Title Page
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Date:
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Site
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Type of MEWP:
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Serial No.:
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Contractor Name:
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Contact Number: 051420515
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Operator or Inspectors Name:
Daily / Weekly Telehandler
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Key:
✔️ - indicates good working order
❌- indicates a defect
N/A - indicates None Applicable -
1. Is the operator trained to operate this MEWP and does the operator have a valid operators license/card?
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2. Operating and emergency controls are in proper working condition, including EMO button or Emergency Stop Device
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3. MEWP includes a separate control which shall be continuously activated by the operator for upper directional controls to be operational.
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4. Emergency Lowering function operates properly
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5. Lower operating controls successfully override the upper controls.
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6. Both upper and lower controls are adequately protected from inadvertent operation.
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7. Control panel is clean & all buttons/switches are clearly visible (no paint over spray, etc.).
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8. All switch & mechanical guards are in good condition and properly installed.
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9. All Safety Indicator lights work.
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10. MEWP controls are secured in their home position and function properly & accurately labeled (up, down, right, left, forward, back).
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11. Motion alarms are functional.
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12. Safety decals are in place and readable.
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13. All guard rails are sound and in place, including basket chains. Fall protection anchorage points are clearly marked for MEWPs.
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14. Work platform & extension slides are clean, dry, & clear of debris.
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15. Work platform extension slides in and out freely with safety locking pins in place to lock setting on models with extension platforms.
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16. Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.
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17. Tires and wheels are in good condition, with adequate air pressure if pneumatic
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18. Braking devices are operating properly.
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19. Check fluid levels (fuel, hydraulic, etc.).
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20. For battery operated MEWP’s, charging sockets and plugs are complete and in good condition.
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21. The manufacturer’s operations manual is stored on MEWP (in all languages of the operators).
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Operator’s Comments
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Operators Name/Signature/Date
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Any defects to be reported and recorded, if machine pose any risk of safety to operator or other, remove from service and report to supervisor immediately.