Working at Heights - Knuckle Boom Pre-Operation Inspection

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Working at Heights - Permit to Work Number

Basket Check List

• Is there any damage to the controls?

  Yes

  No

• Have you checked the service and daily logbook for faults & repairs and that the 90 day service is current?

  Yes

  No

  Yes - Not compliant

• I am aware of the safe working load (227 kgs - persons + tools + materials)

  Yes

  No

• Are all warnings and decals present and legible?

  Yes

  No

• Are all anchor points free of cracks, fatigue or damage?

  Yes

  No

• Does the entry gate self close?

  Yes

  No

• Are there any cracks or signs of damage to the hand rails?

  Yes

  No

• I have checked and removed any rubbish or liquids from the floor.

  Yes

  No

Boom Check List

• Has the structural integrity been checked for damage? (ie. cracks, rust, impacts)

  Yes - not safe

  Yes

  No

• Have hoses been checked for damage? (ie. nicks, cracks, exposed braid)

  Yes - not safe

  Yes

  No

• Have control cables been checked for damage? (ie. nicks, cracks)

  Yes - not safe

  Yes

  No

• Have hydraulic rams been checked for leaks or damage?

  Yes - not safe

  Yes

  No

• Are the pivot pins sitting in place correctly?

  Yes

  No

• Are there any missing or broken locking pins / bolts?

  Yes

  No

Chassis Check List

• Has the slue ring, drive ring and locking ring been inspected?

  Yes - not safe

  Yes

  No

• Has the data plate been checked for weight, model, safe working load, height and reach?

  Yes

  No

• Have the fluids been checked? (hydraulic & battery fluid)

  Yes - not safe

  Yes

  No

• Have the batteries been checked for corrosion & charge?

  Yes

  No

• Person carrying out inspection & operating equipment

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• Permit Authority

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