Title Page

  • Lift serial #:

EXTERIOR

  • Wheels and Tires in good repair

  • Add media

  • Tag out of service and contact vendor for repair.

  • Pothole protection system shows no visible sign of damage.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Platform extension operational and has no visible damage.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Access ladder attachment is straight and level with no dents.

  • Add media

  • Tag out of service and contact vendor for repair.

FLUIDS

  • Hydraulic reservoir contains ample fluid.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Batteries contain ample fluid.

  • Add media

  • Tag out of service and contact vendor for repair.

INTERIOR

  • Controls properly secured with no visible damage, placards legible.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Guard rail system has no visible damage.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Chain clasp locks securely?

  • Add media

  • Tag out of service and contact vendor for repair.

  • Floor of lift is free of debris and other tripping hazards.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Operator manual is available.

  • Add media

  • Tag out of service and contact vendor for repair.

ELECTRICAL

  • Outlet is in good repair.

  • Add media

  • Tag out of service and contact vendor for repair.

  • Outlet has cover in good repair.

  • Add media

  • Tag OUTLET out of service (lift may still be used) and contact vendor for repair.

  • Control wiring harness is intact and free of stray wiring.

  • Add media

  • Tag out of service and contact vendor for repair.

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