Scissor Lift Daily Pre-Use Inspection Sheet
Operator must complete checklist prior to use at start of each shift
Site Address/Location
*
Please Select
MJ Dixon Head Office - 2600 Edenhurst Dr., Suite 200, Mississauga, ON
20-02 - City of Toronto - Mount Dennis Childcare Centre - 1234 Weston Rd., Toronto, ON
21-06 - UTSC Library Ph 1 - 1265 Military Trail, Scarborough, ON
21-07 - 27 Rutherford Rd. S., Brampton, ON
22-01 - Seaton Paramedic Station & Training Centre
22-02 - 255 Spadina Rd., Toronto, ON
22-02 - 843 Palmerston Ave., Toronto, ON
22-02 - 765 Queen St. E., Toronto, ON
22-02 - 301 Broadview Ave., Toronto, ON
22-02 - 840 Gerrard St. E., Toronto, ON
22-02 - 235 Cibola Ave., Toronto, ON
22-03 - York Region - York Admin Centre 4th Fl. - 17250 Yonge St., Newmarket, ON
23-01 - 1859 Kingston Rd., Toronto, ON
23-01 - 116 Dorset Rd., Toronto, ON
23-01 - 1313 Woodbine Ave., Toronto, ON
23-01 - 1904 Queen St. E., Toronto, ON
23-01 - 23 Bluffers Park (7 Brimley Rd. S.), Toronto, ON
23-01 - 313 Pharmacy Ave., Toronto, ON
23-01 - 351 Birchmount Rd., Toronto, ON
23-01 - 3600 Danforth Ave., Toronto, ON
23-01 - 87 Main St., Toronto, ON
23-02 - York Paramedic 32 - 53 Jacob Keffer Parkway, Vaughan, ON
23-03 - GBC Athletics Varsity Lounge - 160 Kendal Ave., Toronto, ON
24-01 YRAC Reno & Millwork - 17250 Yonge St., Newmarket, ON
24-02 VicU Goldring Student Centre - 150 Charles St. W., Toronto, ON
24-03 COT Youth Shelter - 25 Canterbury Pl., Toronto, ON
24-04 Waypoint Toanche Bldg. 3rd Fl. - 500 Church St. Penetanguishene, ON
24-05 - Vaughan Fire Stn 7-12 - 9511 Weston Rd., Vaughan, ON
25-01 - UofT Robarts Library - 130 St. George St., Toronto, ON
25-02 - YRP Helicopter Hangar - 350 Garfield Wright Blvd, East Gwillimbury, ON
25-03 - UofT Health & Wellness at Koffler - 214 College Street, Toronto, ON
25-04 - SHN General Hospital Satellite Imaging Renovation - 3030 Lawrence Ave. E., Scarborough, ON
25-05 - UofT - Study of Religion Dept. - 170 St. George St., Toronto, ON
26-01 - Peel Police 21 Division - 10 Peel Centre Dr., Brampton, ON
26-02 - York Paramedic 33 - 2960 Teston Road, Vaughan, ON
26-03 - York Region - York Admin Package E - 17250 Yonge St., Newmarket, ON
26-04 - TDSB - William G Miller PS - 60 Bennett Rd., Scarborough, ON
26-04 - TDSB - Sir Oliver Mowat CI - 5400 Lawrence Ave. E., Scarborough, ON
26-05 - Peel Police Emil V. Kolb Centre - 180 Derry Rd. E., Mississauga, ON
Date
*
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Time
*
Hour Minutes
AM
PM
AM/PM Option
Subcontractor
*
Worker Name
*
Lift Truck No.
*
Hour Meter
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Operation Checks
*
Rows
OK
N/A
Operating Controls
Emergency Controls
Safety Devices
Limit Switches
Tire/Wheel Condition
Outriggers (if EQ'd)
Leaks: Air System
Leaks: Fuel System
Leaks: Hydraulic System
Loose or Missing Parts
Cables and Wiring Harnesses
Placards
Control Markings
Warnings
Operating Manuals
Guardrail System
Locking Pins
Engine Oil Level (if EQ'd)
Battery Fluid Level
Hydraulic Reservoir Level
Coolant Level
Comments:
Signature
*
Submit
Should be Empty: