Title Page
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Document No:
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Prepared by:
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Conducted on:
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Ramp:
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Supervisor Name:
Visual Checklist
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General condition of the Lift.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check Overhead Guard.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check structural components and welds.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check electrical components and wiring.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Lift controls.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check the Stop and Lift lubrication.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check for Fluid Leaks, No Damp Spots or Drips on the Ground.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Check for control valve leaks.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Ensure that the cylinder is clean.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
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Ensure that the compressor is free of water.
- Okay (It is in working order)
- Not Okay (It is not in working order)
- N/A
Extra Notes
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Is there anything else that needs to be called attention to?
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Please Sign Below.
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Please outline the issue below.
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Please Sign Below.