AERIAL LIFT PRE-USE INSPECTION FORM
Inspector Name
Aerial Lift Desc/ID#
Unit Type (Scissor, Articulating Boom, Man Lift, Other)
Date
STARTING HOURS
Jobsite/P#
#
ENDING HOURS
Signed
2
3
4
Inspection Item and Description
Operating and emergency controls are in proper working condition, EMO button or Emergency
Stop Device
Functional upper driver control interlock (i.e. foot pedal, spring lock, or two hand controls)
Emergency Lowering function operates properly
Lower operating controls successfully override the upper controls
5
6
7
8
9
10
Both upper and lower controls are adequately protected from inadvertent operation
Control panel is clean & all buttons/switches are clearly visible (no paint overspray, etc.)
All switch & mechanical guards are in good condition and properly installed
All safety indicator lights work
Drive controls function properly & accurately labeled (up, down, right, left, forward, reverse)
Motion alarms are functional
11
12
13
Safety decals are in place and readable
All guard rails are sound and in place, including basket chains
Work platform & extension slides are clean, dry, & clear of debris
Work platform extension slides in and out freely, and has safety locking pins in place to lock setting
on models with extension platforms
Inspect for defects such as cracked welds, fuel leaks, hydraulic leaks, damaged control cables or
wire harness, etc.
Tires and wheels are in good condition, with proper air pressure for pneumatic tires
Braking devices are operating properly
1
14
15
16
17
18
19
20
21
P | F | N/A
The proper operater’s manual is stored on machine
Oil, hydraulic fluid, coolant, and fuel levels are all to proper fill
Battery is charged
Outriggers in place or functioning. Associated alarms operate properly
Other Safety Precautions
Check to Confirm
Personal Protective Equipment in use
Know manufacturer’s guidelines for operating in windy conditions. If manufacturer’s guidelines
unknown or not available, do not operate in wind above 20 MPH or if lift begins to rock
Be aware of ground or floor surface conditions within entire operating area. Holes, obstructions,
uneven terrain, etc.
General Housekeeping: Debris, cords and hoses, materials and supplies
Electrical power cables or panels at a minimum of 10 foot distance from working area. Use proper
lockout/tagout procedures as necessary
Overhead obstructions
Know and adhere to working load limit
Use appropriate barriers/tape to secure area from vehicular and pedestrian traffic
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 SERVICE MUST BE DOCUMENTED. FULLY INSPECT ALL
RENTAL MACHINES UPON DELIVERY OR PRIOR TO INITIAL USE.