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Lift Inspection Form
Please fill the form below
1
Step 1
2
Step 2
Functions & Operating Controls:
Safe
At Risk
N/A
Emergency Stop & Brakes (shuts off controls & engine)
Detents properly lock controls in place. Check condition of control enclosures and protective boots/guards.
Brakes operate properly
Safety Signs (Readable)
Emergency stop switches at the ground & platform control stations operate properly
Platform Assembly:
Safe
At Risk
N/A
Platform rails installed & secure, midrail chain/gate and bars installed & latch properly
Platform extension deck & related components secure & undamaged
Scissor arms free of damage
Arm safety props operational
Cylinder pins, pivot pins & attaching hardware secure & undamaged
Arm pins, wear pads & attaching
Hardware secure & undamaged
Anchorage Points
Hydraulic/Electrical system:
Safe
At Risk
N/A
All cylinders free of leaks and damage
Leaks
Hydraulic oil level in tank correct
Hydraulic tank cap tight & vent open
All electrical connections tight, no corrosion or abrasions
Next
Power system:
Safe
At Risk
N/A
Engine idle, throttle & RPM set properly
Fluid levels correct, hydraulic tank, engine oil torque hubs, coolant & batteries
Air & fuel filter clean
Exhaust system free of leaks (gas/diesel units only)
Chassis:
Safe
At Risk
N/A
Wheel rim nuts torqued properly
Check tires for proper inflation, damage & wear
Steer, drive & axle components secure & undamaged
Outrigger/ stabilizers operate properly
Hydraulic tray & battery/engine compartment covers open & latch properly
Manual & Decals:
Safe
At Risk
N/A
Manual of responsibilities in manual storage box
Operators & safety manual available
All instruction & safety placards installed & legible
General:
Safe
At Risk
N/A
Lift is free of unauthorized modification or additions
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