PMEJCMB

• Client

• Job Number

• Conducted on

  Date

• Prepared by

• Location - verify location
  Address

GENERAL

• Equipment Make

• Equipment Model

• Equipment Serial Number

• Operating Hours

• Inspection Type

  90 Day

  Annual

• Equipment Photos - Overall

  Media

• Equipment Photos - Please take min 4 photos of equipment from different angles

INSPECTION

• 1. Logbook, serial plate, and operator manual

  OK

  Unsatisfactory

  Repaired

  N/A

• 1. Visual Inspection, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 2. Decals and safety labels

  OK

  Unsatisfactory

  Repaired

  N/A

• 2. Visual Inspection, Check Against Specification, Condition (wear ,rust, damage, cracks, leaks etc), Clean

• 3. Work platform, rails, steps, and gate

  OK

  Unsatisfactory

  Repaired

  N/A

• 3. Check Operation, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 4. Lanyard anchors

  OK

  Unsatisfactory

  Repaired

  N/A

• 4. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 5. Booms structural damage and welds

  OK

  Unsatisfactory

  Repaired

  N/A

• 5. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 6. Pivot pins, bushes, keepers, and lock devices

  OK

  Unsatisfactory

  Repaired

  N/A

• 6. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 7. Levelling system

  OK

  Unsatisfactory

  Repaired

  N/A

• 7. Visual Inspection, Check Operation, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 8. Rod ends

  OK

  Unsatisfactory

  Repaired

  N/A

• 8. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 9. Structural damage in welds

  OK

  Unsatisfactory

  Repaired

  N/A

• 9. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 10. Doors and covers

  OK

  Unsatisfactory

  Repaired

  N/A

• 10. Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 11. Tow hitch

  OK

  Unsatisfactory

  Repaired

  N/A

• 11. Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 12. Jockey wheel/tire

  OK

  Unsatisfactory

  Repaired

  N/A

• 12. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 13. Wheels and tires

  OK

  Unsatisfactory

  Repaired

  N/A

• 13. Visual Inspection, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 14. Wheel bearings

  OK

  Unsatisfactory

  Repaired

  N/A

• 14. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean, Lubricate (if due), Adjust

• 15. Brakes/handbrake

  OK

  Unsatisfactory

  Repaired

  N/A

• 15. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Adjust

• 16. Axle and springs

  OK

  Unsatisfactory

  Repaired

  N/A

• 16. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 17. Tail lights and plugs

  OK

  Unsatisfactory

  Repaired

  N/A

• 17. Check Operation

• 18. Slew pinion, gear, bolts, and brake

  OK

  Unsatisfactory

  Repaired

  N/A

• 18. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 19. Slew bearing

  OK

  Unsatisfactory

  Repaired

  N/A

• 19. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Lubricate

• 20. Slide/wear pads

  OK

  Unsatisfactory

  Repaired

  N/A

• 20. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 21. Lift, extend and basket rotate cylinders

  OK

  Unsatisfactory

  Repaired

  N/A

• 21. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 22. Stabilisers

  OK

  Unsatisfactory

  Repaired

  N/A

• 22. Visual Inspection, Check Operation, Tightness/ Security, Check Level, Condition (wear, rust, damage, cracks, leaks etc)

• 23. Hose and cable track

  OK

  Unsatisfactory

  Repaired

  N/A

• 23. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 24. Hoses, fittings, and clamps

  OK

  Unsatisfactory

  Repaired

  N/A

• 24. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 25. Pressure relief valves

  OK

  Unsatisfactory

  Repaired

  N/A

• 25. Check Operation, Tightness/ Security, Check Against Specification, Adjust

• 26. All hydraulic components

  OK

  Unsatisfactory

  Repaired

  N/A

• 26. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 27. Oil reservoir/hydraulic oil

  OK

  Unsatisfactory

  Repaired

  N/A

• 27. Visual Inspection, Check Level, Condition (wear, rust, damage, cracks, leaks etc), Replace (if due)

• 28. Hydraulic filter

  OK

  Unsatisfactory

  Repaired

  N/A

• 28. Visual Inspection, Tightness/ Security, Replace (if due)

• 29. Overcentre valve

  OK

  Unsatisfactory

  Repaired

  N/A

• 29. Visual Inspection, Check Operation, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc), Adjust,

• 30. Emergency lowering

  OK

  Unsatisfactory

  Repaired

  N/A

• 30. Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 31. Engine and Pump

  OK

  Unsatisfactory

  Repaired

  N/A

• 31. Visual Inspection, Check Operation, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 32. Engine mounts

