Thorough Examination_Static Personnel Lifts

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Tower/Mast

• Chains and Rollers

  Safe

  At Risk

  N/A

• Wear Pads

  Safe

  At Risk

  N/A

• Cables and Pipes

  Safe

  At Risk

  N/A

• Motor

  Safe

  At Risk

  N/A

• Hydraulic Tank and Level

  Safe

  At Risk

  N/A

• Operators manual and Box

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• 110v Plug

  Safe

  At Risk

  N/A

• Safety Cable

  Safe

  At Risk

  N/A

• Ground Cntrols

  Safe

  At Risk

  N/A

• Tower/Mast

  Safe

  At Risk

  N/A

Chassis Components

• Week and Castors (including wheel nuts)

  Safe

  At Risk

  N/A

• Bearings

  Safe

  At Risk

  N/A

• Brakes

  Safe

  At Risk

  N/A

• Chassis Weldment

  Safe

  At Risk

  N/A

• Leg Switches

  Safe

  At Risk

  N/A

• Spirit Level

  Safe

  At Risk

  N/A

• Leg Locks

  Safe

  At Risk

  N/A

• Tie Down Points

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• Pull Handles

  Safe

  At Risk

  N/A

• Welds

  Safe

  At Risk

  N/A

Basket

• Handrails and Welds

  Safe

  At Risk

  N/A

• Kick Plate

  Safe

  At Risk

  N/A

• Gates/Drop Bar (including return and latch)

  Safe

  At Risk

  N/A

• Floor

  Safe

  At Risk

  N/A

• Controls

  Safe

  At Risk

  N/A

• Decals

  Safe

  At Risk

  N/A

• Plugs

  Safe

  At Risk

  N/A

• Cables

  Safe

  At Risk

  N/A

• Engineers Signature

  Sign