AERIAL WORK PLATFORM DAILY CHECKLIST
HSEOP-26-01
Project Name
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Company Name
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Date
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Month
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Day
Year
Date
Make
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Model
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Unit
Hour Meter Reading
Time
Hour Minutes
AM
PM
AM/PM Option
1. Platform and Guardrails - No loose or missing parts or visible damage. Lock pins in place.
*
Good
Deficient
N/A
2. Hose and Cable Guards on Boom - No damage to guards, hoses, or cables. Properly secured
*
Good
Deficient
N/A
3. Drive Motors and Brake Shields - Securely bolted in place with no leaks or missing hardware.
*
Good
Deficient
N/A
4. Drive Hub - No visible damage or evidence of leakage.
*
Good
Deficient
N/A
5. Tires and Wheels - No cut tires, no leaks, no rim damage, marks on lug nuts are inline, tires properly inflated, no missing lugnuts, lug nuts to be torqued to spec.
*
Good
Deficient
N/A
6. Frame - No bends, loose or missing hardware, or other damage.
*
Good
Deficient
N/A
7. Fuel Supply - Adequate fuel, filler cap in place. No damage, leaks or spills
*
Good
Deficient
N/A
8. Power Track - No visible damage to hydrualic or electrical lines.
*
Good
Deficient
N/A
9. Boom and Pivot Shaft - Must be properly secured and lubricated.
*
Good
Deficient
N/A
10. Lift Cylinder - Rod end shaft properly secured.
*
Good
Deficient
N/A
11. Tie Rods and Linkage - No visible damage, no steering, no loose or missing parts, no cylinder leaks.
*
Good
Deficient
N/A
12. Engine Oil - Full mark on dipstick with filler cap secured.
*
Good
Deficient
N/A
13. Ground Control Panel - Switches should be operable, placards legible, no visible damage.
*
Good
Deficient
N/A
14. Counterweight - Should be properly secured.
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Good
Deficient
N/A
15. Engine Air Filter - Oil in bowl should be clean and pre-cleaner free of dirt.
*
Good
Deficient
N/A
16. Battery - Battery should have proper electrolyte level. Cables should be tight with no corrosion.
*
Good
Deficient
N/A
17. Hydrualic Oil Level - Should show full on dipstick with all systems shut down and boom stowed.
*
Good
Deficient
N/A
18. Hydraulic Oil Filter - Indicator should be a proper position with engine oeprating at full throttle and oil warmed up.
*
Good
Deficient
N/A
19. Turntable and Pinion - No loose or missing hardware or damage. Shows evidence of lubrication.
*
Good
Deficient
N/A
20. Boom - No visible damage, wear pads secure.
*
Good
Deficient
N/A
21. Platform Pivots and Cylinders - Pins secured with evidence of lubrication. No cylinder leaks.
*
Good
Deficient
N/A
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.
*
Good
Deficient
N/A
23. Emergency Safety (Override) Switch - Switch must be fully functional at all times.
*
Good
Deficient
N/A
24. Extending Axles (if so equipped) - No evidence of leakage, loose or missing parts, no visible damage, axle lock pins should be properly installed.
*
Good
Deficient
N/A
25. Fire Extinguisher - Checked daily, no visible damage, indicator shows full.
*
Good
Deficient
N/A
26. Operations Manual - Operating manual must be with the equipment.
*
Good
Deficient
N/A
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