Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Main Info

  • Serial Number

  • Hour meter

  • Nominal capacity

General info

  • Tires in good conditions

  • Presence of fire extinguishers

  • Beams stability

  • Platform: Absent of loose or missing pieces

Floor

  • Absent of any structural damages

  • Absent of holes

  • Absent of cracks in the welds

  • Absent of grease and/or dirt

Guardrail

  • Ease of movement

  • Interlocking

  • Locking

Fall prevention

  • Floor anchors available

Information

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

Mechanic

  • Fluids levels

  • Leaks

  • Loosened connections

Checking operations

  • Horn

  • Headlights/rotary headlights

  • Warning lights and sounds

  • Emergency cutoff

  • Primary controls

  • Secondary controls

  • Indicating dials

  • Brakes

  • Stabilizers

  • Scissor elevating system

Sign off

  • Operator

  • Supervisor

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.