Title Page

  • Document No.

  • Audit Title

  • Job name and Number

  • Conducted on

  • Lift type & Number

  • Location

Status Verification

  • Is there any visible damage to the platform and railings

  • Take picture of the damage

  • Is the safety chain or bar there and in good working order

  • Refuse lift

  • Is there any visible damage to the controls (Upper & Lower)

  • Take picture of the damage

  • Is there a key

  • Request a key from the delivery person

  • Is there a factory installed tie off point

  • SEND LIFT BACK!!! LIFT MUST HAVE FACTORY INSTALLED TIE OFF POINT

  • Is there any visible damage to the lifting mechanism

  • Take picture of the damage

  • Is there any visible damage to any other place on the lift

  • Take picture of the damage

  • Is the condition of the battery's and battery compartment good

  • Take a picture of the damage

  • Are tires in good condition

  • Take picture of the damage

Take pictures of all 4 sides of the lift

  • Front

  • Back

  • Left (looking at the front of the lift)

  • Right (looking at the front of the lift)

  • Forest Electric employee inspecting the lift

  • Rental company delivering the lift

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.