WORKPLACE INSPECTION NO 34: ELEVATING WORK PLATFORMS

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• JobSTART and Elevated Work Platform Permit in place and communicated to workers

  Yes

  No

  N/A

• Elevated Work Platform (EWP) checked and authorised for use on site

  Yes

  No

  N/A

• Daily inspections of items listed in its log book or checklist completed and controls tested by the operator

  Yes

  No

  N/A

• Log book kept and retained on the EWP

  Yes

  No

  N/A

• Personnel operating EWP suitably trained and assessed as competent

  Yes

  No

  N/A

• Suitable barricades erected and adequate warning signage displayed "Danger Men Working Overhead"

  Yes

  No

  N/A

• Barricaded area prevents access to other workers in the area and protects the area underneath the working platform

  Yes

  No

  N/A

• Appropriate EWP being used for the task at hand (scissor lift / knuckle boom)?

  Yes

  No

  N/A

• Outriggers extended (if applicable to type of EWP)

  Yes

  No

  N/A

• EWP not operating within 5m of the edge of an excavation/trench/open precast concrete cable trench or drain

  Yes

  No

  N/A

• EWP not operating closer than 6 metres to power lines unless such lines have been isolated

  Yes

  No

  N/A

• EWP free of debris, waste, or unnecessary materials and equipment

  Yes

  No

  N/A

• Precautions in place to prevent tools or equipment from falling out of the working platform

  Yes

  No

  N/A

• Weather conditions suitable for EWP operation in accordance with manufacturer's instructions

  Yes

  No

  N/A

• Safe Working Load (SWL) marked on EWP and SWL of the working platform not exceeded

  Yes

  No

  N/A

• Safety Observer/Spotter available at all times to provide additional guidance when EWP is travelling

  Yes

  No

  N/A

• Fall arrest / restraint system worn and attached to a suitable anchorage point (boom type working platform)

  Yes

  No

  N/A

• Personnel required to use fall protection equipment trained in its specific use

  Yes

  No

  N/A

• EWP inspected by a qualified mechanic / fitter at least every 3 months

  Yes

  No

  N/A

• Platform fully lowered whilst EWP is travelling

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

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