Webcor Builders Equipment Check List

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Operator name & signature

• Add signature

  Sign

Aerial or Scissor Lift ID#

• Add media

  Media

Unit Type

• Scissor Lift

• Articulating Boom

• Man Lift

• Other

Equipment Check List

• Is owners Manuel on the equipment?

  Safe

  At Risk

  N/A

• Operating and emergency controls are in proper working condition,EMO button or emergency stop device?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Emergency lowering function operates properly?

  Safe

  At Risk

  N/A

• Lower operating controls successfully override the upper controls?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• All safety indicator lights and strobes work?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Motion alarms are functional?

  Safe

  At Risk

  N/A

• Safety decals are in place and readable?

  Safe

  At Risk

  N/A

• All guardrails/toe boards/anchorages are sound and in place, including basket chains?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damage control cables or wire harness, ect?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Braking devices are operating properly?

  Safe

  At Risk

  N/A

• Oil level,hydraulic fluid level, coolant level?

  Safe

  At Risk

  N/A

• Battery charge?

  Safe

  At Risk

  N/A

• Outriggers in place or functioning? Associated alarms working?

  Yes

  No

  N/A

Safety Precautions ( Have,Look For, or Be Aware Of)

• Personal protection in use. (Harness, Lanyard, Restraint, Hardhat, etc.)?

  Safe

  At Risk

  N/A

• Weather conditions; wind,rain,mud,etc. know the limits of machine?

  Safe

  At Risk

  N/A

• Electrical power cables or panels (minimum 10' away) If larger lines or wet conditions contact Webcor Safety Manager. Isolate lines in dry conditions 3' away

  Safe

  At Risk

  N/A

• Housekeeping: Debris,floor obstructions, cords, construction material and supplies?

  Safe

  At Risk

  N/A

• Overhead obstructions, Unlevelled ground, Trenches,etc?

  Safe

  At Risk

  N/A

• Watch out for vehicular and pedestrian traffic

  Safe

  At Risk

  N/A

Environmental

• Has the "travel area" been inspected?

  Yes

  No

  N/A

• Will this activity affect any other subcontractors?

  Yes

  No

  N/A

• If "yes" have the subcontractors been notified?

  Yes

  No

  N/A

• Name and signature of spotter if required.

  Yes

  No

  N/A

• Add signature

  Sign

• If any of the above listed items need service or repair, discontinue use of the equipment immediately and contact your supervisor. *** Only Properly Trained Personnel are allowed to operate equipment!!!