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SAIC NUMBER ISSUE DATE DISCIPLINE

SAUDI ARAMCO INSPECTION CHECKLIST
MANUALLY PROPELLED ELEVATING AERIAL PLATFORM
SAIC-U-7015 1-Jan-23 ELEVATING/LIFTING EQUIPMENNT
CHECKLIST
PROJECT TITLE WBS/BI/JO NUMBER INSPECTION COMPANY

EQUIPMENT ID NUMBER EQUIPMENT DESCRIPTION/TYPE SERIAL NO. REPORT No.:

CAPACITY (SWL) MANUFACTURER FACILITY / LOCATION

REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.

1 GENERAL REQUIREMENTS:

ANSI/SAIA A92.3
1.1 Equipment documentation is available
Sec: 7.2

ANSI/SAIA A92.3
1.2 Previous inspection reports are checked
Sec: 6.15.1 (2)

GI 7.030
1.3 Daily pre-operational inspection checklists are checked (if applicable)
Para: 5.1.2

Preventive Maintenance is established and updated records are ANSI/SAIA A92.3

1.4
maintained Sec: 5.4.1

ANSI/SAIA A92.3
1.5 Equipment is operated by a qualified operator
Sec: 7.6

Warning notice, cautions or restrictions for safe operation and ANSI/SAIA A92.3
1.6
maintenance are clearly displayed and legible Sec: 4.19 (1)

A sign is posted warning the operator not to rely solely on any automatic G.I. 7.030
1.7
device as a substitute for safe operating practice Para: 5.6.2

Manufacturer name, address, serial number and model are clearly ANSI/SAIA A92.3
1.8
marked or tagged Sec: 4.19 (2)

Safe working load and number of persons are clearly marked on the work ANSI/SAIA A92.3
1.9
platform Sec: 4.19 (3)

ANSI/SAIA A92.3
1.10 Maximum platform height and reach are clearly marked
Sec: 4.19 (4)

ANSI/SAIA A92.3
1.11 Maximum travel height and travel directions are clearly marked
Sec: 4.19 (4)

ANSI/SAIA A92.3
1.12 Power rating are provided and marked (for AC and/or DC)
Sec: 4.19 (6)

ANSI/SAIA A92.3
1.13 Platform and guardrails electrical insulation data are provided
Sec: 4.19 (10)

2 INSPECTION POINTS:

ANSI/SAIA A92.3
2.1 Platform surfaces are at least 18" (width & length) and are slip-resistant
Sec: 4.12.1

ANSI/SAIA A92.3
2.2 Platform guardrails are provided and secure
Sec: 4.12.2

ANSI/SAIA A92.3
2.3 Platform guardrails are 42" height (+/- 3")
Sec: 4.12.2 (2)

ANSI/SAIA A92.3
2.4 Platform toeboard is fitted and at least 4" high
Sec: 4.12.3

Saudi Aramco: Company General Use

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Saudi Aramco: Company General Use
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SAIC NUMBER ISSUE DATE DISCIPLINE

SAUDI ARAMCO INSPECTION CHECKLIST
MANUALLY PROPELLED ELEVATING AERIAL PLATFORM
SAIC-U-7015 1-Jan-23 ELEVATING/LIFTING EQUIPMENNT
CHECKLIST
PROJECT TITLE WBS/BI/JO NUMBER INSPECTION COMPANY

EQUIPMENT ID NUMBER EQUIPMENT DESCRIPTION/TYPE SERIAL NO. REPORT No.:

CAPACITY (SWL) MANUFACTURER FACILITY / LOCATION

REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
Cables and wirings (ropes and pulleys on manually operated mast type ANSI/SAIA A92.3
2.5
platform) are in good condition and free of damages Sec: 7.3.3 (4)

ANSI/SAIA A92.3
2.6 Wheels and tires are serviceable and undamaged
Sec: 7.3.3 (6)

ANSI/SAIA A92.3
2.7 Travel brakes are working
Sec: 7.3.3 (2)

ANSI/SAIA A92.3
2.8 Safety harness anchorage is fitted in the platform
Sec: 4.12.5 (4)

ANSI/SAIA A92.3
2.9 Battery is secure, guarded and ventilated
Sec: 4.14.2

Outrigger position microswitches and interlocks are fully functional at ANSI/SAIA A92.3
2.10
their control panel Sec: 4.9

ANSI/SAIA A92.3
2.11 Slope indicator is fitted.
Sec: 4.10

ANSI/SAIA A92.3
2.12 Extendable elevating platform operation is satisfactory
Sec: 4.12.4

Safety props and latches are installed and operable as described by the ANSI/SAIA A92.3
2.13
manufacturer Sec: 7.3.4 (5)

ANSI/SAIA A92.3
2.14 Electrical cables, wiring and components are undamaged
Sec: 7.3.3 (4)

ANSI/SAIA A92.3
2.15 Air, Hydraulic and fuel systems are not leaking
Sec: 7.3.3 (3)

ANSI/SAIA A92.3
2.16 All fluid levels for oil, water and hydraulic are adequate
Sec: 7.3.3 (3)

ANSI/SAIA A92.3
2.17 All moving parts are lubricated
Sec: 6.6 (5)

ANSI/SAIA A92.3
2.18 The equipment is free of defective and/or corroded members/joints
Sec: 6.6 (6)

ANSI/SAIA A92.3
2.19 Emergency stop button is available at ground control station
Sec: 4.11.2.3 (4)

There are no loose nuts, bolts, missing, worn or damaged parts around ANSI/SAIA A92.3
2.20
the structure Sec: 7.3.3 (3)

ANSI/SAIA A92.3
2.21 Working environment is hazard free and machine ca be safely operated
Sec: 7.10

