Title Page

  • Machine Type

  • Serial Number

  • Conducted on

  • Prepared by

  • Location
  • Thorough Examination Due Date

  • Take Picture of Machine

  • Operators PAL card Details

Visual Checks

Documentation

  • Current thorough examination certificate (within last six months)

  • Manufacturer's operator manual

  • Rescue plan

Wheels/tyres

  • Wheel security (nuts, retainers: loose, damaged, missing)

  • Tyre pressure (pneumatic, foam filled or solid)

  • Cuts, splits, exposed braiding, damaged rims

Engine/power source

  • Fluid levels (engine oil, coolant, fuel)

  • Fluid leakage on ground and around engine

  • Battery (electrolyte, security and charging plug condition)

Hydraulics

  • Hydraulic fluid level

  • Leaks (hoses, pipe connections, rams, cylinders)

Hoses and cables

  • Security and condition (cuts, chaffing, bulges)

  • Power track cable trays (free from damage and debris)

Outriggers, stabilisers

  • General condition, pins/retainers, footplate

  • Spreader plates (present, condition, secure for travel)

  • Interlocks (functioning, engaged)

Chassis, boom and scissor pack

  • General condition (damage, misalignment, corrosion)

  • Cracks in weld

  • Pins, retainers and chains (security, signs of wear)

  • Canopies, guards, engine covers (security and condition)

Platform or cage

  • Steps for access/egress (secure, undamaged, clear)

  • Entrance gate, guard rails and retaining pins

  • Harness anchor points

  • Clear of rubbish, debris and obstructions

Decals and signage

  • ID plate, safety, warning and information decals (legible)

  • Controls (identification decals, directional arrows)

  • Platform loads (SWL, max. wind speed, max. number of persons)

Function Checks

Using Ground (G) and Platform (P) controls check the following

  • Security Device(power isolator, Keypad, smart card)

  • Function enable (ignition key, foot switch, hold to run device)

  • Emergency stops and emergency lowering system

  • All switches, function controls (move freely, do not stick)

  • Lifting functions (raise, lower, slew, tele-out, tele-in)

  • Travel functions (forward, reverse, steer, brakes)

  • Elevated drive speed (reduced or prevented)

  • Lights, beacons, warning devices

  • Alarms (tilt, descent and travel)

  • Limit switches (e.g. descent, load, outreach, rotation)

  • Pothole protection device (fully deploys and retracts)

  • Oscillating axle locks, extending axles

  • Oscillating axle locks, extending axles

  • Jacks-legs, stabilisers, outriggers, levelling devices

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.