Mobile Elevating Work Platforms Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

16.6. Mobile Elevating Work Platforms Checklist

• 16.6.1. Do operators of aerial lifts near electric power lines maintain clearances required by<br>paragraph 16.4.3? Reference 16.4.3

  Yes

  No

  N/A

• 16.6.2. Are aerial ladders inspected and tested annually? Reference 16.4.5.1

  Yes

  No

  N/A

• 16.6.3. Are aerial ladders inspected immediately following any repair of a structural or mechanical<br>component of the ladder assembly? Reference 16.4.5.1

  Yes

  No

  N/A

• 16.6.4. Is NFPA 1914, Standard for Testing Fire Department Aerial Devices, used as a guide by the<br>principal operator and a qualified vehicle mechanic while performing tests or annual inspections of<br>aerial ladders? Reference 16.4.5.1

  Yes

  No

  N/A

• 16.6.5. Are articulating and extendible boom platforms inspected and tested annually? Reference<br>16.4.5.2

  Yes

  No

  N/A

• 16.6.6. Is ANSI A92.2., Vehicle Mounted Elevating and Rotating Work Platforms, used as a guide<br>by the principal vehicle operator and a qualified vehicle mechanic while performing tests or annual<br>inspections of articulated and extendible boom platforms? Reference 16.4.5.2

  Yes

  No

  N/A

• 16.6.7. Are tests and inspections of platforms recorded IAW AFI 23-302? Reference 16.4.5.2

  Yes

  No

  N/A

• 16.6.8. Is the aerial device manufacturer‘s operator manual available for operator use? Reference<br>16.4.6.1

  Yes

  No

  N/A

• 16.6.9. Have operators of vehicle-mounted elevating and rotating work platforms been thoroughly<br>trained and qualified in the use of the equipment? Reference 16.4.6.3

  Yes

  No

  N/A

• 16.6.10. Are work platforms equipped with guardrails, midrails and toeboards on all four (4) sides of<br>the platform, including the access opening to the platform? Reference 16.5.1

  Yes

  No

  N/A

• 16.6.11. Is the maximum height of mobile ladder stands or scaffolds restricted to a level no greater<br>than four times the least base dimension of the supporting frame? Reference 16.5.3.1

  Yes

  No

  N/A

• 16.6.12. Are supporting structures for work levels rigidly braced? Reference 16.5.3.3

  Yes

  No

  N/A

• 16.6.13. Are the steps of all ladder stands constructed of slip-resistant materials or covered with a<br>slip-resistant coating? Reference 16.5.3.4

  Yes

  No

  N/A

• 16.6.14. Is the work level platform of scaffolds secured to the support structure? Reference 16.5.3.5

  Yes

  No

  N/A

• 16.6.15. Are guardrails, midrails and toeboards installed on all scaffolding with work levels four (4)<br>feet or more above ground or floor level? Reference 16.5.3.6

  Yes

  No

  N/A

• 16.6.16. Do supervisors ensure personnel do not ride moving manually-propelled work platforms?<br>Reference 16.5.3.8

  Yes

  No

  N/A

• 16.6.17. Are at least two (2) of four (4) casters on ladder stands or work platforms equipped with<br>positive swivel locks or wheel locks to prevent movement? Reference 16.5.5.2

  Yes

  No

  N/A

• 16.6.18. Are screwjacks or other suitable means for adjusting height provided when leveling<br>elevated work platform is required? Reference 16.5.5.3

  Yes

  No

  N/A

• 16.6.19. Are at least two (2) brakes, wheel locks or permanently installed jacks operational on all<br>mobile work platforms? Reference 16.5.5.4

  Yes

  No

  N/A

• 16.6.20. Are structural type materials used for scaffold couplers (i.e., drop-forged steel, malleable<br>iron, or structural grade aluminum)? Reference 16.5.8.2

  Yes

  No

  N/A

• 16.6.21. Are rigid diagonal bracings provided to the vertical members? Reference 16.5.9.3

  Yes

  No

  N/A

• 16.6.22. Are handrails provided on mobile ladder stands that have more than four steps or 60 inches<br>vertical height? Reference 16.5.10.4

  Yes

  No

  N/A

• 16.6.23. Are protective guardrails and mid-rails (when required), installed and secured with bolts,<br>pins or other locking devices on mobile work platforms and ladder stands for work four (4) feet or<br>more above ground or floor? Reference 16.5.11.3

  Yes

  No

  N/A

• 16.6.24. Are reflective materials for marking mobile work platforms used to the maximum extent<br>authorized by TOs? Reference 16.5.11.5

  Yes

  No

  N/A

• 16.6.25. Are work platforms secured against movement when not being transported? Reference<br>16.5.11.50

  Yes

  No

  N/A

• 16.6.26. Are mobile work platform and/or ladder stands inspected daily before use? Reference<br>16.5.11.6

  Yes

  No

  N/A

• 16.6.27. Are mobile platforms and ladders used for fuel cell repair or other hazardous areas equipped<br>with bonding and (or) ground connections and static discharge plates for personnel to dissipate<br>accumulated static electricity? Reference 16.5.11.8

  Yes

  No

  N/A

• 16.6.28. Is maintenance of mobile work platforms and ladder stands accomplished as required by<br>applicable 35-series TOs? Reference 16.5.11.9

  Yes

  No

  N/A