Scissor Lift Daily Inspection Form-12

Checklist Rev.: AC Date: 20 03 2020

Site: Subcontractor: Register No.: Inspection date:

Daily Checklist
No Part Inspection Inspection Photos
I tem M ethod S S M T W T F

1. Emergency Power is cut when button is

stop device pressed and it should only be
manually controlled
2. Emergency Instruction should be attached and
descend even without power, platform
device should be able to descend if Emergency Stop Device Emergency Descend
controlled. Device
3. Overload When overloaded, the operation
limiter will stop with alarm sound
4. Track, There shouldn't be any crack on
Wheel/tire track or wheels. Slope and uneven
surface should not be on track
Joy Stick Control Device Wheel (Tire)
5. Operation should not be done
Lever when a platform is slanted and
clear operation status should be
showing

Lever
6. Warning Light and alarm should work when
Light & it is on operating, ascending,
Alarm descending
7. Crash Limit switch or bar for crash
prevention prevention should be installed and
normally operated (more than 2, Warning Light Warning Alarm
60cm above the fence)
8. Platform When expanding a platform,
indicate info such as weight limit,
capacity and fixing pin status
9. Hydraulic There shouldn’t be problems like
device/ leakage. Damage or worn-out on
cylinder Working Hydraulic Cylinder
hydraulic motor, pipe & cylinder.
Platform Device

Inspector’s
Opinion:
Signature:
Inspector’s
Site Engineer:

Page 1 of 1