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(AWP) Aerial Work Platform Pre-Use Inspection Report

"This pre-shift inspection guide and checklist will only take a few minutes before each shift which will more than pay for itself over time with reduced maintenance costs, accidents, and product/facility damage. Tri-Lift NC Inc wants to be your partner in forklift safety and productivity. "
MaintainX
07/16/2022

(AWP) Aerial Work Platform Pre-Use Inspection Report

30 steps
"This pre-shift inspection guide and checklist will only take a few minutes before each shift which will more than pay for itself over time with reduced maintenance costs, accidents, and product/facility damage. Tri-Lift NC Inc wants to be your partner in forklift safety and productivity. "
  • Equipment ID:

  • Company Name:

  • Operator Name:

  • Date:

  • Day of the Week:

  • At the beginning of each day or whenever operator changes the equipment must be given a visual inspection and functional test including (but not limited to the following):

  • Operating & Emergency Controls

    • Pass
    • Flag
    • Fail
  • Safety Devices

    • Pass
    • Flag
    • Fail
  • Personal Protective Devices; Including Fall Protection

    • Pass
    • Flag
    • Fail
  • Air, Hydraulic, & Fuel System(s) Leaks

    • Pass
    • Flag
    • Fail
  • Cables & Wiring Harness

    • Pass
    • Flag
    • Fail
  • Loose or Missing Parts

    • Pass
    • Flag
    • Fail
  • Tires & Wheels

    • Pass
    • Flag
    • Fail
  • Placards, Warnings, Control Markings & Operating Manuals

    • Pass
    • Flag
    • Fail
  • Outriggers, Stabilizers, Extendable Axles, & Other Structures

    • Pass
    • Flag
    • Fail
  • Guard Rail System

    • Pass
    • Flag
    • Fail
  • Additional Items as Specified by the Manufacturer

    • Pass
    • Flag
    • Fail
  • Oil Level(s) for Internal Combustion Engines

    • Pass
    • Flag
    • Fail
  • Fuel Level(s) for IC Engines **DIESEL MUST NOT RUN DRY**

    • Pass
    • Flag
    • Fail
  • Reliable Inspection Report, Annual Inspection Label & NDT Label

    • Pass
    • Flag
    • Fail
  • Workplace Inspection

  • Before the equipment is used and during use, the operator shall check the area in which the equipment is to be used for possible hazards such as, but not limited to the following:

  • Drop-offs or Holes

    • Pass
    • Flag
    • Fail
  • Bumps & Floor Obstructions

    • Pass
    • Flag
    • Fail
  • Debris

    • Pass
    • Flag
    • Fail
  • Overhead Obstructions & High Voltage Conductors

    • Pass
    • Flag
    • Fail
  • Hazardous Locations

    • Pass
    • Flag
    • Fail
  • Inadequate Surface & Support to Withstand Load Forces of the Equipment in all Configurations

    • Pass
    • Flag
    • Fail
  • Wind & Weather Conditions

    • Pass
    • Flag
    • Fail
  • Pedestrian Traffic / Vehicular Traffic / Un-Authorized Persons

    • Pass
    • Flag
    • Fail
  • Other Possible Unsafe Conditions

    • Pass
    • Flag
    • Fail
  • Additional Remarks:

  • Supervisor Signature:

    Click here to sign
Source: MaintainX (Community Member)

Please note that any procedure, checklist, or other document available in the MaintainX Global Procedure Library is provided for general education and information only and does not constitute legal, medical, or financial advice. MaintainX makes the materials available AS IS and AS PROVIDED, without warranties of any kind. By downloading or using any such materials, you assume the risk that they may not be appropriate for your specific situation and agree that you are solely responsible for any such use, including compliance with applicable law and with meeting any conditions of product warranties.