Scissor Lift / Platform inspection

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Main Info

• Serial Number

• 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

Floor

• Absent of any structural damages

  Yes

  No

  N/A

• Absent of holes

  Yes

  No

  N/A

• Absent of cracks in the welds

  Yes

  No

  N/A

• Absent of grease and/or dirt

  Yes

  No

  N/A

Guardrail

• Ease of movement

  Yes

  No

  N/A

• Interlocking

  Yes

  No

  N/A

• Locking

  Yes

  No

  N/A

Fall prevention

• Floor anchors available

  Yes

  No

  N/A

Information

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

  Yes

  No

  N/A

Mechanic

• 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