Scissor Lift Safety Checklist

• Model Number

• Serial Number

• Conducted on

  Date

• Inspected by

• Location
  Address

Operating and Emergency Controls

• Steering and components are operating properly

  OK

  Needs Attenton

• Check booms and cylinder for proper working order

  OK

  Needs Attenton

• Check if operating and emergency controls are free of: excessive dirt, grease or foreign matter

  OK

  Needs Attenton

Safety Devices

• Run light operates properly

  OK

  Needs Attenton

Personal Protective Devices

• Hard hat, safety glasses, steel toe boots, harness, and lanyard are worn (if required)

  OK

  Needs Attenton

• Platform floor is in good order

  OK

  Needs Attenton

• Housekeeping is observed in platform floor

  OK

  Needs Attenton

• Pothole protection is in proper working condition

  OK

  Needs Attenton

• Fire extinguishers are in place and inspected regularly

  OK

  Needs Attenton

Tires and Wheels

• Tires are free of excessive wear, cuts, and proper inflation

  OK

  Needs Attenton

• Wheels are free of cracks and damage (bent rims, etc.)

  OK

  Needs Attenton

• Lug nuts installed and secured

  OK

  Needs Attenton

Air, Hydraulic and Fuel System Leaks

• Check for leaks, hose chafing and cracking, kinking or binding.

  OK

  Needs Attenton

• Check for proper service levels

  OK

  Needs Attenton

Loose or Missing Parts

• Check for loose or missing parts at the boom, assemblies and platform

  OK

  Needs Attenton

Battery, Cable and Wiring Harness

• Check for proper installation

  OK

  Needs Attenton

• Check if in good working condition

  OK

  Needs Attenton

• Free of excessive dirt, grease or foreign matter

  OK

  Needs Attenton

• Free of loose wire connectors, damaged electrical cables, chafing, kinking or binding of electrical cables or wires

  OK

  Needs Attenton

Placards, Warning, Control Marking and Operating Manual

• Capacity label is legible

  OK

  Needs Attenton

• All warning and equipment control markings for proper operation is legible and attached

  OK

  Needs Attenton

• Operating and Responsibilities Manuals are installed on the lift and are legible

  OK

  Needs Attenton

• Manuals are stored in a weatherproof container and the container is easily identifiable

  OK

  Needs Attenton

Guardrail System

• Check for cracked welds, cracked metal, distorted components, broken structures, sign of metal fatigue

  OK

  Needs Attenton

• Lanyard attachment points are in good condition

  OK

  Needs Attenton

• Lanyard attachment points are near the bottom of the basket in the corners

  OK

  Needs Attenton

Equipment Task Function Operation

• Lower controls operate properly

  OK

  Needs Attenton

• Platform controls operate properly

  OK

  Needs Attenton

Hazards

• No signs of hazards such as: drop off, holes, bumps, debris, overhead obstructions, high voltage areas or over headlines, high winds or bad weather, inadequate ground support, inadequate ventilation, hazardous atmosphere, other

  OK

  Needs Attenton

Completion

• Additional Comments

• Inspection Completed By

  Sign