Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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What is the Make/Model of Machine? Please, Upload photo of assessed plant below.
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Add media
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Is the MEWP operator trained and hold a valid operator's license/card?
INSPECTION ITEMS: PASS / FAIL STATUS.
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Operating and emergency controls (EMO button and/or Emergency Stop Device)
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Upper drive controls interlock mechanism.
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Foot pedal.
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Spring lock.
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Two hand controls.
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Lower operating controls properly overriding the upper controls.
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Emergency lowering function.
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Protection from inadvertent operation to both upper and lower controls.
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Control panel must be clean, buttons/ switches must be visible.
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Switches and mechanical guards must be properly installed, must be in good condition.
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Safety light indicators.
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Drive controls must work properly.
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Drive controls to be properly/accurately labeled.
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Motion alarm.
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Safety decals must be legible and in place.
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Guard rails must be sound and in place including basket chains.
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Working platform and extension slides must be clean and dry.
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Working platform extension must slide in and out freely and easily.
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Safety locking pins must be in place to lock setting on models with extension platform.
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MEWP must be in a good order, without cracks, welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.
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Tyres and wheels must be in a good condition with adequate air pressure if pneumatic.
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Braking devices must operate properly.
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Grounding strap must be attached and must be reaching to the ground.
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The manufacturer's operations manual must be stored on MEWP.
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Are there any other reason the plant should not be used?
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General Comments
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Select date
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Name of the operative
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Name of the supervising person.