  OK

  Unsatisfactory

  Repaired

  N/A

• 32. Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc)

• 33. Starter motor

  OK

  Unsatisfactory

  Repaired

  N/A

• 33. Check Operation

• 34. Engine oil

  OK

  Unsatisfactory

  Repaired

  N/A

• 34. Check Level, Replace (if due)

• 35. Fuel filter

  OK

  Unsatisfactory

  Repaired

  N/A

• 35. Visual Inspection, Tightness/ Security, Replace (if due)

• 36. Air cleaner

  OK

  Unsatisfactory

  Repaired

  N/A

• 36. Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean, Replace (if due)

• 37. Spark plug

  OK

  Unsatisfactory

  Repaired

  N/A

• 37. Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc), Replace (if due)

• 38. Throttle solenoid

  OK

  Unsatisfactory

  Repaired

  N/A

• 38. Check Operation, Tightness/ Security, Check Against Specification, Adjust

• 39. 240V/24V Motor and Pump

  OK

  Unsatisfactory

  Repaired

  N/A

• 39. Visual Inspection, Check Operation, Tightness/ Security

• 40. Contactor

  OK

  Unsatisfactory

  Repaired

  N/A

• 40. Visual Inspection, Check Operation

• 41. Batteries and terminals

  OK

  Unsatisfactory

  Repaired

  N/A

• 41. Visual Inspection, Check Operation, Tightness/ Security, Check Level, Check Against Specification, Clean

• 42. Battery charger

  OK

  Unsatisfactory

  Repaired

  N/A

• 42. Visual Inspection, Check Operation, Tightness/ Security

• 43. Control wire harness

  OK

  Unsatisfactory

  Repaired

  N/A

• 43. Visual Inspection, Condition (wear, rust, damage, cracks, leaks etc)

• 44. Start and emergency stop switches

  OK

  Unsatisfactory

  Repaired

  N/A

• 44. Visual Inspection, Check Operation, Tightness/ Security

• 45. Visual Inspection, Check Operation

• 45. Base/platform select switch

  OK

  Unsatisfactory

  Repaired

  N/A

• 46. Control switches/levers (base)

  OK

  Unsatisfactory

  Repaired

  N/A

• 46. Visual Inspection, Tightness/ Security

• 47. Control switches/levers (platform)

  OK

  Unsatisfactory

  Repaired

  N/A

• 47. Visual Inspection, Tightness/ Security

• 48. Foot switch

  OK

  Unsatisfactory

  Repaired

  N/A

• 48. Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 49. Horn

  OK

  Unsatisfactory

  Repaired

  N/A

• 49. Check Operation

• 50. Lights and buzzers

  OK

  Unsatisfactory

  Repaired

  N/A

• 50. Visual Inspection, Check Operation, Clean

• 51. Motion alarm and flashing lights

  OK

  Unsatisfactory

  Repaired

  N/A

• 51. Visual Inspection, Check Operation

• 52. Tilt sensor

  OK

  Unsatisfactory

  Repaired

  N/A

• 52. Visual Inspection, Check Operation, Check Level, Check Against Specification, Condition (wear, rust,damage, cracks, leaks etc)

• 53. Interlock switches, safety cut-outs

  OK

  Unsatisfactory

  Repaired

  N/A

• 53. Visual Inspection, Check Operation, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 54. Operating functions

  OK

  Unsatisfactory

  Repaired

  N/A

• 54. Check Operation, Adjust

• 55. Function speeds

  OK

  Unsatisfactory

  Repaired

  N/A

• 55. Check Against Specification

• 56. Platform load sensing system

  OK

  Unsatisfactory

  Repaired

  N/A

• 56. Check Operation, Check Against Specification

• 57. Slip rings and brushes

  OK

  Unsatisfactory

  Repaired

  N/A

• 57. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

• 58. 240 AC outlet and ELCB

  OK

  Unsatisfactory

  Repaired

  N/A

• 58. Visual Inspection, Check Operation, Condition (wear, rust, damage, cracks, leaks etc)

• 59. AC generator

  OK

  Unsatisfactory

  Repaired

  N/A

• 59. Check Operation, Tightness/ Security, Check Against Specification, Condition (wear, rust, damage, cracks, leaks etc)

• 60. LV insulation

  OK

  Unsatisfactory

  Repaired

  N/A

• 60. Visual Inspection, Tightness/ Security, Condition (wear, rust, damage, cracks, leaks etc), Clean

COMPLETION

• Service Technician - Name and Sign

  Sign