Title Page

  • Equipment #

  • Hours

  • Prepared by

  • Location
  • Unit Type:

  • If other, type of lift?

  • Operating and emergency controls are in proper working condition, EMO button or Emergency Stop Device?

  • Functional upper drive control interlock (i.e. foot pedal, spring lock or two hand controls) ?

  • Emergency Lowering function operates properly?

  • Lower operating controls successfully override the upper controls?

  • Both upper and lower controls are adequately protected from inadvertent operation?

  • Control panel is clean and all buttons/switches are clearly visible (no paint overspray, etc.)?

  • All switch and mechanical guards are in good condition and properly installed?

  • All safety indicator lights work?

  • Drive controls function properly and accurately labeled (up, down, right, left, back)?

  • Motion alarms are functional?

  • Safety decals are in place and readable?

  • All guard rails are sound and in place, including basket chains?

  • Work platform and extension slides are clean, dry and clear of debris?

  • Work platform extension slides in and out freely with safety locking pins in place to lock setting on models with extension platforms?

  • Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.?

  • Tires and wheels are in good condition, with adequate air pressure if pneumatic?

  • Braking devices are operating properly?

  • The manufacturer’s operations manual is stored on MEWP (in all languages of operators)?

  • Oil level, hydraulic oil level, fuel level, coolant level?

  • Check all cables and hoses

  • Inspect leveling cylinders pivot points

  • Battery charged?

  • Outriggers in place or functioning. Associated alarms working?

  • Lanyard hook points

  • Test isolating cylinder if applicable

  • Basket Platform clean

  • Loads do not exceed capacity?

  • Inspecting person:

  • Verified by:

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