Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Lift serial number

Operating Controls

  • Are operating/emergency control/lower and upper working properly?

  • Machine braking works?

  • The control panel is kept clean?

  • Foot controls clear and operational?

Operators Manual/Alarms

  • Operating manual is in the case and in good condition?

  • Required warnings and capacity stickers legible?

  • Motion/levels alarms/warning lights working?

Machine Base/Platform

  • Pins and welds in good condition, no breaks or loose pieces?

  • Ground straps present on the electric machine?

  • Hydraulic lines/cylinders okay, no leaking?

  • Tires/wheels: pressure's okay, no wear or damage, lug nuts tight

  • Guardrails, gates, drop bars, chain sliding platform extension in place?

Engine Compartment

  • Engine fuel and/or hydraulic oil levels in check?

  • Belt, hoses, engine condition good? Check for leaks.

  • Battery and electrical functions working?

Workplace Inspection

  • Floor and ground conditions observed, hazards cleared?

  • Overhead rods and electrical obstructions

Identified Problems

  • List any issues then notify safety or foreman.

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.