Pre-use MEWP Inspection

• Job Description

  Select

• Conducted on

  Date
• Location
  Address

• Prepared by

  Select Anthony Clegg Bradley Hunter Dan Livesey Florin Badescu George Brighton Harry Edwards James Parker Jordan Barker Jordan Rust Martin Brown Morgan Reynolds Neal Depledge Paul Bessent Paul Whitehouse Richard Bowen Sam Jennings Simon Stanfield

  • Anthony Clegg
  • Bradley Hunter
  • Dan Livesey
  • Florin Badescu
  • George Brighton
  • Harry Edwards
  • James Parker
  • Jordan Barker
  • Jordan Rust
  • Martin Brown
  • Morgan Reynolds
  • Neal Depledge
  • Paul Bessent
  • Paul Whitehouse
  • Richard Bowen
  • Sam Jennings
  • Simon Stanfield

• Site Name

• Machine type (inc Photo)

Documentation

• Current thorough examination certificate (within last 6 months)

  Yes

  No

• Manufacturer's Operator Manual

  Yes

  No

• Rescue Plan (RAMS)

  Yes

  No

Wheels & Tyres

• Wheel security (nuts, retainers: loose, damaged, missing)

  Pass

  Fail

  N/A

• Tyre pressure

  Pass

  Fail

  N/A

• Cuts, Splits, exposed braiding, damaged rims

  Pass

  Fail

  N/A

Engine/Power Source

• FluidLevels (engine oil, coolant)

  Pass

  Fail

  N/A

• Fluid leakage on ground around engine

  Pass

  Fail

  N/A

• Battery (electrolyte, security and charging plug condition)

  Pass

  Fail

  N/A

Hydraulics

• Hydraulic fluid level

  Pass

  Fail

  N/A

• leaks (hoses, pipe connections, ram cylinders)

  Pass

  Fail

  N/A

Hoses/Cables

• Security and condition (cuts, chafing, bulges)

  Pass

  Fail

  N/A

• Power track cable trays (free from damage and debris)

  Pass

  Fail

  N/A

Outriggers/Stabilisers

• Spreader plates (present, condition, secure for travel)

  Pass

  Fail

  N/A

• General condition, pins/retainers, footplate

  Pass

  Fail

  N/A

• Interlocks (functioning,engaged)

  Pass

  Fail

  N/A

Chassis, Boom & Scissor Park

• General condition (damage, misalignment, corrosion)

  Pass

  Fail

  N/A

• Cracks in weld

  Pass

  Fail

  N/A

• Pins, retainers and chains (security, signs of wear)

  Pass

  Fail

  N/A

• Canopies, guards, engine covers (security and condition)

  Pass

  Fail

  N/A

Platform or Cage

• Steps for access/egress (secure, undamaged, clear)

  Pass

  Fail

  N/A

• Entrance Gate, guard rails and retaining pins

  Pass

  Fail

  N/A

• Harness anchor points

  Pass

  Fail

  N/A

• Clear of rubbish, debris and obstructions

  Pass

  Fail

  N/A

Decals and Signage

• ID Plate, safety, warning and information decals (legible)

  Pass

  Fail

  N/A

• Controls (identification decals, directional arrows)

  Pass

  Fail

  N/A

• Platform loads (SWL, max. wind speed, max. number of persons

  Pass

  Fail

  N/A

Function Checks

• Security device (power isolator, keypad, smartcard)

  Pass

  Fail

  N/A

• Function enable (ignition key, foot switch, hold to run device)

  Pass

  Fail

  N/A

• Emergency Stops and emergency lowering system

  Pass

  Fail

  N/A

• All switches, function controls (move freely, do not stick)

  Pass

  Fail

  N/A

• Lifting functions (raise, lower, slew, tele out, tele in)

  Pass

  Fail

  N/A

• Travel functions (forward, reverse, steer, brakes)

  Pass

  Fail

  N/A

• Elevated drive speed (reduced or prevented)

  Pass

  Fail

  N/A

• Lights, beacons, warning devices

  Pass

  Fail

  N/A

• Alarms (tilt, descent and travel)

  Pass

  Fail

  N/A

• Limit switches (eg descent, load, outreach, rotation

  Pass

  Fail

  N/A

• Pothole protection device (fully deploys and retracts)

  Pass

  Fail

  N/A

• Oscillating axle locks, extending axles

  Pass

  Fail

  N/A

• Accessories, power to platform, extending decks

  Pass

  Fail

  N/A

• Jacks, legs, outriggers, levelling devices

  Pass

  Fail

  N/A

• ALL FAULTS OR DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

  Pass

  Fail

  N/A

• ALL FAULTS OR DEFECTS TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR

• Only persons who are trained and authorised by their employer should operate this equipment

Operator Name(s) and IPAF card number(s)

• Operator Names

  Select Anthony Clegg Bradley Hunter Dan Livesey Florin Badescu George Brighton Harry Edwards James Parker Jordan Barker Jordan Rust Martin Brown Morgan Reynolds Neal Depledge Paul Bessent Paul Whitehouse Richard Bowen Sam Jennings Simon Stanfield

  • Anthony Clegg
  • Bradley Hunter
  • Dan Livesey
  • Florin Badescu
  • George Brighton
  • Harry Edwards
  • James Parker
  • Jordan Barker
  • Jordan Rust
  • Martin Brown
  • Morgan Reynolds
  • Neal Depledge
  • Paul Bessent
  • Paul Whitehouse
  • Richard Bowen
  • Sam Jennings
  • Simon Stanfield

• IPAF card number