AERIAL LIFT DAILY INSPECTION
Complete this inspection daily on any type of aerial lifts (scissor lifts, boom lifts, etc.) before use.
Company Name:
*
Name of Operator:
*
Project:
*
Date of Inspection:
*
/
Year
/
Month
Day
Date
Lift Type:
*
Please Select
Boom Lift
Scissor Lift
Lift Brand/Model:
*
Work Area:
*
Specific Location:
Work to be Done:
*
INSPECTION ITEMS:
1. The operator is trained in aerial lift operation and has training documentation on-site.
*
YES
N/A
2. The operator is utilizing proper fall protection (harness, lanyard, anchor point) while in the lift, is trained in fall protection, and has training documentation on-site.
*
YES
N/A
VISUAL INSPECTION:
3. The operator read the manufacturer's manual, and the manual is present and legible in storage container.
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YES
N/A
4. Safety decals are legible and present.
*
YES
N/A
5. Fluid levels are checked, and equipment inspected for fluid leaks (hydraulic oil, battery fluid, engine oil, coolant, etc).
*
YES
N/A
6. Battery charge level (if electric) is checked.
*
YES
N/A
7. Structural components inspected for defects (cracks, welds, dents, rust, corrosion, missing nuts/bolts, etc).
*
YES
N/A
8. Tires & wheels are in good condition, with adequate air pressure.
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YES
N/A
9. All guard rails are properly installed and in place, including basket chains/gates.
*
YES
N/A
10. Control panel is clean & all buttons/switches are clearly visible (no paint overspray, etc).
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YES
N/A
11. Fire extinguisher present and up-to-date.
*
YES
N/A
FUNCTION TESTING:
12. Emergency stop and function enable switches at ground level controls are functioning properly and over-rides platform level controls.
*
YES
N/A
13. Emergency stop button at platform level is functioning properly and shuts off power to the lift.
*
YES
N/A
14. Tilt sensor is functioning properly and sounds alarm when pushed over.
*
YES
N/A
15. Braking devices are operating properly.
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YES
N/A
16. Drive, motion, and extension controls on both levels function properly & are accurately labeled (up, down, right, left, forward, back, etc).
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YES
N/A
17. Motion alarms and horns are functional and audible.
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YES
N/A
18. All switch & mechanical guards are in good condition and properly installed.
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YES
N/A
19. All safety indicator lights are working properly.
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YES
N/A
20. Work platform extension slides are clean, dry, and clear of debris. Extension slides function properly.
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YES
N/A
21. Pothole protectors function properly (deploy and return to/from stowed position).
*
YES
N/A
WORK AREA INSPECTION:
22. Work area is clear of drop-offs, bumps, debris, slopes, overhead obstructions, and slippery surfaces.
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YES
N/A
23. Weight of lift, workers, and other equipment is within floor capacity of work area.
*
YES
N/A
24. Weather and wind in work area have been evaluated and determined acceptable for lift use.
*
YES
N/A
25. Work area is barricaded off or a spotter is present to keep unauthorized workers out of lift zone.
*
YES
N/A
Operator Signature:
*
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