MEWP Pre-Start Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Safety signage / labels are in place end legible .

  Safe

  At Risk

  N/A

• Control panel is clean, and all buttons / switches are clearly visible.

  Safe

  At Risk

  N/A

• All safety indicator lights work.

  Safe

  At Risk

  N/A

• Motion alarms are functional.

  Safe

  At Risk

  N/A

• All guardrails are sound and in place, Inc. anchorage points and gate / door.

  Safe

  At Risk

  N/A

• All mechanical guards are in good condition and properly installed

  Safe

  At Risk

  N/A

• Operator and emergency controls are in proper working condition including emergency stop(s).

  Safe

  At Risk

  N/A

• Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables, harness etc.

  Safe

  At Risk

  N/A

• Drive controls function properly and are accurately labelled.

  Safe

  At Risk

  N/A

• Check fuel and oil levels are sufficient.

  Safe

  At Risk

  N/A

Environment

• Floor / ground conditions: Check for drop offs, holes, uneven surfaces, sloped floors, unstable ground etc.

  Safe

  At Risk

  N/A

• Housekeeping: Check for debris, floor obstructions, construction materials, supplies etc.

  Safe

  At Risk

  N/A

• Hazardous Energy: Check for electric power cables or panels, chemical / gas / drain lines, utilities etc.

  Safe

  At Risk

  N/A

• Overhead obstructions: Check for tight working conditions, adjacent structures, beams, ceilings etc.

  Safe

  At Risk

  N/A

Completion

• Please sign to confirm all statements made above were correct at the time of completion.

  Sign

• If any questions as been marked as ''At Risk'' the operation must not commence. Notify a manager immediately who shall further advise.