Information

  • Document No.

  • Audit Title

  • Site or job number

  • Conducted on

  • Conducted by

General information

  • Unit number

  • Is the annual inspection up to date

  • Did you exercise the piece of equipment

Controls

  • Are all lights and horns working

  • Are emergency controls properly marked

  • Are boom controls working properly

  • Controls properly marked

  • Are lower controls working properly

Engine compartment : Fuel, Oil, Coolant, Leaks.

  • Current hour reading

  • Hour reading on filters

  • Fuel lines checked for leaks

  • Fuel level

  • Hydraulic fluid level checked?

  • Oil level checked

  • Coolant Level checked

  • Air filter Checked

  • Is it free of noticeable leaks

TIRES

  • Are tires inflated to proper air pressure

  • Are tires foam filled

  • Are treads on tries adequate for use

  • Are lug nuts tight

BASKET

  • Guard Rails free of defects

  • Are tie off points free of defects

  • Is swing gate or drop bar working properly

  • Is basket clear of debris

  • Is signage properly posted and readable

BOOM

  • Any visible leaks or defects

  • Has grease been applied to zerks?

  • Wear pads have adequate padding left.

Site conditions

  • Are you aware of any excavations, holes, or possible cave in areas

  • Are you aware of any overhead obstructions or work being performed above

  • Are you aware of any power lines or electrical hazards

  • Are you aware of your swing radius

  • Are you aware of wind or possible weather conditions

Inspected By :

  • Add signature

  • Select date

  • Add media

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.