SCISSOR LIFT DAILY INSPECTION
Company:
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Project
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First and Last name of Operator:
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Date of Inspection
*
/
Year
/
Month
Day
Date
Lift Brand:
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Please Select
Genie
JLG
MEC
Skyjack
Snorkel
Lift Model
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Location
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Work to be done:
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Inspection Items:
1. The operator is trained to operate this lift.
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YES
NO
2. The operator is utilizing fall protection and is a certified fall protection user.
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YES
NO
3. Operating and emergency controls are in proper working condition (i.e., emergency stop device).
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YES
NO
4. Upper drive controls interlock mechanism is functional (i.e., foot pedal, spring lock).
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YES
NO
5. Emergency lowering functions are in proper working condition.
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YES
NO
6. Lowering operating controls successfully over-ride the upper controls.
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YES
NO
7. Both upper & lower controls are adequately protected from inadvertent operation.
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YES
NO
8. Control panel is clean & all buttons/switches are clearly vissible (i.e., up, down, right, left, forward, back).
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YES
NO
9. All switch & mechanical guards are in good condition and properly working.
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YES
NO
10. All Safety indicator lights are working properly.
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YES
NO
11. Drive controls function properly & are accurately labeled (i.e., up, down, right, left, forward, back).
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YES
NO
12. Motion alarms are functional.
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YES
NO
13. Safety decals are readable and in place.
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YES
NO
14. All guard rails are sound and in place, including basket chains, before workers get on the equipment.
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YES
NO
15. Work platform & extension slides are clean, dry, & clear of debris
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YES
NO
16. Work platform extension slides in and out freely, with safety locking pins in place (if applicable).
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YES
NO
17. Defects (i.e. creaked welds, fuel leaks, hydraulic leaks) have been inspected.
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YES
NO
18. Tires & wheels are in good condition, with adequate air pressure (if pneumatic).
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YES
NO
19. Braking devices are operating properly.
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YES
NO
20. The manufacturer's operations manual is stored on lift.
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YES
NO
By signing below you are acknowledging that all above inspection items are satisfied:
*
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