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Elevated Work Safety Checklist

This checklist ensures all equipment used for elevated work are safe and work in proper condition.
Texas MPP
04/14/2023

Elevated Work Safety Checklist

This checklist ensures all equipment used for elevated work are safe and work in proper condition.

    What equipment will be used for elevated work?

    Ladder Condition

    Footing

    • Pass
    • Flag
    • Fail

    Rungs are not bent, broken or missing

    • Pass
    • Flag
    • Fail

    Rails are not damaged

    • Pass
    • Flag
    • Fail

    Ladder extensions properly lock in place

    • Pass
    • Flag
    • Fail

    Scissor Lift or Snorkel Lift

    Daily inspection has been performed

    • Pass
    • Flag
    • Fail

    Cage has a locking gate

    • Pass
    • Flag
    • Fail

    Cage floor is clean of any oils and trip hazards

    • Pass
    • Flag
    • Fail

    Cage slide out moves with ease and has locking pins

    • Pass
    • Flag
    • Fail

    Forklift w/ Man Basket

    Forklift daily inspection has been performed

    • Pass
    • Flag
    • Fail

    Cage has securement mechanism to secure to the mast

    • Pass
    • Flag
    • Fail

    Cage has locking gate

    • Pass
    • Flag
    • Fail

    Cage floor is free of any oils and trip hazards

    • Pass
    • Flag
    • Fail

    Cage railings are not damaged

    • Pass
    • Flag
    • Fail

    Harness Condition

    Harness straps are not frayed, cut or torn

    • Pass
    • Flag
    • Fail

    Buckles securely latch

    • Pass
    • Flag
    • Fail

    Life Line is not torn, frayed, damaged, or stretched

    • Pass
    • Flag
    • Fail

    Manufacturer labels are present and ledgable

    • Pass
    • Flag
    • Fail
Source: Texas MPP (Community Member)

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