Mobile Elevating Work Platforms Checklist

• Document No.

• Audit Title

• Squadron

• Conducted on

  Date

• Inspector

• Location
  Address

• Supervisor

16.6. Mobile Elevating Work Platforms Checklist

• Do operators of aerial lifts near electric power lines maintain clearances required by paragraph 16.4.3? AFI 91-203 para. 16.4.3

  Yes

  No

  N/A

• Are aerial ladders inspected and tested annually? AFI 91-203 para. 16.4.5.1

  Yes

  No

  N/A

• Are aerial ladders inspected immediately following any repair of a structural or mechanical component of the ladder assembly? AFI 91-203 para. 16.4.5.1

  Yes

  No

  N/A

• Is NFPA 1914, Standard for Testing Fire Department Aerial Devices, used as a guide by the principal operator and a qualified vehicle mechanic while performing tests or annual inspections of aerial ladders? AFI 91-203 para. 16.4.5.1

  Yes

  No

  N/A

• Are articulating and extendible boom platforms inspected and tested annually? AFI 91-203 para. 16.4.5.2

  Yes

  No

  N/A

• Is ANSI A92.2., Vehicle Mounted Elevating and Rotating Work Platforms, used as a guide by the principal vehicle operator and a qualified vehicle mechanic while performing tests or annual inspections of articulated and extendable boom platforms? AFI 91-203 para. 16.4.5.2

  Yes

  No

  N/A

• Are tests and inspections of platforms recorded IAW AFI 23-302? AFI 91-203 para. 16.4.5.2

  Yes

  No

  N/A

• Is the aerial device manufacturer‘s operator manual available for operator use? AFI 91-203 para. 16.4.6.1

  Yes

  No

  N/A

• Have operators of vehicle-mounted elevating and rotating work platforms been thoroughly trained and qualified in the use of the equipment? AFI 91-203 para. 16.4.6.3

  Yes

  No

  N/A

• Are work platforms equipped with guardrails, midrails and toeboards on all four (4) sides of the platform, including the access opening to the platform? AFI 91-203 para. 16.5.1

  Yes

  No

  N/A

• Is the maximum height of mobile ladder stands or scaffolds restricted to a level no greater than four times the least base dimension of the supporting frame? AFI 91-203 para. 16.5.3.1

  Yes

  No

  N/A

• Are supporting structures for work levels rigidly braced? AFI 91-203 para. 16.5.3.3

  Yes

  No

  N/A

• Are the steps of all ladder stands constructed of slip-resistant materials or covered with a slip-resistant coating? AFI 91-203 para. 16.5.3.4

  Yes

  No

  N/A

• Is the work level platform of scaffolds secured to the support structure? AFI 91-203 para. 16.5.3.5

  Yes

  No

  N/A

• Are guardrails, midrails and toeboards installed on all scaffolding with work levels four (4) feet or more above ground or floor level? AFI 91-203 para. 16.5.3.6

  Yes

  No

  N/A

• Do supervisors ensure personnel do not ride moving manually-propelled work platforms? AFI 91-203 para. 16.5.3.8

  Yes

  No

  N/A

• Are at least two (2) of four (4) casters on ladder stands or work platforms equipped with positive swivel locks or wheel locks to prevent movement? AFI 91-203 para. 16.5.5.2

  Yes

  No

  N/A

• Are screwjacks or other suitable means for adjusting height provided when leveling elevated work platform is required? AFI 91-203 para. 16.5.5.3

  Yes

  No

  N/A

• Are at least two (2) brakes, wheel locks or permanently installed jacks operational on all mobile work platforms? AFI 91-203 para. 16.5.5.4

  Yes

  No

  N/A

• Are structural type materials used for scaffold couplers (i.e., drop-forged steel, malleable iron, or structural grade aluminum)? AFI 91-203 para. 16.5.8.2

  Yes

  No

  N/A

• Are rigid diagonal bracings provided to the vertical members? AFI 91-203 para. 16.5.9.3

  Yes

  No

  N/A

• Are handrails provided on mobile ladder stands that have more than four steps or 60 inches vertical height? AFI 91-203 para. 16.5.10.4

  Yes

  No

  N/A

• Are protective guardrails and mid-rails (when required), installed and secured with bolts, pins or other locking devices on mobile work platforms and ladder stands for work four (4) feet or more above ground or floor? AFI 91-203 para. 16.5.11.3

  Yes

  No

  N/A

• Are reflective materials for marking mobile work platforms used to the maximum extent authorized by TOs? AFI 91-203 para. 16.5.11.5

  Yes

  No

  N/A

• Are work platforms secured against movement when not being transported? AFI 91-203 para. 16.5.11.50

  Yes

  No

  N/A

• Are mobile work platform and/or ladder stands inspected daily before use? AFI 91-203 para. 16.5.11.6

  Yes

  No

  N/A

• Are mobile platforms and ladders used for fuel cell repair or other hazardous areas equipped with bonding and (or) ground connections and static discharge plates for personnel to dissipate accumulated static electricity? AFI 91-203 para. 16.5.11.8

  Yes

  No

  N/A

• Is maintenance of mobile work platforms and ladder stands accomplished as required by applicable 35-series TOs? AFI 91-203 para. 16.5.11.9

  Yes

  No

  N/A

• Report Routing

• Supervisor Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Superintendent Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Safety Office Signature:

  Sign

• Notification

  Action

  Info

  N/A

• Wing Commander Signature:

  Sign

• Notification

  Action

  Info

  N/A