Title Page

  • Prepared by

  • Date:

Lift Inspection

Lift Identification

  • Lift Model #:

  • Lift Serial #:

  • Record rated load capacity of lift:

  • Rated Load Capacity:

  • Lift Type:

  • Surface Lift Type:

  • Number of Posts:

  • Number of Units:

  • In-Ground Lift Type:

  • Identify Pressure Design:

  • Identify Pressure Design:

  • Identify Pressure Design:

Inspection Points - All Lifts - Apendix C, ALOIM:2008(R2013)

  • Check accessibility, confirm readability & appropriate lift safety labeling or placarding, report deficiencies (ALOIM 5.6.2.4)

  • Check with operator to ascertain any unusual operating characteristics such as lift raises overnight or not lifting load capacity. (ALOIM 5.6.3.4)

  • Confirm adequate clearances around lift to accommodate anticipated service activities and emergency egress, report deficiencies. (ALOIM 5.6.2.7)

  • Examine all accessible structural components including welds and report any evidence of overloading, misuse, abuse, permanent deformation on cracks. (ALOIM 5.6.2.8)

  • Examine electrical components, wiring & confirm appropriate electrical component labeling (ALOIM 5.6.2.9)

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

  • Check anchor bolts (if employed) in accordance with recommendations of anchor bolt & lift manufacturer

  • Check all fastening devices for tightness, report deficiencies. (ALOIM 5.6.2.14)

  • Check all points requiring lubrication (Use manufacture guidelines whenever possible) (ALOIM 5.6.2.19)

  • On lifts requiring swing arm restraints, report improper function and/or excessive wear or damage (ALOIM 5.6.2.13)

  • Check all swivel pins for excessive wear, elongation or hole deformation.

  • Operate the lift & check the operation of the positive stop & lift locks, report improper function, excessive wear or damage. (ALOIM 5.6.2.16)

  • Inspect all chains & wire ropes, report excessive slack (use manufacture guidelines whenever possible). (ALOIM 5.6.2.23)

  • On lifts equipped with lateral synchronization or equalization systems, check the operation of these systems by running the lift through its full excursion. (ALOIM 5.6.2.20)

  • Check the tracking & level winding of wire ropes & chains, report deficiencies. (ALOIM 5.6.2.24)

  • On lifts incorporating overhead structures, verify the safety shut-off functions properly. (ALOIM 5.6.2.22)

  • Check all potential pinch points & report those that are unprotected by appropriate guards or instructions. (ALOIM 5.6.2.25)

  • Check all accessories for construction, labeling (including capacity) & certification for use with the specific lift. (ALOIM 5.6.2.28)

Additional Questions - In-Ground Lifts, Lube Racks & WEMU Units - Appendix C, ALOIM:2008(R2013)

  • Report water in sub-floor pits or enclosures. (5.6.2.27)

  • On lifts incorporating working platforms, railings & stairways, report any deficiencies (ALOIM 5.6.2.21)

  • For multiple powered posts, confirm single point operation from only one position at a time, report deficiencies. (ALOIM 5.6.2.26)

  • On mobile wheel engaging lifts, check the mobility of each individual unit & confirm each unit cannot be moved when loaded. (ALOIM 5.6.4.5)

Hydraulic Lifts & Hydraulically Driven Mechanical Lifts - Appendix D, ALOIM:2008(R2013)

  • Is lift a Hydraulic Lifts or Hydraulically Driven Mechanical Lift?

  • Skip This Section

  • Record Oil Type:

  • Other:

  • Check all accessible piping, tubing, hose, valves & fittings and review the oil consumption records. (ALOIM 5.6.3.1)

  • Check cylinder(s) for cracks and leaks

  • Check hydraulic and air hoses for leaks

  • Verify presence of hydraulic relief valve & check integrity of tamper resistant seal, report broken seal or evidence of tampering. (ALOIM 5.6.3.10)

  • On lifts utilizing pumping units, confirm adequacy of oil level at fully raised position, report cavitation, oil foaming, or oil contamination. (ALOIM 5.6.3.9)

  • Is lift a 4-Post Lift? (ALOIM 5.6.2.11)

  • Skip This Section

  • Check presence & proper operation of fixed/automatic runway stops & accessibility of wheel chocks.

  • Check turntables and/or slip plates for ease of movement. Report deficiencies.

  • Check the integrity of the anti-slip surface surface treatment.

Pneumatic lifts - Appendix F, ALOIM:2008(R2013)

  • Is lift a Pneumatic Lift?

  • Skip This Section

  • Check all accessible piping, tubing, cylinders, air bags, hoses, valves, fittings, and report any leaks. (ALOIM 5.6.6.1)

  • Check with operator to ascertain any unusual operating characteristics such as lift raises overnight or not lifting load capacity. (ALOIM 5.6.6.3)

  • Confirm presence of pressure regulator in supply line, report deficiencies. (ALOIM 5.6.6.4)

  • Inspect cylinders, air bag or bellows for damage. (ALOIM 5.6.6.5)

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.