Elevating Working Platform

Company : Inspection date :

ID No Contractor : Location :

ELEVATING WORK PLATFORM N/A OK FAIL REMARKS

Silencer/Exhaust Noise/Fumes
Fuel leakage
Oil leakage
Untidy Wiring
Tires correctly inflated
Tires free of damage effecting safe operation
Battery cables connection clean/secure
Battery properly secured
Maximum SWL – Number of people sign posted
Fire extinguisher secured into position in basket
Basket clean and free of surplus materials
Guardrails complete and effective/undamaged
Gate closes and secures in closed position
Ground based emergency controls operational
Ground controls return to neutral upon release
Lever movement label clear and legible
Lever handle complete with knob.
Basket controls return to neutral upon release
Control lever hand guard effective
Dead-man control operational
Safety harness anchor point effective
Equipment logbook located with machine
Hydraulic movement of Basket - smooth
Brake of Basket movement smooth/effective.
Basket pivot points free of excessive wear
Pivot pins secured into position
Movement alarm operational/effective
Machine ground brake effective
Basket escape equipment in situation & complete
Basket escape equipment undamaged
Comment

INSPECTION STATUS Pass Hold Reject

Inspected by

Inspector 1 Inspector 2 Owner/User