Format No: ZCI /Safety /10

Rev No: 00
Date: 20/06/2016

Boom Lift Inspection Checklist

Date of Deployment : Registration No : SWL:

Date of Inspection Insurance No : Valid to :
Road Tax T.P.I (Form 11& 12) : Valid to :
PUC Valid to Operator Contact No :
Operator Name Operator Experience :
Operator License No Valid to :

Sr. No Description Ok Not Ok Remark

1 Validity of Inspection Certificate (Form - 11)

2 Secured platform is available

3 Lever control available

4 Hydraulic hoses conditions & it’s free from oil leakage

5 load lifting capacity is Marked

6 Battery connections are tighten

7 The condition of wire insulation for any damage or

overheating

8 Boom jip extended mechanism is working

9 Hydraulic Oil level indictor

10 Warning alarm is in functional condition

11 Condition of stabilizer

12 Manual lowering mechanism  

13 Electrical wire conditions

14 Tyre condition & it’s free from cuts

15 Emergency stop switch

 Note: This records will be maintained at site location.