Hayes Modular Group Inc.

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Unit Number

• Unit Number

Boom Lift

Scissor Lift

Controls

• Are boom controls working properly

  Yes

  No

  N/A

• Controls properly marked

  Yes

  No

  N/A

• Are lower controls working properly

  Yes

  No

  N/A

Engine compartment : Fuel, Oil, Coolant, Leaks.

• Hour Meter Reading

• Are lower controls properly marked

  Yes

  No

  N/A

• Are emergency controls working properly

  Yes

  No

  N/A

• Are emergency controls properly marked

  Yes

  No

  N/A

• Oil checked

  Yes

  No

  N/A

• Fuel lines checked for leaks

  Yes

  No

  N/A

• Oil level checked

  Yes

  No

  N/A

• Coolant Level checked

  Yes

  No

  N/A

• Air filter Checked

  Yes

  No

  N/A

• Any leaks detected

  Yes

  No

  N/A

TIRES

• Are tires inflated to proper air pressure

  Yes

  No

  N/A

• Are tires foam filled

  Yes

  No

  N/A

• Are treads on tries adequate for use

  Yes

  No

  N/A

• Are lug nuts tight

  Yes

  No

  N/A

BASKET

• Guard Rails free of defects

  Yes

  No

  N/A

• Are tie off points free of defects

  Yes

  No

  N/A

• Is swing gate or drop bar working properly

  Yes

  No

  N/A

• Is basket clear of debris

  Yes

  No

  N/A

• Is signage properly posted and readable

  Yes

  No

  N/A

• Fire extinguisher mounted and inspected

  Yes

  No

  N/A

• Is basket floor free of slippery materials

  Yes

  No

  N/A

BOOM

• Any visible leaks or defects

  Yes

  No

  N/A

• Wear pads have adequate padding left.

  Yes

  No

  N/A

Inspected By :

• Add signature

  Sign

• Select date

  Date

• Add media

  Media

• Make,
  Model,
  SN #
  Rental company