Information
Operator's Daily Checklist - Elevated Work Platform
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Prepared by
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Site
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Conducted on
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Week of
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Machine #
Monday
MONDAY
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Date
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Battery caps
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Battery casing
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Battery cables
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Electrolyte level (check first day of use & weekly on Monday)
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Hydraulic oil level
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Tires in good condition
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Hinge pins in place & locked on scissor
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No cracks in scissor or boom
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Working deck clear of debris
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Harness attachment point in good condition
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Guard rails in good condition
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All locking pins in guard rail
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Extension platform moves freely
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Operators controls all functional & labels legible
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Ground controls all functional
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Outrigger/Stabilizer
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Ladder/Steps in good condition
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Beacon/Warning lights functional
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Access gate present/safety chain
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Structure has no visible damage
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All warning labels legible
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Oil spots on the floor
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Steering is in good condition
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Forward/Reverse drive is in good condition
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Lift/Lowering is in good condition
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Emergency lowering valve operational
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Concerns to be addressed:
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Please also phone/text H&S Representative or H&S Coordinator with your concerns
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Daily Operator Signature
Tuesday
TUESDAY
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Date
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Battery caps
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Battery casing
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Battery cables
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Electrolyte level
-
Hydraulic oil level
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Tires in good condition
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Hinge pins in place & locked on scissor
-
No cracks in scissor or boom
-
Working deck clear of debris
-
Harness attachment point in good condition
-
Guard rails in good condition
-
All locking pins in guard rails
-
Extension platform moves freely
-
Operators controls all functional & labels legible
-
Ground controls all functional
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Outrigger/Stabilizer
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Ladder/Steps in good condition
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Beacon/Warning lights functional
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Access gate present/Safety chain
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Structure has no visible damage
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All warning labels legible
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Oil spots on the floor
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Steering is in good condition
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Forward/Reverse drive is in good condition
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Lift/Lowering is in good condition
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Emergency lowering valve operational
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Concerns to be addressed:
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Please also phone/text the H&S Representative or H&S Coordinator with your concerns
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Daily Operator Signature
Wednesday
WEDNESDAY
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Date
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Battery caps
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Battery casing
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Battery cables
-
Electrolyte level
-
Hydraulic oil level
-
Tires in good condition
-
Hinge pins in place & locked on scissor
-
No cracks in scissor or boom
-
Working deck clear of debris
-
Harness attachment point is in good condition
-
Guard rails in good condition
-
All locking pins in guard rail
-
Extension platform moves freely
-
Operators controls all functional & labels legible
-
Ground controls all functional
-
Outrigger/Stabilizer
-
Ladder/Steps in good condition
-
Beacon/Warning lights functional
-
Access gate present/safety chain
-
Structure has no visible damage
-
All warning labels legible
-
Oil spots on the floor
-
Steering is in good condition
-
Forward/Reverse drive is in condition
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Lift/Lowering is in good condition
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Emergency lowering valve operational
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Concerns to be addressed:
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Please also phone/text H&S Representative or H&S Coordinator with your concerns
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Daily Operator Signature
Thursday
THURSDAY
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Date
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Battery caps
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Battery casing
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Battery cables
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Electrolyte level
-
Hydraulic oil level
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Tires in good condition
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Hinge pins in place & locked on scissor
-
No cracks in scissor or boom
-
Working deck clear of debris
-
Harness attachment point in good condition
-
Guard rails in good condition
-
All locking pins in guard rail
-
Extension platform moves freely
-
Operators controls all functional & labels legible
-
Ground controls all functional
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Outrigger/Stabilizer
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Ladder/Steps in good condition
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Beacon/Warning lights functional
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Battery
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Battery
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Battery
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Battery
