1.0 - Potential Machine Required to Perform Task.
1.1 - What height is required in meters?
1.2 - What is the side reach required in meters to highest target point?

1.3 - Is it required to access sub ground level?

1.4 - If required to access sub ground level, what distance in meters?
1.5 - How much weight is required to be carried in the basket in kilograms?

1.6 - Is electrical insulation required?

1.7 - If required, what rating of insulation in KV?

1.8 - Is 240v required in basket?

1.9 - Is 24v required in Basket?

1.10 - Is Hydraulic power required in basket?

1.11 - Is lighting required in basket?

1.12 - Is compressed air required in basket?

1.13 - Is water required in basket?

2.0 - Potential Machine Setup Location.
2.1 - Photos of potential setup locations.
2.2 - Width of setup area in meters? (If unlimited, select max)
2.3 - Length of setup area in meters? (If unlimited, select max)
2.4 - Ground conditions?
2.5 - Photos of ground conditions.
3.0 - Site Access.
3.1 - What is the minimum travel height in meters, possible to access site? (If unlimited, select max)
3.2 - What is the minimum travel width in meters, possible to access site? (If unlimited, select max)

3.3 - Is there weight limits to consider to access and setup safely?

3.4 - Photos of site access. (Include photos showing angle of ground, surfaces, condition etc)
4.0 - Site Hazard ID.

4.1 - Are there electrical hazards present? I.E Power lines nearby.

4.2 - Are there RF hazards present? I.E Live transmitting telco antennas.

4.3 - Are there any other factors that could be considered a hazard?

4.4 - Comments in regards to site hazards.

4.5 - If any hazards are identified, please take photos here.

4.6 - From these hazards, do they require, Engineering, Administration or PPE to eliminate or mitigate?

5.0 - Customer Requests

5.1 - Site Requirements

5.2 - Photos of customer target objectives, showing overview of possible setup locations, target point to reach, existing hazards etc.
5.3 - Describe any factors the customer is requesting or requiring.
6.0 - Machine Suitability
6.1 - Which range of machine do you believe is suitable for this site / job?

6.2 - Notes relating to site specific items

Site Audit Completed
Please note that this checklist is a hypothetical example and provides basic information only. It is not intended to take the place of, among other things, workplace, health and safety advice; medical advice, diagnosis, or treatment; or other applicable laws. You should also seek your own professional advice to determine if the use of such checklist is permissible in your workplace or jurisdiction.