Daily Aerial Lift Inspection Checklist

Inspected By:

Aerial or Scissor Lift ID# and Model:

Scissor Lift

Articulating Boom

Man Lift

Other

Date:

Location:

Section 1: Inspection and Description

#	Description	P	F	NA
1	Operating and emergency controls are in proper working condition, EMO button, Emergency Stop Device
2	Functional upper drive control interlock (i.e. foot pedal, spring lock, or two hand controls)
3	Emergency Lowering function operates correctly
4	Lower operating controls successfully override the upper controls
5	Both upper and lower controls are adequately protected from inadvertent operation
6	Control panel is clean and all buttons/switches are clearly visible (no paint over spray, etc.)
7	All switch and mechanical guards are in good condition and properly installed
8	All Safety Indicator lights work
9	Drive controls function properly and accurately labeled (up, down, right, left, forward and back)
10	Motion alarms are functional
11	Safety decals are in place and readable
12	Guardrails and anchor points are in place and in good condition
13	Work platform and extension slides are clean, dry and clear of debris
14	Work platform extension slides in and out freely with safety locking pins in place to lock setting on models with extension platforms
15	Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or wire harness, etc.
16	Tires and wheels are in good condition, with adequate air pressure if pneumatic
17	Braking devices are operating properly
18	The manufacturer’s operation manual is stored on AWP (in all languages of operators)
19	Oil level, Hydraulic oil level, Fuel level and Coolant level
20	Battery charge
21	Outriggers in place or functioning. Associated alarms working

Section 2: Safety Precautions (Have, Look For, or be Aware of)

Personal Fall Arrest and Protective Equipment. (Harness, Lanyard, Hardhat, etc.)

In windy conditions see manufacturer guideline or if not in guidelines then…if lift begins to rock in the wind lower the lift

Floor conditions: Drop offs, holes, uneven surfaces and sloped floors.

Housekeeping: Debris, floor obstructions, cords, construction material and supplies.

Electrical power cables or panels, (minimum 10 feet away). If larger lines or wet conditions contact Safety or Supervisor

Chemical lines, gas lines, drain lines, and utilities.

Overhead obstructions

Loads (DO NOT EXCEED CAPACITY)

Watch for vehicular and pedestrian traffic. Set up barricades if necessary

Will the equipment be operated off of pavement? Yes No

Please describe the travel paths for this piece of equipment as well as the projected weight with load.

(PLEASE USE THE BACK OF THIS SHEET TO DRAW A MAP OF THE TRAVEL PATHS AND INCLUDE ANY ADDITIONAL STRUCTURES) – Note: For web form, attach image or describe here.

Has the travel path been verified for safe travel for equipment use? Yes No

IF THE AERIAL LIFT FAILS ANY PART OF THIS INSPECTION, REMOVE THE KEY AND REPORT THE PROBLEM TO YOUR SUPERVISOR. DO NOT ATTEMPT TO MAKE REPAIRS UNLESS YOU ARE A TRAINED AND AUTHORIZED SERVICE PERSON. ALL SERVICES IS TO BE DOCUMENTED. IF ANYTHING HAS BEEN JERRY-RIGGED NOTIFY YOUR SUPERVISOR AT ONCE.