1400 East Columbia Street ■ Evansville, IN 47711 ■ 812-422-3340

WWW.GRIBBINS.COM
JLG Inspection Checklist
Model Number: ______________ Serial Number: _________________
Week Ending: ______________ Hour Meter: _________________

Day Mon. Tues. Wed. Thurs. Fri. Sat. Sun.

Operating and Emergency Controls OK
Steering and components operate properly. Needs
Check booms and cylinder for proper Attn.
working order, excessive dirt, grease or
foreign matter.
Safety Devices OK
Run Light operates properly. Needs
Attn.
Personal Protective Devices OK
Hard hat, safety glasses, steel toe boots, Needs
harness and lanyard to be worn if required. Attn.
Platform floor is in good order.
Housekeeping in platform. Fire
Extinguisher in place and inspected.
Tires and Wheels OK
Check tires for excessive wear, cuts and
Needs
proper inflation. Check wheels for cracks
Attn
and damage (bent rims, etc.) Lug nuts
installed and secured.
Air, Hydraulic and Fuel System Leaks OK
Check for leaks, hose chafing and Needs
cracking, kinking or binding. Check for Attn
proper service levels and for leaks.
Loose or Missing Parts OK
Check for loose or missing parts at the Needs
boom, assemblies and platform. Attn
Battery, Cable and Wiring Harness OK
Check for proper installation, proper
Needs
working order, excessive dirt, grease or
Attn
foreign matter. Check for loose wire
connectors, damaged electrical cables,
chafing, kinking or binding or electrical
cables or wires.
Placards, Warning, Control Marking and OK
Operating Manual Needs
Capacity label is legible. All warning and Attn
equipment control markings for proper
operation is legible and attached.
Operating and Responsibilities Manuals
are installed on the lift and are legible.
Manuals are stored in a weatherproof
container and the container is easily
identifiable.
Guardrail System OK
Check for cracked welds, cracked metal, Needs
distorted components, broken structures, Attn
signs of metal fatigue. Lanyard attachment
points are in good condition. Lanyard
attachment points are near the bottom of
the basket in the corners. These are the
only points you may attach the lanyard to.
Equipment Task Function Operation OK
When machine is properly set-up, listen for Needs
any unusual noises. Lower controls Attn
operate properly. Platform controls
operate properly.
Hazards OK
Drop off, holes, bumps, debris, overhead Needs
obstructions, high voltage areas or over Attn
head lines, high winds or bad weather,
inadequate ground support, inadequate
ventilation, hazardous atmosphere, other
____________.

 If any inspection item marked needs attention needs to be corrected before the lift is used.
 Only trained and authorized employees may operate lift.

Emergency Ground Operator: _______________________________

Contact Method: __ Radio __ Voice __ Other: __________________________

Has the Ground Operator been trained to operate lift: __ Yes __ No

Inspection Completed By: Date: Other Comments:

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