Aerial Lift Inspection Form Pdf

Report all problems immediately.

Aerial lift inspection form pdf. Start a free trial now to save yourself time and money. Immediately notify management of all deficiencies. Boom action lifts extendsretracts and pivots without binding body harness lanyard anchor points safety gate and guardrail condition manufacturers nameplate all placards warnings control markings legible operators manual and manual of responsibilities in place and legible use a if ok use an x if a problem exists. 2010 revision 3 revision date.

1172017 keep this form with the lift when in usereturn to rozell when finished aerial lift pre use inspection checklist operators print name contact ewu aerial or scissor lift id and sign. Pre start inspection ok not ok na. Operating and emergency controls are in proper working condition emo button or emergency stop device. The most secure digital platform to get legally binding electronically signed documents in just a few seconds.

Weekly aerial lift inspection form lift. Aerial lift daily operator check list. Operating controls mon tue wed thu fri. Here is a standard manlift inspection checklist pre shift inspection the manlift operator must complete this form at the beginning of each shift date manlift hour meter inspection ok not ok na explanation basic inspection from ground.

Operating controls emergency controls safety devices personal protective devices pneumatic hydraulic and fuel system leaks cables wiring harness loosemissing parts tireswheels placards and warnings operational. Deficiencies noted on the inspection form shall be corrected prior to operation. Make model sn location where lift will be used. Fill out securely sign print or email your aerial lift safety checklist form instantly with signnow.

Inspection item and description pfna 1. Anaccidentoccursduringaerialliftuse workplacehazardsinvolvinganaerialliftare. Manufacturers manual in place platformrailing bent worn damaged locking pins tires worn air separating missing bolts. The designated operator will place a in the appropriate box when an item passes inspection.

Aerial lift pre use inspection form aerial lift pre use inspection checklist operator print name. Aerial lift pre inspection environmental health safety checklist page 1 of 2 origin date. Aerial lift information. Leave the box empty and underline item identified as deficient and note a brief description of problem.

Aerial lift pre use inspection form page 1 of 1 6142016 aerial lift pre use inspection checklist operator print name and sign aerial or scissor lift id unit type scissor lift articulating boom man lift. Functional upper drive control. Rental equipment id unit type scissor lift articulating boom man lift other. Aerial or scissor lift id unit type.

Pre use aerial scissor lift inspection form instructions. If the deficiencies cannot be corrected the aerial lift shall not be used and lockouttag out procedures initiated. Pre start workplace inspection form. Scissor lift articulating boom man lift other.