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Get in touch
555-555-5555
mymail@mailservice.com
Daily Aerial Lift Inspection Checklist
Take equipment out of service if safety would be compromised.
Tag Equipment
Daily Aerial Lift Inspection Checklist
Project Name/Number
Lift Truck Number or Serial Number
Date
Equipment Make/Model
Operator Name
Safety
Alarm
Repair Needed
Not Applicable
Fuel Level
Good
Repair Needed
Not Applicable
Battery Fluid
Good
Repair Needed
Not Applicable
Oil Level
Good
Repair Needed
Not Applicable
Coolant Level
Good
Repair Needed
Not Applicable
Hydraulic Fluid Level
Good
Repair Needed
Not Applicable
Operators Manual in Lift
Good
Repair Needed
Not Applicable
Hour Meter
Good
Repair Needed
Not Applicable
Fluid Leaks
Option 1
Good
Repair Needed
Not Applicable
Tire Condition
Good
Repair Needed
Not Applicable
Horn
Good
Repair Needed
Not Applicable
Hoses/Belts
Good
Repair Needed
Not Applicable
Strobe Light
Good
Repair Needed
Not Applicable
Work Platform Free of Debris
Good
Repair Needed
Not Applicable
Scissor/Boom Components
Good
Repair Needed
Not Applicable
Labels/Instructions Legible
Good
Repair Needed
Not Applicable
Proper Tie-Off/Attachments
Good
Repair Needed
Not Applicable
Structurally Sound
Good
Repair Needed
Not Applicable
General Appearance
Good
Repair Needed
Not Applicable
Rails, Gates, Chains in Place
Good
Repair Needed
Not Applicable
Function Test - Ground Test
Ground Controls
Good
Repair Needed
Not Applicable
Drive Forward
Good
Repair Needed
Not Applicable
Drive Reverse
Good
Repair Needed
Not Applicable
Boom - Up
Good
Repair Needed
Not Applicable
Boom - Down
Good
Repair Needed
Not Applicable
Boom - Extend
Good
Repair Needed
Not Applicable
Boom - Retract
Good
Repair Needed
Not Applicable
Steer - Left
Good
Repair Needed
Not Applicable
Steer - Right
Good
Repair Needed
Not Applicable
Rotate - Left
Good
Repair Needed
Not Applicable
Basket/Platform - Level
Good
Repair Needed
Not Applicable
Basket/Platform - Extend
Good
Repair Needed
Not Applicable
Basket/Platform - Rotate
Good
Repair Needed
Not Applicable
Auxiliary Power
Good
Repair Needed
Not Applicable
Outrigger - Up
Good
Repair Needed
Not Applicable
Outrigger - Down
Good
Repair Needed
Not Applicable
Emergency Stop(s)
Good
Repair Needed
Not Applicable
Emergency Descent Valves
Good
Repair Needed
Not Applicable
Function Test - Platform/Basket Controls
Platform/Basket Controls
Good
Repair Needed
Not Applicable
Boom - Up
Good
Repair Needed
Not Applicable
Boom - Down
Good
Repair Needed
Not Applicable
Boom - Extract
Good
Repair Needed
Not Applicable
Boom - Retract
Good
Repair Needed
Not Applicable
Drive - Forward
Good
Repair Needed
Not Applicable
Drive - Reverse
Good
Repair Needed
Not Applicable
Steer - Left
Good
Repair Needed
Not Applicable
Steer - Right
Good
Repair Needed
Not Applicable
Rotate - Left
Good
Repair Needed
Not Applicable
Rotate - Right
Good
Repair Needed
Not Applicable
Basket/Platform - Level
Good
Repair Needed
Not Applicable
Basket/Platform - Extend
Good
Repair Needed
Not Applicable
Basket/Platform - Rotate
Good
Repair Needed
Not Applicable
Auxiliary Power
Good
Repair Needed
Not Applicable
Outrigger - Up
Good
Repair Needed
Not Applicable
Outrigger - Down
Good
Repair Needed
Not Applicable
Emergency Stop(s)
Good
Repair Needed
Not Applicable
Explanation of Repairs Needed
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All Rights Reserved | Peabody Insurance
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