Title Page

  • Date:

  • Site

  • Type of MEWP:

  • Serial No.:

  • Contractor Name:

  • Contact Number: 051420515

  • Operator or Inspectors Name:

Daily / Weekly Telehandler

  • 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?

  • 2. Operating and emergency controls are in proper working condition, including EMO button or Emergency Stop Device

  • 3. MEWP includes a separate control which shall be continuously activated by the operator for upper directional controls to be operational.

  • 4. Emergency Lowering function operates properly

  • 5. Lower operating controls successfully override the upper controls.

  • 6. Both upper and lower controls are adequately protected from inadvertent operation.

  • 7. Control panel is clean & all buttons/switches are clearly visible (no paint over spray, etc.).

  • 8. All switch & mechanical guards are in good condition and properly installed.

  • 9. All Safety Indicator lights work.

  • 10. MEWP controls are secured in their home position and function properly & accurately labeled (up, down, right, left, forward, back).

  • 11. Motion alarms are functional.

  • 12. Safety decals are in place and readable.

  • 13. All guard rails are sound and in place, including basket chains. Fall protection anchorage points are clearly marked for MEWPs.

  • 14. Work platform & extension slides are clean, dry, & clear of debris.

  • 15. Work platform extension slides in and out freely with safety locking pins in place to lock setting on models with extension platforms.

  • 16. Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.

  • 17. Tires and wheels are in good condition, with adequate air pressure if pneumatic

  • 18. Braking devices are operating properly.

  • 19. Check fluid levels (fuel, hydraulic, etc.).

  • 20. For battery operated MEWP’s, charging sockets and plugs are complete and in good condition.

  • 21. The manufacturer’s operations manual is stored on MEWP (in all languages of the operators).

  • Operator’s Comments

  • Operators Name/Signature/Date

  • 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.

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