Title Page

  • Todays Date

  • Prepared and operated by

  • Location
  • Lift Number

Untitled Page

  • Is the operator trained and certified to operate this lift?

  • Operators manual available

  • Are the emergency controls, emergency stop device and lowering actions working?

  • Is the hand control stick fully operational?

  • Are all controls labeled?

  • Are the lower operating controls fully functional and labeled?

  • Are the wheels, tires, rollers in good condition?

  • Are the warning signals fully operational?

  • Brake mechanisms work effectively

  • Are there any hydraulic leaks, misalignment or vibration issues present?

  • Is the charging system operational/In good condition?

  • Entry ladder safe and in good condition?

  • Guardrails and chain/gate installed and in good operating condition?

  • Floor of lift is clean and clear of garbage, debris or tools?

  • No exposed electrical connections?

  • No leaking hoses?

  • No loose pins?

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.