Scissor Lift Overturns

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scissor Lift Details

• Note: Serial Number - Plant Number ( to identify the unit) and other relevant details.

• Take picture or unit and location.

  Media

• WorkSafe recommends and expects:
  
  That the manufacturer's operation manual is followed.
  Where the task intended for the scissor lift is outside of or not covered by the recommendations in the operation manual, then the machines suitability for the task should be confirmed by the supplier, manufacturer or a competent person, before the task commences.
  
  Where the system of work involves the scissor lift working in proximity to other mobile plant or vehicles, then control measures should be in place to ensure the risks associated with entanglement, collision or collapse are eliminated, before the task commences.
  

Checklist.

• Has a Safe Work Method Statement (SWMS) been prepared in consultation with all those who are involved

  Yes

  No

  N/A

• Standard Phrase 0936

• Does the SWMS of the task(s) include the identification of all likely hazards including;

  Yes

  No

  N/A

• Standard Phrase 0936

• Overturning - Ground slope - recent excavations that have been backfilled - underground infrastructure (pipes that may collapse)

  Yes

  No

  N/A

• Standard phrase: 0058

• An assessment of the associated risks and acceptable control measures to be put in place

  Yes

  No

  N/A

• Standard phrase: 0936

• Have all workers involved with the tasks been inducted / trained in the JSAs

  Yes

  No

  N/A

• Standard phrase: 0245

• Are the work activities supervised and monitored, as necessary, to insure that the SWMS are effective and work is undertaken safely

  Yes

  No

  N/A

• Standard phrase: 0245 Or 0934 Employee not working in accordance with SWMS

• Is there a system (in line with manufacturers expectations) for undertaking pre-start inspections

  Yes

  No

  N/A

• Standard phrase: 0810 Inspection of plant pre use or Standard Phrase 1054 poorly maintained plant or Standard Phrase 0059 plant risk

• Has housekeeping hazards such as slip, trip or fall or collision been controlled

  Yes

  No

  N/A

• Standard phrase: 0542- housekeeping

If and when the original work method or procedure is changed, that;

• Have all new hazards been identified, in consultation with all those who are involved

  Yes

  No

  N/A

• Standard phrase: 0936 SWMS inadequate

• Have all this SWMS been reviewed and modified as necessary, in consultation with all those who are involved and

  Yes

  No

  N/A

• Standard phrase: 0936 SWMS inadequate

• Have all relevant workers been reinducted / trained in new SWMS

  Yes

  No

  N/A

• Standard phrase: 0245 adequate instruction training supervision provision