SCISSOR LIFT INSPECTION

• IF ANY ITEMS MARKED "NO", PICTURE(S) REQUIRED OF ITEM(S) IN QUESTION.

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Picture of Lift Inspected

  Media

• Signature of Inspector.

  Sign

• Tires/Wheel in good condition.

  Yes

  No

  N/A

• Platform free of damage, cracks, deformities.

  Yes

  No

  N/A

• Hydraulic controls free of leaks and damage.

  Yes

  No

  N/A

• AC outlets/inlets free of damage.

  Yes

  No

  N/A

• Scissors free of damage, cracks, and deformities.

  Yes

  No

  N/A

• Guardrails free of damage.

  Yes

  No

  N/A

• All name plates present and legible.

  Yes

  No

  N/A

Operational Lift Inspection Lower Controls

• Buzzer Sounds.

  Yes

  No

  N/A

• Buzzer sounds.

  Yes

  No

  N/A

• Buzzer stops, warning lights goes out.

  Yes

  No

  N/A

• Platform lift/ lower free of strange noises, vibrations, rattling.

  Yes

  No

  N/A

• Emergency Stop functions as intended.

  Yes

  No

  N/A

Operational Lift Inspection Upper Controls

• Platform lift/ lower free of strange noises, vibrations, rattling.

  Yes

  No

  N/A

• Steering functions as intended with no strange noises, vibrations, or rattling.

  Yes

  No

  N/A

• Lift travels forward and stops as intedned.

  Yes

  No

  N/A

• Lift travels in reverse and stops as intended.

  Yes

  No

  N/A

• Emergency stop functions as intedned.

  Yes

  No

  N/A

• Lift free of fluid leaks.

  Yes

  No

  N/A

Additional Information

• Additional notes.

• Additional Photos

  Media