Pre-Use Inspection: Mobile Elevated Work Platform

• Inspected by

• Conducted On

  Date

• Have ANY defects been found during this inspection?

  Yes

  No

  N/A

• Have you reported the defects to your Senior / Management?

  Yes

  No

  N/A

• ID of MEWP inspected

Visual Check (Power Off)

• Harness/ Lanyard Anchor point

  OK

  Fault

• Battery

  OK

  Fault

• Chassis

  OK

  Fault

• Platform mounting

  OK

  Fault

• Platform Guards and Rails

  OK

  Fault

• Operator Manual

  OK

  Fault

• Scissor lift Unit

  OK

  Fault

  N/A

• Telescopic Boom

  OK

  Fault

  N/A

• Guards

  OK

  Fault

• Hydraulics/Couplings/Leaks

  OK

  Fault

• Slewing Turntable

  OK

  Fault

  N/A

• Wheels and Tyres

  OK

  Fault

• External Damage

  OK

  Fault

• Safe Working Capacity Plate

  OK

  Fault

• Platform/Basket

  OK

  Fault

Operational Checks (Power On)

• Key Switch

  OK

  Fault

• Starting Procedure Engine

  OK

  Fault

  N/A

• Starting Procedure Battery

  OK

  Fault

  N/A

• Lights

  OK

  Fault

• Audible Warnings

  OK

  Fault

• Hydraulic Functions

  OK

  Fault

• Drive/Brake

  OK

  Fault

• Parking Brake

  OK

  Fault

  N/A

• Steering

  OK

  Fault

• Controls Ground Level

  OK

  Fault

• Controls Platform/Basket

  OK

  Fault

Safe To Use?

• Safe to Use or Out Of Service?

  Safe To Use

  Out Of Service

• Signature

  Sign