Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • What is the Make/Model of Machine? Please, Upload photo of assessed plant below.

  • Add media

  • Is the MEWP operator trained and hold a valid operator's license/card?

INSPECTION ITEMS: PASS / FAIL STATUS.

  • Operating and emergency controls (EMO button and/or Emergency Stop Device)

  • Upper drive controls interlock mechanism.

  • Foot pedal.

  • Spring lock.

  • Two hand controls.

  • Lower operating controls properly overriding the upper controls.

  • Emergency lowering function.

  • Protection from inadvertent operation to both upper and lower controls.

  • Control panel must be clean, buttons/ switches must be visible.

  • Switches and mechanical guards must be properly installed, must be in good condition.

  • Safety light indicators.

  • Drive controls must work properly.

  • Drive controls to be properly/accurately labeled.

  • Motion alarm.

  • Safety decals must be legible and in place.

  • Guard rails must be sound and in place including basket chains.

  • Working platform and extension slides must be clean and dry.

  • Working platform extension must slide in and out freely and easily.

  • Safety locking pins must be in place to lock setting on models with extension platform.

  • MEWP must be in a good order, without cracks, welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.

  • Tyres and wheels must be in a good condition with adequate air pressure if pneumatic.

  • Braking devices must operate properly.

  • Grounding strap must be attached and must be reaching to the ground.

  • The manufacturer's operations manual must be stored on MEWP.

  • Are there any other reason the plant should not be used?

  • Select date

  • Name of the operative

  • Name of the supervising person.

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.