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Deccan Fine Chemicals (I)PVT.Ltd.

,Kesavaram & Rajavaram


SAFETY DEPARTMENT
CHECK LIST FOR BOOM LIFT / CHERRY PICKER
1 Name of the contractor
2 Entry purpose
3 Vehicle Number 6 Opreator Name

4 Third party certificate 7 Operator license (Number & Exp Date).

5 Vehicle valid insurance 8 Pollution control certificate details

SL NO CHECK ITEM PHOTOS YES / NO SL NO CHECK ITEMS PHOTOS YES / NO

Basket is securely
Tyres are free from any
fastened to the support
1 cut, crack, damages 2
and there is smooth
and air pressure is OK
swing all sides.

Foot pedal, all other


ground and basket Any oil leakage in the
3 4
controls are working Hydraulic systems
properly.

Warning lamp with


5 alarm is in working 6 Height drive cut-off is Check by full
condition in working condition expanding/erecting the
boom

Ensure guard rails


LOTO system is with door are available
7 available in the ground 8 in the basket and door
panel control locking arrangement is
working properly

Safe load, safety


Cherry picker
signage, operator's
movement/ work area
9 Check on site condition 10 details and other
is levelled, compacted
documents are
and no puddle of water
displayed

Safety Points to be confirmed :-


1.Members are well trained in handling with cherry picker, in height work and aware about the emergency situations.
2.Area is barricaded and not more than 2 workers inside the basket.
3.No over head hazards e.g. structural beams, projected steel rods, crane rotational area and electric cables etc.
4.Worker worn body harness and sit inside the basket while moving up or down.
5.No Loose materials are kept inside the basket.
Name Signature Date
Checked by Security department

Name Signature Date


Verified by Safety representative

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