GBE - Mobile Elevated Work Platform Weekly Check and Test

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Equipment

• Date: Time:

  Date

• Model/Serial No

Critical Checks

• If any of the following critical components are found to be defective the equipment is to be Locked and Tagged out and reported immediately. it shall not be operated until the fault has been rectified.

• Check stabiliser legs

  Safe

  Defective

  N/A

• Check operator warning systems & alarms

  Safe

  Defective

  N/A

• Check emergency / service brake

  Safe

  Defective

  N/A

• Check steering

  Safe

  Defective

  N/A

• Check types / rims / studs

  Safe

  Defective

  N/A

• Check steering / brake oil reservoirs

  Safe

  Defective

  N/A

• Check steps and handrails

  Safe

  Defective

  N/A

• Check fuel injection system & hydraulic hoses

  Safe

  Defective

  N/A

• Check engine/ transmission and hydraulic oil

  Safe

  Defective

  N/A

• Battery Electrolyte Level

  Safe

  Defective

  N/A

• Check emergency shutdown & isolation

  Safe

  Defective

  N/A

• Check park break

  Safe

  Defective

  N/A

• Implement lock outs

  Safe

  Defective

  N/A

• Check frame and body for cracks

  Safe

  Defective

  N/A

• Check boom and extension pins and bushes

  Safe

  Defective

  N/A

• Check visible wiring protected

  Safe

  Defective

  N/A

• Check signs/ labels/SWL are displayed

  Yes

  No

  N/A

Operational Checks

• Check operational functions

  Safe

  Defective

  N/A

• Check warning alarms are working

  Yes

  No

  N/A

• Check current inspection log is available

  Yes

  No

  N/A

• Check control panel clearly labelled

  Yes

  No

  N/A

• Check control levers returning to neutral

  Yes

  No

  N/A

IMPORTANT: Check around plant before moving off

• Signed by operator

  Sign