Title Page

  • MEWP Pre-Operation Inspection

  • Jobsite:

  • Inspection Date:

  • Project Superintendent(s):

  • Point of Contact:

MEWP INFORMATION

1. MEWP INFORMATION

  • 1.1 Unit Make/Model

  • 1.2 MEWP

  • 1.3 Unit ID

  • What do the numbers mean on scissor lift?
    For scissor lifts, the first two numbers indicate the platform height as they do in booms, but the second two numbers indicate the wheel width — the machine's base at the wheels, not the chassis or the platform (e.g., Genie GS™-1932 scissor lift offering 19 ft of vertical height at 32 inches wide).

2. SUPERVISOR, OPERATOR, OCCUPANT INFORMATION

  • 2.1 Operator Name

  • 2.2 Supervisor Name

  • 2.3 Occupant Name(s)

  • 2.4 Are the Operator and Occupants Properly Trained and Familiar with the Equipment?

  • 2.5 Are the Operator and Occupants Physically & Mentally fit to Operate the MEWP

3. WORKPLACE INSPECTION: THE OPERATOR SHALL CHECK THE AREA FOR POSSIBLE HAZARDS SUCH AS, BUT NOT LIMITED TO:

  • 3.1 Drop-offs or Holes, Including Ones that may be Concealed

  • 3.2 Slopes

  • 3.3 Bumps and Floor Obstructions and Electrical Cables

  • 3.4 Debris

  • 3.5 Electrical Conductors

  • 3.6 Hazardous Locations and Atmospheres

  • 3.7 Inadequate Surface and Support to Withstand all Load Forces Imposed by the MEWP

  • 3.8 Wind and Weather Conditons

  • 3.9 Presence of Personnel and Other Mobile Equipment

  • 3.10 Traffic Hazards

  • 3.11 Other Unsafe Conditions

4. MEWP - CHECK ALL ITEMS

  • 4.1 Operators Manual in Machine

  • 4.2 Entry Gate (Not Damaged)

  • 4.3 Battery

  • 4.4 Decals/Name Plate

  • 4.5 Emergency Stop/Lowering Function

  • 4.6 Fire Extinguisher (Date/Charged/Condition)

  • 4.7 Fluid Levels

  • 4.8 Guard Rails

  • 4.9 Hydraulic Controls/Hoses

  • 4.10 Lights/Warning

  • 4.11 Motion Alarms

  • 4.12 Obvious Damage (Cracks in Rails, Dents, Excessive Rust, etc.)

  • 4.13 Steering

  • 4.14 Tires

  • 4.15 Anti-Crush Device (Required by Skanska & Turner)

  • 4.16 Fall Protection Equipment / Attachments

  • 4.17 Function Test Completed (ground controls, platform controls, decal inspection)

  • 4.18 Other (Describe in Comments)

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.