LIFT INSPECTION REPORT

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General Information

• Was the previous Lift Inspection reviewed, prior to this Inspection?

  Yes

  No

  N/A

• Are there any remedial work orders outstanding from your Previous Inspection?

  Yes

  No

  N/A

• What was the Remedial Work?

  Select Hoses Leaking or Frayed Safety Bar, Needs replacement Lift switch Failure Missing nuts, bolts, pins, or fastners Other, please specify below

  • Hoses Leaking or Frayed
  • Safety Bar, Needs replacement
  • Lift switch Failure
  • Missing nuts, bolts, pins, or fastners
  • Other, please specify below

• Show "other" work needed here:

Accessibility of Documents

• 1. Installation/Operation/Parts Manual Available<br><br><br>

  Yes

  No

  N/A

• 2. ALI "Lift It Right" Guide Available

  Yes

  No

  N/A

• 3.Safety Requirements for Operation, Inspection, & Maintenance Guide

  Yes

  No

  N/A

• 4. Rated Load Capacity Label

  Yes

  No

  N/A

• 5. Check for Lift Safety Labels

  Yes

  No

  N/A

Lift & Bay Inspection

• 1. Clearance around Lift<br>

  Meets Standards

  Does not Meet Standards

• 2. Concrete Condition

  Good

  Fair

  Poor

• 3. Raise Lift to Max. height, verify Safety Bar engages each level

  Yes

  No

  N/A

• 4. Is Lift secured to Floor properly ? Are all nuts & bolts present and secure

  Yes

  No

  N/A

• 5. Check anchor bolts, torque to 80 ft/lbs.

  Meets Standards

  Does not Meet Standards

• 6. Examine all structural components for signs of Fatigue, Overloading, Cracks or Broken welds

  Safe

  At Risk

  N/A

• 7. Are spotting blocks present

  Yes

  No

  N/A

• 8. Are rubber pads present

  Yes

  No

  N/A

• Do Pads need to be "Turned", or "Replaced", specify number to be replaced?

  Select Turn Replace Replace -1 Replace - 2 Replace - 3 Replace All - 4

  • Turn
  • Replace
  • Replace -1
  • Replace - 2
  • Replace - 3
  • Replace All - 4

• 9. If applicable, are "Yellow" plastic inserts needed<br>

  YES

  NO

Lift Platform, Legs, & Lock Bar

• 1. Is Safety Release Handle bent, (if So, REPLACE)

  Meets Standards

  Does not Meet Standards

• 2. Check hinge pins for Corrosion & binding, making sure Cotter pins and/or Snap Rings are installed & visable

  Yes

  No

  N/A

• Check the operation of the positive stop & lift locks

  Yes

  No

  N/A

• 5. Confirm proper operation of the lock release mechanisms & lock reset devices

  Yes

  No

  N/A

• Insure all pivot points are lubricated

  Yes

  No

  N/A

Hydraulic Hose, Cylinder, & Power unit

• 1. Inspect Fittings for any leaks

  NO Leaks

  Leaks present, action required

  Leaks present, fixed during Audit

• 2. Inspect cylinder hose for any cuts, abrasions, or leaks

  YES

  NO

• 3. Inspect fluid reservoir for cracks

  YES

  NO

• 4. Is Reservoir level, at an acceptable level? (If not refill with ATF fluid only)

  Yes

  No

  N/A

• 5. Is Reservoir cap missing ?

  YES

  NO

• 6. What style of Pump are you looking at?

  White reservoir

  Black plastic reservoir

  Black Metal reservoir

  other

• 7. Check electrical motor switch cover for damage or exposed wires

  YES

  NO

• 8. Inspect power cord for any cuts, or loose connections

  YES

  NO

• 9. Check Lift control to ensure an "Automatic" return to "Neutral" or "Off" when released

  Yes

  No

  N/A