Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Job number
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Equipment Make and Model
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Serial/Equipment Number
External Inspection
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Frame and structure appear in good order, no cracked welds or bent rails
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All fasteners, pins, and connectors in place and secured
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Tires appear in good order, no excessive wear or missing tread
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All decals in place and legible
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Are there visible hydraulic leaks
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Fall protection devices in place (rails, gates/chain, tie-off points, etc.)
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All electrical components and wiring in good condition
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All hoses and connections in good condition
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Battery and terminals in good condition
Operational Inspection
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Limit switches, warning alarms and horn operational
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All operational controls work (ground controls and basket controls)
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Safety indicator lights are in working condition
Additional Items
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Items in need of repair or service
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Additional Comments
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Operator Signature