Information
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Equipment
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Date: Time:
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Model/Serial No
Critical Checks
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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.
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Manufacturers labels present and legible
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No indication that the podium should not be in service such as DO NOT USE sign
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Podium is correct height for planned work
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No evidence of unusual damage, wear, deterioration, corrosion, sharp edges or burrs
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All bolts, nuts or connections tight.
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No loose steps, rungs or hardware
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Steps are free of obstacles, grease, oil & dirt
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No cracks in welds or other metal parts
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Locking mechanism and castors intact & operable
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Guard handrails secure
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Podium is stable when erected
Signature
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