Scissor Lift Inspection Copy

• Daily Scissor Lift Inspection

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Main Info

• Hour meter

• Nominal capacity

General info

• Tires in good conditions

  Yes

  No

  N/A

• Presence of fire extinguishers

  Yes

  No

  N/A

• Beams stability

  Yes

  No

  N/A

• Platform: Absent of loose or missing pieces

  Yes

  No

  N/A

Guardrail

• Ease of movement

  Yes

  No

  N/A

• Locking

  Yes

  No

  N/A

• Interlocking

  Yes

  No

  N/A

Fall prevention

• Floor anchors available

  Yes

  No

  N/A

Mechanic

Information Operators manual present?

• Plates, danger and warning labels that are clean and readable

  Yes

  No

  N/A

• Fluids levels

  Yes

  No

  N/A

• Leaks

  Yes

  No

  N/A

• Loosened connections

  Yes

  No

  N/A

Checking operations

• Horn

  Yes

  No

  N/A

• Headlights/rotary headlights

  Yes

  No

  N/A

• Warning lights and sounds

  Yes

  No

  N/A

• Emergency cutoff

  Yes

  No

  N/A

• Primary controls

  Yes

  No

  N/A

• Secondary controls

  Yes

  No

  N/A

• Indicating dials

  Yes

  No

  N/A

• Brakes

  Yes

  No

  N/A

• Stabilizers

  Yes

  No

  N/A

• Scissor elevating system

  Yes

  No

  N/A

Sign off

• Operator

  Sign

• Supervisor

  Sign

• Yes

  No

  N/A