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Pre-Use Scissor lift Inspection Checklist

Dated: ________________
Plate # / Engin # / Model : _______________________________________________________________
Sr. # Checklist / Areas Yes NO N/A Remarks
1 Operating and emergency controls are in proper working condition
2 Functional upper drive control interlocks
3 Emergency lowering function operates properly
4 Lower operating controls successfully override the upper controls
5 Both upper & lower controls are protected from inadvertent operation
6 Control panel is clean; all buttons and switches are clearly visible
7 All switch and mechanical guards are properly installed and in good condition
8 All safety indicator lights are in proper working condition
9 Drive controls function properly and are accurately labeled
10 Motion alarms are functioning
11 All guard rails are in place.
12 Work platform extension slides in & out freely with safety locking pins in place
13 Work platform and extension slides are clean, dry and clear of debris
14 Lift is free from defects such as cracked welds, fuel leaks, hydraulic leaks, etc.
15 Tires and wheels are in good condition with adequate pressure (if pneumatic)
16 Braking devices are operating properly
17 Oil level, Hydraulic oil level, Fuel level, Coolant level
18 Battery is charged and protected
19 Third party certificate is available for scissor lift

Safety Precautions Check to confirm


1 Personal protective equipment is in use (hard hat, fall arrest harness, etc.)
2 Floor conditions are safe for operation. (Dry, level, free from hazards)
3 There are no overhead obstructions.
4 Loads do not exceed safeworking capacity
5 Watch for vehicular and pedestrian traffic.
Is operator is fully aware of the hazards associated with scissor lift operations and have
6 experience?

7 Operator Name: ________________________________

Inspection Date & Time:

Inspected By Reviewed / Verified By

Name: _______________________ Name: ___________________

Desig:_________________________ Desig:_____________________

Sign:_________________________ Sign:_______________________
ORA-HRL JV CCI FGF Project
Weekly Electrical Inspection Checklist (Panels & DB's) Date: ______________
Electrical
Sr. # Construction Areas Panel DB-1 DB-2 DB-3 DB-4 DB-5 DB-6 DB-7 DB-8 DB-9 DB-10 Remarks

1 Disconnectors have proper covers & covers closed & fastened

2 Provision of Proper earthing to all DB's & Panels

3 Emergency stop devices work

4 Indicator lamps operating

5 Unused openings are plugged

6 Switches & circuit breakers labeled

7 Boxes & Cabinets labeled

8 All equipment doors of original design

9 Floors dry

10 High Voltage Signs Posted

11 No signs of deterioration of Panel / Equipment

12 No Storage in Electrical Panel

13 Power cords arranged in a neat and safe manner

14 No cords strung along walkways

15 On/Off switches function properly on all equipment

16 All the extension free of any damage and properly routed

Locations of DB's
Electrical Panel : Main Store Area
DB-1 DB-2 DB-3 DB-4 DB-5
DB-6 DB-7 DB-8 DB-9 DB-10

Inspected By: Reviewed &Verified By:


Desig: Desig:
Signature: Signature:

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