Generic Pre-Delivery Lift Inspection

• Conducted on

  Date
• Location
  Address

• Inspected by

• Lift Inspected

• Lift Serial Number

• Wheels/ Casters

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Outrigger Condition

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Battery Charger

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Battery Cables & Connections

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Level, Battery Fluids

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Level. Hydraulic Fluid

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Hydraulic Pump

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Electric Connections

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Guard Rails, Gate & Chains

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Platform Controls

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Ground COntrols

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Hardware Properly Torqued

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Labels and Decals

  Approved

  Unsatisfactory

  Not Approved

  N/A

• User and ANSI Manuals

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Unit ID Plate

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Paint

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Unit Cleanliness

  Approved

  Unsatisfactory

  Not Approved

  N/A

• AC Power/ DC Power (Identify which one in notes)

  Approved

  Unsatisfactory

  Not Approved

  N/A

Operational Inspection

• Mobility

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Orbit Level

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Outrigger Pads

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Emergency Stop Switches

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Guardrails and Gate

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Lift Mode- Up

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Lift Mode- Down

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Lift Mode- Manual Down

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Auto Basket Level (booms only)

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Power to Platform

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Battery Charger

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Telescope Out

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Telescope In

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Swing Left

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Swing Right

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Swing Brake

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Swivel Basket

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Power Cord/ Plug

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Drive Controls

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Operator Manual & ANSI Requirements

  Approved

  Unsatisfactory

  Not Approved

  N/A

• Delivered to:

• Job Site Contact:

• Machine Appearance

  Good

  Fair

  Poor

  N/A

• Owner/User (signature)

  Sign

• Name (printed) & Date

• Inspected By (Signature)

  Sign

• Name (printed) & Date