Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • INSPECTED BY:

  • Select date

  • TVA VEHICLE ID:

  • NOTE: Items not applicable to a specific aerial lift must be marked N/A. If item is rejected explanation must be provided in comment section.

SERVICE ( if item is rejected list action in comment section )

  • Verify that the hydraulic oil and filter cartridges have been serviced as recommended by manufacturer

OPERATION (Check complete operation of aerial device by running through at least two cycles of all functions.)

  • Check automatic engine speed control for proper actuation and proper engine speed, if the truck is equipped with such a device.

  • Check holding valves on upper and lower booms by stopping engine and operating ground controls. If upper boom is overcenter type, check valve in upper boom for both fold and unfold operations.

VEHICLE CHECKS

  • Check leveling cables for proper tension adjustment.

  • Check all leveling cable turnbuckles and rod connections for tightness of jam nuts and safety tie wiring.

  • Check rotation mechanism and its mounting for defects or malfunctions.

  • Check all accessible hydraulic lines, hoses, and fittings for evidence of leaks or excessive wear or bent, crushed, or deteriorated lines and hoses.

  • Check all aerial lift attachments to chassis frame, etc., to be sure they are tight.

  • Check basket liner for high-voltage breakdown.

  • Check fire extinguisher for proper charge.

OPERATOR / INSPECTOR:

  • This equipment has satisfactorily met the requirements of this inspection and is ready for use?

  • OTHER COMMENT:

  • Signature of Individual whom performed the inspection:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.