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Scissor Lift Pre-Use Safety Inspection Procedure

This is procedure is for the regular preventive maintenance and pre-use inspection of your scissor lifts.
24P DC Columbus - Cintas
08/29/2023

Scissor Lift Pre-Use Safety Inspection Procedure

This is procedure is for the regular preventive maintenance and pre-use inspection of your scissor lifts.

    Lock Out Tag Out

    LOTO Performed

    ELECTRICAL COMPONENTS, WIRING AND ELECTRICAL CABLES

    • Pass
    • Flag
    • Fail

    LEAKS TO HYDRAULIC POWER UNIT, TANK, HOSES, FITTINGS, CYLINDERS AND MANIFOLDS

    • Pass
    • Flag
    • Fail

    BATTERY PACK AND CONNECTIONS

    • Pass
    • Flag
    • Fail

    DRIVE MOTORS

    • Pass
    • Flag
    • Fail

    TIRES AND WHEELS (CRACKS, CHUNKS MISSING)

    • Pass
    • Flag
    • Fail

    LIMIT SWITCHES

    • Pass
    • Flag
    • Fail

    NUTS, BOLTS, AND OTHER FASTENERS

    • Pass
    • Flag
    • Fail

    PLATFORM ENTRY CHAIN OR GATE

    • Pass
    • Flag
    • Fail

    BEACON AND ALARMS (HORN, BACKUP ALARM, LIGHTS, IF EQUIPPED)

    • Pass
    • Flag
    • Fail

    BRAKE RELEASE COMPONENTS

    • Pass
    • Flag
    • Fail

    SAFETY ARM

    • Pass
    • Flag
    • Fail

    POTHOLE GUARDS

    • Pass
    • Flag
    • Fail

    PLATFORM EXTENSION

    • Pass
    • Flag
    • Fail

    SCISSOR PINS AND RETAINING FASTENERS

    • Pass
    • Flag
    • Fail

    PLATFORM CONTROL JOYSTICK

    • Pass
    • Flag
    • Fail

    CRACKS IN WELDS OR STRUCTURAL COMPONENTS

    • Pass
    • Flag
    • Fail

    DENTS OR DAMAGE TO THE MACHINE

    • Pass
    • Flag
    • Fail

    BE SURE THAT ALL STRUCTURAL AND OTHER CRITICAL COMPONENTS ARE PRESENT AND ALL ASSOCIATED FASTENERS AND PINS ARE IN PLACE AND PROPERLY TIGHTENED

    • Pass
    • Flag
    • Fail

    BE SURE SIDE RAILS ARE INSTALLED AND BOLTS ARE FASTENED

    • Pass
    • Flag
    • Fail

    BE SURE THAT THE CHASSIS TRAYS ARE IN PLACE LATCHED AND PROPERLY CONNECTED.

    • Pass
    • Flag
    • Fail

    The Scissor Lift will be taken out of service if any mechanical or structural item on the checklist is found to be unacceptable. Once corrected, the Scissor Lift can be operated.

    • Pass
    • Flag
    • Fail

    Comments

    Inspector's Signature

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Source: 24P DC Columbus - Cintas (Community Member)

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