Title Page
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Conducted on
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Prepared by
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Location
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Unit Type:
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If other, type of lift?
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Lift ID:
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Operating and emergency controls are in proper working condition, EMO button or Emergency Stop Device?
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Functional upper drive control interlock (i.e. foot pedal, spring lock or two hand controls) ?
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Emergency Lowering function operates properly?
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Lower operating controls successfully override the upper controls?
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Both upper and lower controls are adequately protected from inadvertent operation?
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Control panel is clean and all buttons/switches are clearly visible (no paint overspray, etc.)?
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All switch and mechanical guards are in good condition and properly installed?
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All safety indicator lights work?
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Drive controls function properly and accurately labeled (up, down, right, left, back)?
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Motion alarms are functional?
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Safety decals are in place and readable?
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All guard rails are sound and in place, including basket chains?
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Work platform and extension slides are clean, dry and clear of debris?
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Work platform extension slides in and out freely with safety locking pins in place to lock setting on models with extension platforms?
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Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.?
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Tires and wheels are in good condition, with adequate air pressure if pneumatic?
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Braking devices are operating properly?
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The manufacturer’s operations manual is stored on MEWP (in all languages of operators)?
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Oil level, hydraulic oil level, fuel level, coolant level?
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Battery charged?
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Outriggers in place or functioning. Associated alarms working?
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Personal protection in use (harness, lanyard, hard hat, etc.)?
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In windy conditions see manufacturers guidelines or if not in guidelines then…if lift begins to rock in the wind, lower the lift.
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Floor conditions: drop offs, holes, uneven surfaces, and sloped floors?
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Housekeeping: Debris, floor obstructions, cords, construction material and supplies.
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Electrical power cables or panels (minimum 10 feet away). If larger lines or wet conditions contact electrical shop for guidance. Insulated small lines in dry conditions, 3 feet away.
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Chemical lines, gas lines, drain lines and utilities?
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Overhead obstructions?
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Loads do not exceed capacity?
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Watch for vehicular and pedestrian traffic. Set up barricades as necessary.
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Inspecting person:
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Verified by: