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CHECK SHEET FOR SCISSOR LIFT

PROJECT: LOCATION:

SL NO CHECK ITEMS PHOTOS Y N

Level adjustment is
4 in good working
condition

Access lader to the


platform is with out
5 any
defects,missing
rungs.

Availability of limit
6 switch for the
platform extension

Mechanical stoper
7 for the platform
lifter is in

SL NO CHECK ITEMS PHOTOS Y N

Operator and
Scissor lifter working
scissor lifter
platform is provided
1 8 capacity details
with hand rail and
displayed in the
midrail
liftefr.

Availability of four All hazards signs


outrigger in four and operating
2 9
sides (Depends on instruction
type of lifter) displayed .

3
All wheels are in
good

Comments If any:

Signature of site safety incharge Signature of site engineer/incharge

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