PENTEL DRYWALL, INC / AERIAL OR SCISSOR LIFT SAFETY INSPECTION 6, 024, 1, 300

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Lift make, model and serial number.

  Select JLG E300AJP # 6. Serial 03008221 JLG 20MVL # 024. Serial 0130018106 JLG E450AJ # 1. Serial 0300099524 GENIE GR-15 # RR300. Serial 1437

  • JLG E300AJP # 6. Serial 03008221
  • JLG 20MVL # 024. Serial 0130018106
  • JLG E450AJ # 1. Serial 0300099524
  • GENIE GR-15 # RR300. Serial 1437

THE VEHICLE INSPECTION

• Check the lift and surrounding area for leaks

  Safe

  At Risk

  N/A

• Tire pressure and condition of wheels and tires

  Safe

  At Risk

  N/A

• Battery and charger

  Safe

  At Risk

  N/A

• Ground control switches

  Safe

  At Risk

  N/A

CHECK OPERATIONS

• Horn

  Safe

  At Risk

  N/A

• Gauges

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Back up alarm or warning buzzers

  Safe

  At Risk

  N/A

PLATFORM LIFT EQUIPMENT INSPECTION

• Lift and travel controls and switches

  Safe

  At Risk

  N/A

• Placards, decals and control ID labels

  Safe

  At Risk

  N/A

• Handrails, guardrails and safety chains

  Safe

  At Risk

  N/A

• Platform deck and toe boards

  Safe

  At Risk

  N/A

• Steering

  Safe

  At Risk

  N/A

• Back up alarm or warning buzzer

  Safe

  At Risk

  N/A

• IF THE AERIAL LIFT OR SCISSOR LIFT FAILS ANY PART OF THIS INSPECTION, REMOVE THE KEY AND REPORT THE PROBLEM TO YOUR SUPERVISOR. DO NOT ATTEMP TO MAKE REPAIRS UNLESS YOU ARE A TRAINED AND AUTHORIZED SERVICE PERSON.

• Record any malfunctions, damages or problems.

  Yes

  No

  N/A

• Competent Person.

  Sign