Information

  • Serial Number:

  • Machine Model:

  • Hourmeter Reading:

  • Inspection Type:

  • Previous Inspection Date:

  • Control levers, switches, Gauges and instruments operate properly, including options (horns, lights, etc.).

  • Detents properly lock controls in place. Check condition of control enclosures and protective boots/guards.

  • Emergency stop switches at the ground & platform control stations operate properly, (Shuts off controls & engine).

  • Lift, drive & speed cut-outs operates properly.

  • Manual descent/auxiliary power system operates properly.

  • Function enable system if equipped, operates properly. (Disables functions within 3 seconds).

  • Brakes operate properly.

  • Machine functions operate properly at both ground & platform controls (lift, manual descent, etc..).

Platform Assembly

  • Platform installed & secure.

  • Platform extension deck & related components secure & undamaged.

  • Platform rails installed & secure, midrail chain/gate and bars installed & latched properly.

Scissor Arms

  • Scissor arms free of damage, cracks and distortion.

  • Arm safety props operational.

  • Cylinder pins, pivot pins & attaching hardware secure & undamaged.

  • Arm pins, wear pads & attaching hardware secure & undamaged.

Chassis

  • Wheel rim nuts torqued properly.

  • Check tires for proper inflation, damage & wear.

  • Steer, drive & axle components secure & undamaged.

  • Outriggers/stabilizers operate properly.

  • Hydraulic tray & battery/engine compartment covers open & latch properly.

  • Static strap is in place. (If applicable)

Power System

  • Engine idle, throttle & RPM set properly.

  • Fluid levels correct, hydraulic tank, engine oil, torque hubs, coolant & batteries.

  • Air & fuel filter clean.

  • Fuel cap tight & vent open.

  • Exhaust system free of leaks. (Gas/diesel units only)

  • Pumps & motor secure, undamaged & free of leaks.

Hydraulic/Electrical System

  • Hydraulic filter clean.

  • All cylinders free of leaks and damage.

  • Hydraulic oil level in tank correct.

  • Hydraulic tank cap tight & vent open.

  • All hydraulic fittings & lines secure, free of damage, chafing & leaks.

  • All electrical connections tight, no corrosion or abrasions.

Manuals & Decals

  • ANSI/SIA Manual of Responsibilities in manual storage box.

  • Operators & Safety Manual in manual storage box.

  • AEM Handbook in manual storage box.

  • Capacity decals in place, secure & legible at both ground & platform stations.

  • All instructions & safety placards installed & legible.

General

  • Lift is free of unauthorized modifications or additions.

  • Paint and overall appearance.

  • Applicable Safety Bulletins completed.

  • Inspect general structural condition including all welds.

  • Grease and lubricate per Service & Maintenance Manual.

  • Is Annual Inspection due?

  • Please write additional comments here.

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.