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Scissor Lift Pre-Use Safety Inspection Procedure

Safety : The main reason you do pre-use inspection to ensure there's no malfunction. You don't want to get stuck at height while operating or cause any accidents during operation. 2. Compliance : You want to comply to regulations, relevant standards and as well client EHS requirements.
24P DC Columbus - Cintas
03/05/2024

Scissor Lift Pre-Use Safety Inspection Procedure

Safety : The main reason you do pre-use inspection to ensure there's no malfunction. You don't want to get stuck at height while operating or cause any accidents during operation. 2. Compliance : You want to comply to regulations, relevant standards and as well client EHS requirements.

    *** LOTO Confirmation Statement - DO NOT EDIT/REMOVE ***

    All hazardous energy has been isolated using LOTO procedures?

    All potential stored or residual energy has been relieved, disconnected, restrained, lowered, and/or otherwise rendered safe?

    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

    Click here to sign
Source: 24P DC Columbus - Cintas (Community Member)

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