ABC COMPANY
AERIAL WORK PLATFORM PRESTART CHECKLIST
Revision:
Date:
Date__________________
SECTION: Health and Safety
Page 1 of 1
Operator______________________________
(Month, Day, Year)
Indicate an X where a problem is detected and a 9 to indicate no problems visible.
DO NOT OPERATE A MALFUNCTIONING MACHINE!
Item Inspected
1. Harness on and Harness Checklist Complete!
(See other side)
2. Platform Assembly-no loose or missing parts, no visible
damage. Lock pins/bolts in place.
3. Frame-no visible damage; loose or missing hardware. (top &
underside)
4. Fuel Supply-fuel cap secure; Tank-no visible damage. No
leaks
5. Hose & Cable Guards-properly secured, no visible damage
6. Power Track-no loose, damaged or missing parts; hydraulic &
electrical lines-no visible damage
7. Boom Sections-no visible damage; wear pads secure; boom
chain undamaged and properly secured.
8. Drive Motor & Brake Shield-properly secured, no missing
hardware
9. Tie Rods & Linkage-no loose or missing parts; no visible
damage. Tie rod end studs locked. Extending axle machineslock pins properly installed. No steer cylinder leaks or damage.
10. Tire & Wheel Assembly-properly secured, no loose or
missing lug nuts; no visible damage
11. Engine Oil Supply-full mark on dipstick; filler cap secure
12. Muffler & Exhaust System-properly secured; no evidence of
leakage
13. Ground Control Panel-switches operable; no visible damage;
placards secure & legible
9 or X
Item Inspected
9 or X
14. Control Valve & Engine Compartment-no loose or
missing parts; evidence of leakage; unsupported wires or
hoses
15. Battery - Cables tight, no visible damage, no corrosion
16. Cowling & Latches-all cowling doors & latches in
working order, properly secured, no loose or missing parts,
operates properly
17. Platform Pivot & Sieve Cylinder Attach Pins-properly
secured, evidence of proper lubrication where applicable
18. Air Shrouding-no visible damage; loose or missing
hardware; no obstructions
19. Hydraulic Oil Filter-Element condition (Check indicator
with engine operating at high speed & oil warmed up)
20. Auxiliary Controls (Check that the auxiliary controls are
operational)
21. Hydraulic Oil Supply-full mark on dipstick (all systems
shut down, machine in stowed position)
22. Platform Control Console-switches & levers properly
secured; no loose or missing parts; visible damage;
placards properly secured & legible, levers & switches
return to neutral. Control markings legible
23. Turntable Bearing & Pinion-no loose or missing
hardware; visible damage. No evidence of loose bolts or
looseness between bearing & structure
24. Boom wear pads (Check for wear)
25. Platform entry mid-rail (Check that it is connected
securely and sliding properly)
Signed_____________________________________________________________________________
TO BE COMPLETED BY DESIGNATED OPERATOR AND
FORWARDED TO SUPERVISOR PRIOR TO SHIFT
Defects noted above have been corrected.
Supervisor ______________________________ Date: ______________________________
CAUTION: This is not a complete list of all items that may require attention. Operators are responsible for ensuring that the aerial lift is in
proper working condition in accordance with the manufacturer’s specifications.
DO NOT operate aerial lift if a problem is detected. Report all problems to supervisor immediately.
All comments made in reference to any problems should be made on the back of this page in detail and handed to the supervisor
immediately.
AERIAL WORK PLATFORM
Written by: JOHSC
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