Title Page

  • Model Number

  • Serial Number

  • Conducted on

  • Inspected by

  • Division

Operating and Emergency Controls

  • Steering and components are operating properly

  • Check booms and cylinder for proper working order

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

Safety Devices

  • Run light operates properly

Personal Protective Devices

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

  • Platform floor is in good order

  • Housekeeping is observed in platform floor

  • Fire extinguishers are in place and inspected regularly

Tires and Wheels

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

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

  • Lug nuts installed and secured

Air, Hydraulic and Fuel System Leaks

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

  • Check for proper service levels

Loose or Missing Parts

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

Battery, Cable and Wiring Harness

  • Check for proper installation

  • Check if in good working condition

  • Free of excessive dirt, grease or foreign matter

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

Placards, Warning, Control Marking and Operating Manual

  • Capacity label is legible

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

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

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

Guardrail System

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

  • Lanyard attachment points are in good condition

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

Equipment Task Function Operation

  • Lower controls operate properly

  • Platform controls operate properly

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

Completion

  • Additional Comments

  • Inspection Completed By

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