Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

INSPECTION CHECKLIST

  • WORK PLATFORM:

  • 1. Are all connections secure?

  • 2. Are guardrails and mid-rails in place?

  • 3. Are tow boards in place?

  • 4. Is the SAFE WORKING LOAD posted?

  • The Work Platform is in Good Operating Order

  • HOSTING EQUIPMENT

  • 2. Do the cables hang vertical below the Hi-Lo Power Iift Unit?

  • 3. Do the cables extend to the ground to the ground?

  • 4. Are the cables hooks equipped with safety latches?

  • 5. Are the shackles bolted with cotter pins in place or wired through the shackle pin eye?

  • 6. Has a trial lift been made with the platform?

  • 7. Has the proper clearance from power lines been maintained?

  • 8. Will anything interfere with the operation of the platform?

  • 9. Has the spring action an the secondary brake been checked?

  • 10. Are the Tulto clamps (Drop Stop) installed above the HI-Lo unit?

  • The hoisting equipment is in good operating condition

  • OUTRIGGER BEAM

  • 1. Are the beams free of bends and twists?

  • 2. Are the lock pins in place

  • 3. Are the suspension lines properly attached to the beams?

  • 4. Are the beams and counterweights fed back?

  • 5. Are the tie back anchor points capable of withstanding a load of 5000 Lbs?

  • 6. Are the tie back lines protected from abrasion?

  • 7. Are the beams the correct size for the suspended platform?

  • 8. Are the correct size beams being used? 100mm for double)

  • 9. 75cm for single

  • 10. Are beams adequately supported

  • 11. Is the number of counterweights correct for the application?

  • 12. Are the counterweights correct for the application?

  • 13. Are the counterweights compatible with the outrigger beams?

  • The outrigger beams are in safe operating condition

  • Fall Protection

  • 1. Are the life lines attached to anchor point capable of withstanding 5000 lbs?

  • 2. Are the life lines made of synthetic rope capable of withstanding 5000 Lbs?

  • 3. Do the life lines go to the ground or next lower elevation?

  • 4. Is there an independent anchor point for each life line?

  • 5. Are the life lines protected from mechanical damage

  • 6. Are workers aloft wearing FULL BODY HARNESS and properly attached?

  • 7. Are the rope grabs above the workers?

  • General Safety

  • 1. Has the area below the swing stage been ribboned off?

  • 2. Are all tools secured to the platform?

  • 3. Are all power cords grounded properly?

  • 4. Have all workers been trained in this job and fit to perform the job?

  • 5. Has a rescue plan been discussed and communicated to all workers?

  • 6. Has the swing stage been setup according to the approved drawing or plan?

  • The general safety of workers and the site is considered...

  • Inspected by and Signature:

  • Date and time

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