Aerial Work Platforms
Procedure HSEOP
-
26-
01
AERIAL WORK PLATFORM DAILY CHECKLIST
Project
*
Please Select
2800048-PAVH
2800050-La Ronge RCMP
2800051-Southend RCMP
2800052-Virtual Health Hub
2800053-RUH ICU Expansion
2820099-St. Pauls Power Plant
2820107-MN Learning-PA
2820113-SRC SXU TdDy Concrete and Steel
2820114-BourgaultMachineHQ
2820116-Cameco McArther River
2820118-St Johns Cathedral Repointing
2820119-Saskatoon City Hospital Acute Care Project
2820121-AAFC Roof Replacement
2820122-Innovation Sask Tenant Decanting
2820123-AAFC Seed Storage Building Expansion
2820124-Centre Mall Landlord Work No Frills
2820125-YXE Arrivals Renewal
2820127-Centre Mall Landlord Work Activate
2820128-SGI Class 1A Training Facility
2820129-Midtown Hudsons Bay Backfill
2830110-Cancer Center
2840033-McOrmond Bridge
2840037-Theodore Spillway Upgrades
2840040-Patience Lake Injection Pump Platform
2840042-PA Satellite Station Foundations
2840043-Nutrien Lanigan Tunnel Restoration
Company
*
Email (Final copy of checklist will be sent here)
*
example@example.com
Make
*
Model
*
Unit
*
Date
*
/
Month
/
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Meter Reading
*
Time
Hour Minutes
AM
PM
AM/PM Option
*
Rows
Good
Deficient
N/A
1. Platform and Guardrails
- No loose or missing parts or visible damage
- Lock pins in place
2. Hose and Cable Guards on Boom
- No damage to guard, hoses, or cables
- Properly secured
3. Drive Motors and Brake Shields
- Securely bolted in place with no leaks or missing hardware
4.Drive Hub
- No visible damage or evidence of leakage
5. Tires and Wheels
- No cut tires
- No leaks
- No rim damages
- Marks on lug nuts are in line
- Tires properly inflated
- No missing lug nuts
- Lug nuts to be torqued to spec
6. Frame
- No bends, loose or missing hardware, or other damage
7. Fuel Supply
- Adequate fuel, filler cap in place
- No damages, leaks, or spills
8. Power Track
- No visible damage or hydraulic or electrical lines
9. Boom and Pivot Shaft
- Must be properly secured and lubricated
10. Lift Cylinder
- Rod end shaft properly secured
11. Tie Rods and Linkage
- No visible damage
- No steering
- No loose or missing parts
- No cylinder leaks
12. Engine Oil
- Full mark on dipstick with filler cap secured
13. Ground Control Panel
- Switches should be operable, placards legible
- No visible damage
14. Counterweight
- Properly stored
Checklist Cnt'd
*
Rows
Good
Deficient
N/A
15. Engine Air Filter
- Oil in bowl should be clean and pre-cleaner free of dirt
16. Battery
- Battery should have proper electrolyte level
- Cables should be tight with no corrosion
17. Hydraulic Oil Level
- Should show full dipstick with all systems shut down and boom stowed
18. Hydraulic Oil Filter
- Indicator should be proper position with engine operating at full throttle and oil warmed up
19.Turntable and Pinion
- No loose or missing or damage
- Show evidence of lubrication
20. Boom
- No visible damage
- Wear pads secure
21. Platform Pivots and Cylinder
- Pins properly secured with evidence of lubrication
- No cylinder leaks
22. Platform Control Console
- Switches and levers should be properly secured and free to return to the neutral position
- No loose or missing parts
- No visible damage
23. Emergency Safety (Override) Switch
- Switch must be fully functional at all times
24. Extending Axles (if so equipped)
- No evidence of leakage, loose or missing parts
- No visible damage
- Axle lock pins should be properly installed
25. Fire Extinguisher
- Checked daily
- No visible damage
- Indicator shows full
26. Operations Manual
- Operating Manual must be with the equipment
Check Placards
All placards and instructions on machine should be secured and legible.
Comments:
Checked by:
*
Signature
*
Preview PDF
Submit
Should be Empty: