DAILY MHE INSPECTION

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

Equipment to be checked

• Equipment Number

• Please provide photo if easier.

  Media

• Hours

Equipment Type

• Is the equipment a cherry picker/person lifter/man-up machine or similar?

  Yes

  No

• Is the Operator wearing the correct type (including lanyard type/length) of harness?

  Yes

  No

  N/A

• Is the Operator using the harness correctly (i.e. hooked correctly to anchor point/machine)?

  Yes

  No

  N/A

• Please provide photo evidence if possible

VISUAL INSPECTION:

• DAMAGE bent, dented or broken parts

  Safe

  At Risk

  N/A

• Please provide photo of damage

  Media

• LEAKS drive unit, hydraulics, oil, brakes

  Safe

  At Risk

  N/A

• Please provide photo of defect

  Media

• Check the gauge/level for the bladder is within specification.

  Safe

  At Risk

  N/A

• TIRES & WHEELS drive wheels, load wheels, casters

  Safe

  At Risk

  N/A

• Please provide photo of defects

  Media

• FORKS/CLAMPS in place and properly secured

  Safe

  At Risk

  N/A

• Please provide photo of fault

  Media

• CHAINS, CABLES, & HOSES in place

  Safe

  At Risk

  N/A

• Please provide photo of fault

  Media

• SAFETY DEVICES flashing and indicator lights, seatbelt, warning labels

  Safe

  At Risk

  N/A

• Please provide photo of damaged warning labels or area of fault

  Media

• BATTERY (First check of the day only) water level, vent caps in place, cleanliness

  Safe

  At Risk

  N/A

• Please provide photo evidence of findings

  Media

OPERATIONAL INSPECTION:

• WEEKLY CLAMP PRESSURE (CLAMP PRESSURE GAGE)

  Yes

  No

  N/A

• WEEKLY LARON HYDRAULIC CHECK

  Yes

  No

  N/A

• HORN/SAFETY CHIMES horn, back-up alarm, sounds

  Safe

  At Risk

  N/A

• STEERING no binding, no excessive play

  Safe

  At Risk

  N/A

• TRAVEL CONTROLS all speed ranges, forward and reverse, no unusual noise

  Safe

  At Risk

  N/A

• HYDRAULIC CONTROLS/LIMIT SWITCHES full range of motion and direction, travel and height limits

  Safe

  At Risk

  N/A

• BRAKE/PARKING BRAKE smooth, stops within distance

  Safe

  At Risk

  N/A

• POWER DISCONNECT cuts off all electrical power

  Safe

  At Risk

  N/A

• Operator Signature:

  Sign

• Supervisor Signature:

  Sign

Comments

• Any notes for this machine.