Title Page

  • Job Name

  • Date

  • Mewp Type

  • Fleet Number

  • Model

  • Operators Name

  • Operators IPAF card number

Checklist

  • Documentation - Current thorough examination certificate (within last 6 months)

  • Documentation - Manufacturers operator manual

  • Documentation- Rescue Plan

  • Wheels / Tyres - Wheel Security (nuts , retainers, loose , damaged , missing )

  • Wheels / Tyres - Tyre Pressure (pneumatic , foam filled or solid)

  • Wheels / Tyres - cuts , splits , exposed braiding , damaged rims

  • Engine / Power Source - Fluid Levels (engine oil , coolant , fuel )

  • Engine / Power Source - Fluid leakage on ground and around engine

  • Engine / Power Source - Battery (electolyte , security and charging plug condition

  • Hydraulics - Hydraulic fluid level

  • Hydraulics - Leaks (hoses, pipe connections , rams , cylinders )

  • Hoses and cables - Security and condition ( cuts , chafing , bulges )

  • Hoses and cables - Power track cable trays (free from damage and debris)

  • Outriggers / Stabilisers - General condition , pins , retainers , footplate

  • Outriggers / Stabilisers - Spreader Plates ( present , condition , secure for travel )

  • Outriggers / Stabilisers - Interlocks (functioning , engaged )

  • Chassis , Boom and Scissor Pack - General Condition ( damage , misalignment , corrosion)

  • Chassis , Boom and Scissor Pack - Cracks in weld

  • Chassis , Boom and Scissor Pack - pins , retainers and chains ( security sign of wear)

  • Chassis , Boom and Scissor Pack - Canopies , guards , engine covers (security and condition)

  • Platform or Cage - steps for access / egress (secure , undamaged , clear)

  • Platform or Cage -Entrance gate , guard rails and retaining pins

  • Platform or Cage - Harness anchor points

  • Platform or Cage -Clear of rubbish , debris and obstructions

  • Decals and Signage - ID plate , Safety warning and information decals (legible)

  • Decals and Signage - Controls (identification decals , directional arrows )

  • Platform Load (SWL , max , wind speed , max. number of persons )

  • Function Checks Ground and Platform - Security device (power , isolator , keypad , smart card )

  • Function Checks Ground and Platform - Function enable (ignition key , foot switch , hold to run device )

  • Function Checks Ground and Platform -Emergency stops and emergency lowering systems

  • Function Checks Ground and Platform -All switches , function controls ( move freely do not stick)

  • Function Checks Ground and Platform -Lifting Functions (raise , lower , slew , tele out , tele in )

  • Function Checks Ground and Platform -Travel functions ( forward , reverse , steer , brake)

  • Function Checks Ground and Platform - Elevated drive speed (reduced or prevented)

  • Function Checks Ground and Platform - Lights , beacons , warning devices

  • Function Checks Ground and Platform - Alarms ( tilt , descent and travel )

  • Function Checks Ground and Platform -Limit switches (eg. descent , load , outreach , rotation)

  • Function Checks Ground and Platform - Pothole protection device ( fully deploys and retracts)

  • Function Checks Ground and Platform - Oscillating axle locks , extending axles

  • Function Checks Ground and Platform - Accessories , power to platform , extending decks

  • Function Checks Ground and Platform - Jacks legs , stabilisers , outriggers , levelling devices

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.