Thorough Examination_Scissor Lifts

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Scissor Components

• Scissor Arms

  Safe

  At Risk

  N/A

• Pivot Pins

  Safe

  At Risk

  N/A

• Limit Switches

  Safe

  At Risk

  N/A

• Emergency Lower Valve (Ram/s)

  Safe

  At Risk

  N/A

• Securing Pins

  Safe

  At Risk

  N/A

• Beacon

  Safe

  At Risk

  N/A

• Scissor Stops

  Safe

  At Risk

  N/A

• Safety Prop

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• Rams

  Safe

  At Risk

  N/A

• Pipes and Cables

  Safe

  At Risk

  N/A

• Wear Pads and Rollers

  Safe

  At Risk

  N/A

Chassis Components

• Wheel and Tyres (including wheel nuts)

  Safe

  At Risk

  N/A

• Drive Motors

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• Pot Hole Protector Bars and Linkage

  Safe

  At Risk

  N/A

• Steps

  Safe

  At Risk

  N/A

• Steer Links and Pins

  Safe

  At Risk

  N/A

• Isolator

  Safe

  At Risk

  N/A

• Ground Controls

  Safe

  At Risk

  N/A

• Structure

  Safe

  At Risk

  N/A

• Battery Charger

  Safe

  At Risk

  N/A

• Free Wheel Valve

  Safe

  At Risk

  N/A

• Limit Switch Pot Hole

  Safe

  At Risk

  N/A

• Slope Sensor

  Safe

  At Risk

  N/A

• Hoses and Cables

  Safe

  At Risk

  N/A

• Wiring

  Safe

  At Risk

  N/A

• King Pins

  Safe

  At Risk

  N/A

• Motor and Pump

  Safe

  At Risk

  N/A

• Emergency Lower Valve

  Safe

  At Risk

  N/A

• Plugs

  Safe

  At Risk

  N/A

• Valve Blocks (including valve)

  Safe

  At Risk

  N/A

• Canopys

  Safe

  At Risk

  N/A

• All Welds

  Safe

  At Risk

  N/A

• Hydraulic Tank

  Safe

  At Risk

  N/A

• Battery and Cables

  Safe

  At Risk

  N/A

Platform Components

• Deck Weldments

  Safe

  At Risk

  N/A

• Kick Plates

  Safe

  At Risk

  N/A

• Gates/Drop Bar (including return and latch)

  Safe

  At Risk

  N/A

• Handrails

  Safe

  At Risk

  N/A

• Joystick

  Safe

  At Risk

  N/A

• Plugs

  Safe

  At Risk

  N/A

• Extension Deck

  Safe

  At Risk

  N/A

• Deck Rollers

  Safe

  At Risk

  N/A

• Deck Stops

  Safe

  At Risk

  N/A

• Structure

  Safe

  At Risk

  N/A

• Horn

  Safe

  At Risk

  N/A

• Manual Box (including manual)

  Safe

  At Risk

  N/A

• Control Box

  Safe

  At Risk

  N/A

• Switches

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• Pipes and Cables

  Safe

  At Risk

  N/A

• Engineers Signature

  Sign