Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Make/Model/Serial Number
Untitled Page
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Is the Equipment the right MEWP for the task?
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Is the operator trained and authorized for the MEWP?
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Was the equipment inspection conducted and completed?
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Was the work area inspected for potential hazards?
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Are the operator and owner's manual on the piece of equipment?
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Is the a fire extinguisher on the MEWP?
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Is the employee using fall protection & maintaining 100% tie off?
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Is the MEWP being used to hoist, lift, pull, material into place?
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Is the basket free of trip hazards and clutter, trash debris?
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Is the equipment on level ground or within manufacturer specifications of being level?
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Are there any defects on the piece of equipment to report?