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Aerial Lift Safety Program: Pre-Use Inspection Checklist for Aerial Lifts Mobile App

The operator shall use the Aerial Lift Safety Program: Pre-Use Inspection Checklist for Aerial Lifts mobile app to inspect aerial lifts prior to placing the machine in service at the beginning of each work shift. Deficiencies noted on the inspection form shall be corrected prior to operation. If the deficiencies cannot be corrected, the aerial lift shall not be used and lock-out/tag-out procedures initiated according to the Aerial Lift Policy. You can set up unique numbering for each GoCanvas App you have in your account.

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Take a peek inside the Aerial Lift Safety Program: Pre-Use Inspection Checklist for Aerial Lifts Mobile App

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Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico statictext

    Instructions: The operator shall inspect aerial lifts prior to placing the machine in service at ...

  • Ico textbox

    Aerial Lift Make:

  • Ico textbox

    Model:

  • Ico textbox

    S/N:

  • Ico date

    Date Completed:

  • Ico textbox

    Inspected By:

  • Ico checkbox

    Operating and emergency controls

  • Ico checkbox

    Safety devices

  • Ico checkbox

    Structural and other critical components present and all associated fasteners and pins in place

  • Ico checkbox

    Personal protective devices (harness, lanyard etc)

  • Ico checkbox

    Fluid levels checked (hydraulic oil, engine oil, coolant etc)

  • Ico checkbox

    Hydraulic power unit, reservoir, hoses, fittings, cylinders, and manifolds

  • Ico checkbox

    Electrical components, wiring harness, and electrical cables

  • Ico checkbox

    Loose or missing parts

  • Ico checkbox

    Tires and wheels

  • Ico checkbox

    Placards, warnings, and control markings

  • Ico checkbox

    Owner’s manual legible and stored inside container located on platform

  • Ico checkbox

    Outriggers, stabilizers and other structures

  • Ico checkbox

    Guardrail system

  • Ico checkbox

    Cracks in welds or structural components

  • Ico checkbox

    Dents or damage to machine

  • Ico checkbox

    Other items specified by manufacturer

  • Ico multiline

    Comments

  • Ico statictext

    This form must be kept on file for 30 days and is subject to review by the Occupational Health & ...

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