

  • Access To Bay is Clear And Not Obstructed

  • Warning and Safety Labels are Visible and Not Damaged

  • Hoist Lift Cables in Good Condition

  • Rubber Support Pads In Location and in Good Condition

  • Hoist Arm Locking Mechanism In Operation

  • Hoist Arm Height Locking Mechanism In Operation

  • Confirm No Leaks From Hoist Hydraulic Rams

  • Confirm all Electrical Cables and Switch's in Good Condition

  • Confirm all Hoist Mounting Points Are Secure

  • No Damage to Jack Lifting Beams

  • Hoist Moves Correctly When Operated

  • Scissor Hoist Correctly Self Locks When Raised and Fully Disengages When Lowered

  • No Abnormal Noise Or Vibration when Operated

  • Additional Comments

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.