SCISSOR LIFT - 1930

• Date and Time

  Date

• Operator

• Shift

  Select

• Is this inspection for the Scissor Lift - JLG - 1930ES?

  Yes

  No

  N/A

Self Propelled Elevating Work Platform

• Visual Check - Is there any visual damage?

  Compliant

  Non-Compliant

  N/A

• Function Check

  Compliant

  Non-Compliant

  N/A

• Battery Level

  Compliant

  Non-Compliant

  N/A

• Raise/Lower

  Compliant

  Non-Compliant

  N/A

• E-stop

  Compliant

  Non-Compliant

  N/A

• Pot Hole Protector

  Compliant

  Non-Compliant

  N/A

• Upper Control

  Compliant

  Non-Compliant

  N/A

• Natural Lowering

  Compliant

  Non-Compliant

  N/A

• Tilt Warning

  Compliant

  Non-Compliant

  N/A

• Limited Travel Speed

  Compliant

  Non-Compliant

  N/A

• Refer to Operator checklist on equipment

  ✔

  ✖

  N/A

• Fire extinguisher

  Compliant

  Non-Compliant

  N/A

Completion

• Comments

• Please sign to indicate that you have completed the pre-start check and that you will tag the equipment out and report it if not safe to operate

  Sign