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Mobile Elevated Work Platform Pre-Shift Inspection

Division*
Location*
Location*
Location*
Area*
Inspector's Initials*
Pre-Operational Check
Data Plate*
- OK
- Needs Attention
Engine Oil*
- OK
- Needs Attention
Engine Coolant*
- OK
- Needs Attention
Engine Fuel Level*
- OK
- Needs Attention
Bolts and Fasteners*
- OK
- Needs Attention
Platform Gate & Basket*
- OK
- Needs Attention
Boom Slide Pads*
- OK
- Needs Attention
Decals & Warning Labels*
- OK
- Needs Attention
Tires & Wheels*
- OK
- Needs Attention
Hydraulic Oil Level*
- OK
- Needs Attention
Fluid Leaks*
- OK
- Needs Attention
Operational Check
Operator's Manual in Container*
- OK
- Needs Attention
Anchor Point(s)*
- OK
- Needs Attention
Rotation System*
- OK
- Needs Attention
Operator Controls & Switches*
- OK
- Needs Attention
Control Labels*
- OK
- Needs Attention
Steering*
- OK
- Needs Attention
Boom*
- OK
- Needs Attention
All Pass or Fail*
- Pass
- Fail
If any of the above criteria have been marked as "Needs Attention", please mark this as failed.
Comments
1. This checklist must be completed daily.
2. If the lift is found to be unsafe, the should be locked out and the condition reported immediately.
3. No lift shall be operated with a leak in the fuel system.
Comments
This field is for validation purposes and should be left unchanged.

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