Title Page
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Sub-contractor Name:
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Site conducted
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Conducted on
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Prepared by
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IPAF Card:
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Location
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MEWP Model:
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MEWP Serial Number:
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Documentation
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Current thorough examination certificate (within last six months)
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Photo of thorough examination sticker
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Manufacturer's operator manual present?
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Is there a rescue plan in place? (This must be read and signed by MEWP Operator and MEWP Spotter).
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Wheels/ Tyres
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Confirm Wheel security (nuts, retainers: loose, not damaged or missing)
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Confirm tyre pressure (pneumatic, foam filled or solid)
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Confirm there are no Cuts, splits, exposed braiding, damaged rims
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Engine/ Power Source
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Correct fluid levels (engine oil, coolant)
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Confirm no fluid leakage on ground and around engine
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Battery in good condition (electrolyte, security and charging plug condition)
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Hydraulics
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Correct hydraulic fluid levels?
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Confirm there are no leaks (hoses, pipe connections, rams, cylinders)
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Hoses and Cables
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Confirm adequate security and condition of cuts, chaffing andbulges
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Confirm Power track cable trays are free from damage and debris
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Outriggers/ Stabilisers used on MEWP?
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Confirm good general condition, pins/retainers and footplate
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Spreader plates (present, condition, secure for travel)
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All Interlocks are functioning and engaged
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Chassis, boom and scissor pack
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Confirm good condition, no damage, misalignment or corrosion
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Confirm no cracks in welds
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Confirm security and no signs of wear to Pins, retainers and chains
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Confirm Canopies, guards and engine covers are in good condition
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Platform or Cage
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Steps for access/egress are secure, undamaged and clear
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Entrance gate, guard rails and retaining pins in good condition
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Harness anchor points present and in good condition
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Platform Clear of rubbish, debris and obstructions
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Decals and signage present and legible
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Functional Checks Confirm the following
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Using Ground (G) and Platform(P) controls
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Security device (power isolator, keypad, smart card) working
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Function enable (ignition key, foot switch, hold to run device) working correctly
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Emergency stops and emergency lowering system working correctly?
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All switches, function controls (move freely, do not stick)
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Lifting functions (raise, lower, slew, tele-out, tele-in) working correctly?
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Travel functions (forward, reverse, steer, brakes) work correctly?
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Elevated drive speed (reduced or prevented) working correctly?
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Lights, beacons, warning devices working correctly?
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Alarms (tilt, descent and travel) working correct
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Limit switches (e.g. descent, load, outreach, rotation) working correctly?
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Pothole protection device (fully deploys and retracts) working correctly?
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Oscillating axle locks, extending axles working correctly?
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Accessories, power to platform, extending decks working correctly?
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Jacks-legs, stabilizers, outriggers and levelling devices working correctly?
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ALL FAULTS AND DEFECTA TO BE REPORTED IMMEDIATELY TO YOUR SUPERVISOR
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Confirm the above check shave been carried out daily below
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Confirm daily inspection - Monday
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Sign off as safe to use by IPFAF Operative
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Photos of MEWP to confirm checks
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STATE DEFECTS:
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Confirm daily inspection - Tuesday
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Sign off as safe to use by IPFAF Operative
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Photos of MEWP to confirm checks
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STATE DEFECTS:
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Confirm daily inspection - Wednesday
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Sign off as safe to use by IPFAF Operative
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Photos of MEWP to confirm checks
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STATE DEFECTS:
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Confirm daily inspection - Thursday
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Sign off as safe to use by IPFAF Operative
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Photos of MEWP to confirm checks
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STATE DEFECTS:
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Confirm daily inspection - Friday
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Sign off as safe to use by IPFAF Operative
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Photos of MEWP to confirm checks
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STATE DEFECTS: