WES 1.0 Forklift, Manlift, Scissor Lift, Elevated Work Platform or Boom Lift Daily Inspection

• Project Number (N/A if not applicable)

• Vehicle / Serial Number, or Other Unique Identification

• Type of Lift:

  Forklift

  Scissor Lift

  Boom Lift

  Manlift

  Elevated Work Platform

• Field Office:

  Select Sumner, WA Vancouver, WA Chino, CA Salt Lake City, UT Phoenix, AZ Field

  • Sumner, WA
  • Vancouver, WA
  • Chino, CA
  • Salt Lake City, UT
  • Phoenix, AZ
  • Field

• Conducted on

  Date

• Prepared by

1.0 Previous inspection

• Has the last inspection been reviewed?

  Yes

  No

  N/A

• Are all outstanding actions resolved?

  Yes

  No

  N/A

2.0 Equipment

• Tools not in use are properly stored and in a secure place?

  Yes

  No

  N/A

• Is the vehicle free of any signs of oil or water leakage?

  Yes

  No

  N/A

• Is the vehicle free of any signs of loose or rattling components?

  Yes

  No

  N/A

• Do the wheels appear to be in good working condition?

  Yes

  No

  N/A

• Are all lights in good working condition?

  Yes

  No

  N/A

• Are mirrors clean and free of any defects or damaged components?

  Yes

  No

  N/A

• Is the hydraulic fluid system in the operable range and clean?

  Yes

  No

  N/A

• Are water or cooling systems at the proper levels?

  Yes

  No

  N/A

• Is the engine oil system at the proper level?

  Yes

  No

  N/A

• Is the battery system in tact and free of electrolyte or other damage?

  Yes

  No

  N/A

• Are all pedals, gear shifts, levers and other operating devices in good working order with proper handles, foot pedal pads or other safety devices installed?

  Yes

  No

  N/A

• Are all instruments panels, gauges, meters or other indicating devices in good working order?

  Yes

  No

  N/A

• Are horns, beacons or other signaling devices in good working order?

  Yes

  No

  N/A

• List any other deficiency

• Outboards, anchors or other stabilizing devices are in proper working order.

  Yes

  No

  N/A

• Seat belts are in good working condition.

  Yes

  No

  N/A

• Harnesses (if needed) have been inspected and are in good working condition.

  Yes

  No

  N/A

• Platforms are free of debris, loose tools and are unobstructed.

  Yes

  No

  N/A

• Are mid-rails in place and properly secure?

  Yes

  No

  N/A

• Are toe-kick plates in place and properly secured?

  Yes

  No

  N/A

9.0 Sign Off

• This device is safe to operate?

  Yes

  No

  N/A

• Signature of qualified operator performing inspection:

  Sign

• Date and time of inspection:

  Date