CHECKLIST CERTIFICATE OF THOROUGH EXAMINATION OF MAN LIFT

This report complies with the Lifting Equipment Engineers Association Technical requirements

Certificate No: Date Of Inspection: / / 201

No. Description Conditions Remarks

1 Identification & Markings
2 Engine guard
3 Boom /Boom Sections
4 Check Engine performance
5 Check All Electrical Cables And Battery
6 Check all Pivots, Connecting Rods and Safety Pins(no
excessive wear)
7 Safety Harness & Lanyard
8 Hydraulic rams, hoses and connections)no excessive
wear, leaks or creep)
9 Warning signs
10 Emergency stop
11 Stabilizers Condition
12 Check Horn and Move Alarm
13 Check Battery & Emergency Battery Operational
14 Check Handrail and Platform condition
15 Check Operation pedals, Levers and control
16 Check Tires, Wheels
17 Check Brakes and Park Brake
18 Housekeeping
19 Fire extinguisher

Notes:

Inspector Signature: Supervisor Signature