SCISSOR/ BOOM LIFT PRE-INSPECTION CHECKLIST
JOB NUMBER:
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SITE:
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DATE:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
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NAME:
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First
Last
MACHINE MODEL #
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CHECKLIST
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Rows
YES
NO
N/A
WHEELS AND TIRES IN GOOD CONDITION
MIRRORS AND VISIBILITY AIDS IN GOOD CONDITION
BELTS & HOSES IN GOOD CONDITION
CABLES & WIRES IN GOOD CONDITION
BATTERY TERMINALS TIGHT, IN GOOD CONDITION
BATTERY CLEAN, DRY , SECURE
HYDRAULIC CYLINDERS/ RODS IN GOOD CONDITION
HYDRAULIC HOSES/ LINES/ FITTINGS IN GOOD CONDITION
BOOM & ARTICULATING JOINTS IN GOOD CONDITION, NORMAL WEAR
POWER TRACK, LINES AND HOSES IN GOOD CONDITION
TURNTABLE IN GOOD CONDITION, GEARS, LOCK PINS, STOPS, ETC
PLATFORM IN GOOD CONDITION (GUARD RAILS, TOE BOARD, ANCHORAGES, GATE, ETC.)
ENGINE OIL PROPER LEVER, NO VISIBLE LEAKS
ENGINE COOLANT PROPER LEVEL, NO VISIBLE LEAKS
HYDROLIC OIL PROPER LEVEL, NO VISIBLE LEAKS
FUEL/ BATTERY PROPER LEVEL, NO VISIBLE LEAKS
UNIT STARTS AND RUNS PROPERLY
INSTRUMENTS AND GAUGES OPERATE PROPERLY
HORN/ WARNING LIGHTS/ AUDIBLE ALARMS OPERATE PROPERLY
LIGHTS/ STOBES OPERATE PROPERLY
STEER LEFT/ RIGHT OPERATE PROPERLY
DRIVE FORWARD/ REVERSE OPERATE PROPERLY
PLATFORM RAISE/ LOWER OPERATE PROPERLY
PLATFORM TILT/ ROTATE/ EXTEND OPERATE PROPERLY
BOOM/ JIB RAISE, LOWER, EXTEND, RETRACT PROPERLY
TURRET ROTATES PROPERLY
FUNCTION ENABLE(DEADMAN DEVICES)OPERATE PROPERLY
CONTROL LABELS/ MARKINGS ARE CLEAR AND LEGIBLE
EMERGENCY STOP OPERATES PROPERLY
BRAKING/ STOPS AND HOLDS PROPERLY
COVER PANELS IN PLACE
STORAGE PANELS IN PLACE
DATA/ CAPACITY PLATE IN PLACE AND LEGIBLE
GENERAL GOOD HOUSEKEEPING PRACTICES
DECALS/ WARNINGS/ PLACECARDS IN PLACE AND LEGIBLE
MISC PARTS LOOSE/ MISSING/ BROKEN
DROP OFFS OR HOLES IN WORKING AREA
BUMPS AND/OR FLOOR OR GROUND OBSTRUCTIONS
DEBRIS IN WORKING AREA
OVERHEAD OBSTRUCTIONS
ENERGIZED POWER LINES
HAZARDOUS LOCATIONS
GROUND SURFACE AND SUPPORT HAZARDS
PEDESTRIAN OR VEHICULAR TRAFFIC
WIND OR WEATHER CONDITIONS
OTHER POSSIBLE HAZARDS (IF YES DESCRIBE BELOW)
OTHER POSSIBLE HAZARDS:
Signature
REPORT ANY PROLEMS OR ISSUES FOUND TO SUPERVISOR IMMEDIATELY. ALWAYS LOCK/TAG-OUT ANY UNSAFE EQUIPMENT.
SUBMIT CHECKLIST
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