ANSI/SAIA A92.3
2.22 A fire extinguisher is fitted (type depends on operating location)
Sec: 8.9

ANSI/SAIA A92.3
2.23 Platform controls are clearly marked with direction and mode of operation
Sec: 4.11.2.1 (1)

Saudi Aramco: Company General Use

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Saudi Aramco: Company General Use
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SAIC NUMBER ISSUE DATE DISCIPLINE

SAUDI ARAMCO INSPECTION CHECKLIST
MANUALLY PROPELLED ELEVATING AERIAL PLATFORM
SAIC-U-7015 1-Jan-23 ELEVATING/LIFTING EQUIPMENNT
CHECKLIST
PROJECT TITLE WBS/BI/JO NUMBER INSPECTION COMPANY

EQUIPMENT ID NUMBER EQUIPMENT DESCRIPTION/TYPE SERIAL NO. REPORT No.:

CAPACITY (SWL) MANUFACTURER FACILITY / LOCATION

REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
Platform raise/lower controls operate the machine correctly and are self- ANSI/SAIA A92.3
2.24
locking (for manually elevated platforms) Sec: 4.11.2.1 (1)

Controls are accessible from ground level (optional at the platform) (for ANSI/SAIA A92.3
2.25
manually elevated platforms) Sec: 4.11.1 (3)

Platform raise/lower controls return to "off" or "neutral" position when ANSI/SAIA A92.3
2.26
released (for power elevated platforms) Sec: 4.11.2.1 (2)

Platform controls accessible to the operator (for power elevated ANSI/SAIA A92.3
2.27
platforms) Sec: 4.11.2.1 (4)

Platform controls are protected against inadvertent operation (for power ANSI/SAIA A92.3
2.28
elevated platforms) Sec: 4.11.2.1 (3)

ANSI/SAIA A92.3
Emergency stop button is operable from both platform and ground
2.29 Sec: 4.11.2.3
controls
(3&4)
ANSI/SAIA A92.3
Auxiliary/emergency lowering is operable from platform and ground
2.30 Sec: 4.11.2.3
controls
(3&4)

ANSI/SAIA A92.3
2.31 Hydraulic/Pneumatic systems are leak-free with platform raised
Sec: 8.3 (3)

ANSI/SAIA A92.3
2.32 Raise/Lower limit switches are operable
Sec: 8.3 (2)

ANSI/SAIA A92.3
2.33 Placards, warnings, and control markings are checked
Sec: 8.3 (7)

ANSI/SAIA A92.3
2.34 Raise cut-out device is operable (dependent on machine manufacturer)
Sec: 8.3 (2)

ANSI/SAIA A92.3
2.35 Slope sensor device is operable (dependent on machine manufacturer)
Sec: 8.3 (2)

Steering is properly working when moving forward and in reverse ANSI/SAIA A92.3
2.36
directions Sec: 6.6 (1)

ANSI/SAIA A92.3
2.37 Travel alarm is operable (if fitted)
Sec: 6.6 (4)

ANSI/SAIA A92.3
2.38 Platform lowering alarm is operable (if fitted)
Sec: 6.6 (4)

ANSI/SAIA A92.3
2.39 Forward/Reverse travel operation is accepted
Sec: 6.6 (4)

Brakes are in good working condition and can hold the machine on any ANSI/SAIA A92.3
2.40
slope (parking and moving) Sec: 4.13

ANSI/SAIA A92.3
2.41 Motors and other motive power sources are in good operating condition
Sec: 7.3.3 (1)

The platform does not descend when in raised position and the power is ANSI/SAIA A92.3
2.42
off Sec: 4.11.1 (2)

Saudi Aramco: Company General Use

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Saudi Aramco: Company General Use
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SAIC NUMBER ISSUE DATE DISCIPLINE

SAUDI ARAMCO INSPECTION CHECKLIST
MANUALLY PROPELLED ELEVATING AERIAL PLATFORM
SAIC-U-7015 1-Jan-23 ELEVATING/LIFTING EQUIPMENNT
CHECKLIST
PROJECT TITLE WBS/BI/JO NUMBER INSPECTION COMPANY

EQUIPMENT ID NUMBER EQUIPMENT DESCRIPTION/TYPE SERIAL NO. REPORT No.:

CAPACITY (SWL) MANUFACTURER FACILITY / LOCATION

REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER

ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
Tension Hoist system is protected by a safety device that will prevent free ANSI/SAIA A92.3
2.43
descent of the platform. Sec: 4.15.3

ANSI/SAIA A92.3
2.44 Engine powered machines fuel lines are supported to minimize chafing
Sec: 4.14.1

Engine powered machines fuel lines are positioned to minimize exposure ANSI/SAIA A92.3
2.45
to engine and exhaust heat Sec: 4.14.1

ANSI/SAIA A92.3
2.46 Engine powered machines exhaust system is provided with muffler
Sec: 4.14.1

REMARKS:This check list will be applied for Mast-Climbing work Platforms - ANSI/SAIA A92.9.

REFERENCE DOCUMENTS:
1- ANSI A92.3 - 2006 (R 2014) Issue: Manually Propelled Elevating Aerial Platforms
2- SAES-B067 - 2020 Issue: Safety Identification and Safety Colors
3- SA GI 7.025-2018 Issue: Heavy Equipment Operator and Rigger Testing and Certification
4- SA GI 7.030 - 2023 Issue: Inspection and Testing Requirements for Elevating/Lifting Equipment

Load Tested By (If Applicable):

Name, Signature, & Date:

□ Inspected □ Witnessed by 3rd Party Certified Inspector:

Name, Signature, Certificate No. & Company:

User Representative:
Name, Signature, & Date:

Saudi Aramco: Company General Use

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Saudi Aramco: Company General Use