MOBILE ELEVATED WORK PLATFORM - SITE INSPECTION

• MEWP Site Inspection

• Jobsite:

  Select

• Date of Inspection:

  Date

• Site Inspection Performed By:

  Select

CHECK ALL THAT APPLY

• Has the risk assessment been reviewed by everyone involved with the work to be performed, taking into consideration the safety of those not involved with the operation?

  YES

  N/A

• Have all hazards on the jobsite been identified and the methods to eliminate or mitigate them been documented?

  YES

  N/A

• Has an assessment been made to ensure that the support surface can support the weight of the MEWP, occupants and materials?

  YES

  N/A

• Has a rescue plan been developed and communicated to everyone on the jobsite?

  YES

  N/A

• Have all operators been properly trained to the ANSI A92.24- 2018 and/or CSA B354.8:17 standards?

  YES

  N/A

• Have operators selected the correct MEWP(s) for the work and been familiarized on the specific MEWP(s) they will be operating?

  YES

  N/A

• Have all occupants received instruction on how to work safely on the MEWP?

  YES

  N/A

• Has the operator been informed of local site requirements and provided the means to protect against identified hazards?

  YES

  N/A

• Is there a trained and qualified supervisor to monitor the performance and the work of the operator to ensure compliance?

  YES

  N/A

• Have all maintenance and inspections been performed on the machine as required? Is the Annual Inspection decal up to date?

  YES

  N/A

• Have personnel received instructions on how to prevent unauthorized use of the MEWP?

  YES

  N/A