Title Page

  • Conducted on

  • Prepared by

  • Location
  • Room Name:
  • Inspection Date and Time

  • Include Photos of Site

  • Include photos of Lifter

  • Include Photo of Manufacturer Plate

  • Record Serial of Lifter

  • Record Date of Manufacture

  • Are the Cables Frayed?

  • Do Cables Overlap?

  • Are NyLoc nuts tight?

  • Are Cable Connections to Projector Tray tight?

  • Does Lifter have Fall Arrestor installed?

  • Are there any Unusual noises?

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.