Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
INSPECTION CHECKLIST
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WORK PLATFORM:
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1. Are all connections secure?
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2. Are guardrails and mid-rails in place?
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3. Are tow boards in place?
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4. Is the SAFE WORKING LOAD posted?
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The Work Platform is in Good Operating Order
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HOSTING EQUIPMENT
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2. Do the cables hang vertical below the Hi-Lo Power Iift Unit?
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3. Do the cables extend to the ground to the ground?
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4. Are the cables hooks equipped with safety latches?
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5. Are the shackles bolted with cotter pins in place or wired through the shackle pin eye?
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6. Has a trial lift been made with the platform?
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7. Has the proper clearance from power lines been maintained?
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8. Will anything interfere with the operation of the platform?
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9. Has the spring action an the secondary brake been checked?
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10. Are the Tulto clamps (Drop Stop) installed above the HI-Lo unit?
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The hoisting equipment is in good operating condition
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OUTRIGGER BEAM
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1. Are the beams free of bends and twists?
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2. Are the lock pins in place
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3. Are the suspension lines properly attached to the beams?
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4. Are the beams and counterweights fed back?
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5. Are the tie back anchor points capable of withstanding a load of 5000 Lbs?
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6. Are the tie back lines protected from abrasion?
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7. Are the beams the correct size for the suspended platform?
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8. Are the correct size beams being used? 100mm for double)
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9. 75cm for single
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10. Are beams adequately supported
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11. Is the number of counterweights correct for the application?
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12. Are the counterweights correct for the application?
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13. Are the counterweights compatible with the outrigger beams?
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The outrigger beams are in safe operating condition
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Fall Protection
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1. Are the life lines attached to anchor point capable of withstanding 5000 lbs?
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2. Are the life lines made of synthetic rope capable of withstanding 5000 Lbs?
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3. Do the life lines go to the ground or next lower elevation?
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4. Is there an independent anchor point for each life line?
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5. Are the life lines protected from mechanical damage
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6. Are workers aloft wearing FULL BODY HARNESS and properly attached?
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7. Are the rope grabs above the workers?
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General Safety
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1. Has the area below the swing stage been ribboned off?
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2. Are all tools secured to the platform?
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3. Are all power cords grounded properly?
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4. Have all workers been trained in this job and fit to perform the job?
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5. Has a rescue plan been discussed and communicated to all workers?
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6. Has the swing stage been setup according to the approved drawing or plan?
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The general safety of workers and the site is considered...
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Inspected by and Signature:
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Date and time