MEWP Inspection and Thorough examination report/check list
TUV Southwest, Inspection DEPT, www.tuvsw.com
Doc.No : Procedure.No :
Standard Ref : BS EN 280:2013+A1:2015
Owner/Customer
Owner Id Project/Location
Registration NO Name Of Equipment
Chassis / Sr No Model Of Equipment
Year Of Manufacture Name Of Manufacture
Description Of Equipment
Periodic Record:-
Type Of Examination Initial / Periodic / Major Last Examination Date
Date Of Examination Last Load Test Date
Next Examination Due Next Load Test Due
Test Details :-
Work Platform Size Extended Platform Size Safe Working Load Test Load Applied
Max. Working Height Max. Horizontal Reach No. Of Allowable Persons Source of Power
PA-Satisfactory ; CO- Comments (Finding), RE-Recommendation ; FL-Not Satisfactory ; NA-Not Applicable
# Inspect Items Test Result # Inspect Items Test Result
1 WORK PLATFORM 2 Overall Dimensions
3 Structure Condition 4 Guardrail / Intermediate Bar
5 Entrance Gate, Pins & Bolts 6 Acceleration / Braking
7 Safe Speed Control 8 Foot Switch Condition
9 Anchor Points 10 Fire Extinguisher
11 Horn 12 EXTENDING STRUCTURE
13 General Condition 14 Crack / Welding Sign, Free Movement
15 Hydraulic System / Pipes & Hoses 16 Transmission Belt / Chains
17 Raising / Lowering 18 Wire Rope / Chain Drive System
19 Braking System 20 Limit Switches
21 Warning Beacon 22 CHASSIS
23 Operator Cabin 24 Chassis & Slew Ring Condition
25 Tires / Castor Wheels 26 Brakes & Suspension
27 Engine Condition 28 Hydraulic Tank / Fuel Tank
29 Stabilizer / Outriggers 30 Control Levers / Wireless Remote
31 Level Indicator 32 SAFETY DEVICES
33 Moment Sensing Device 34 Load Sensing Device
35 Motion Alarms Functioning 36 Emergency Stop Switches
37 Emergency Rescue Device 38 Sky Guard
39 RECORDS 40 Monthly Inspection
41 Maintenance 42 Repair & Modification
Operator Details
Is the Equipment safe to operate? YES/NO Name & Signature of Company Appointed
Inspector :
Equipment Group Id: Other Equipment Used:
MWP/03, REV-8
Doc.No :
Critical Findings
Recommendation
Comments (Finding) Target Date
MWP/03, REV-8