lift operators daily checklist · daily checklist inspection performed by: lift id # (serial...
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LIFT OPERATOR’SDAILY CHECKLIST
Inspection Performed by:LIFT ID #(serial number)
Week beginningRental Co/Equipment Model:
Note: This check must be made by the lift operator daily at the start of the shift. Check (√) the OK box if good, or the repair box for adjustments, givedetails in comment section below. Retain this form for one year.
MONOK REPAIR
Comments: (Items needing repair or adjustment)
Inspection Sequence
9900 Georgia St. Crown Point, IN 46307 Office: (219) 794-1495 Fax: (219)0756-0636
20Project Name: Project Number:
BATTERY
DECALS / NAME PLATE
EMERGENCY STOP & LOWERING FUNCTION
FIRE EXTINGUISHER (DATE / CHARGE)
FLUID LEVELS
Caution - If the lift is found to be in need or repair or in any way unsafe, or contributes to an unsafe condition, the matter shall be reported immediately to thedesignated authority, and the lift shall not be used until it has been restored to a safe operating condition. If during operation, the lift becomes unsafe in anyway, the matter shall be reported immediately to the designated authority, and the lift shall not be used until it has been restored to safe operating condition.Do not make repairs or adjustments unless specifically authorized to do so.
GUARD RAILS
HYDRAULIC CONTROLS / HOSES
LIGHTS, WARNING
TUESOK REPAIR
WEDOK REPAIR
THURSOK REPAIR
FRIOK REPAIR
SATOK REPAIR
SUNOK REPAIR
MOTION ARMS
OBVIOUS DAMAGE
STEERING
TIRES
DROP OFFS - Holes, platform edges, slopes, debrisincluding tools, equipment, materials
INSPECTING PERSON’S INITIALS - I have checked andverified to the best of my knowledge that everything is ina safe and proper working condition
OVERHEAD CLEARANCES - Pipes, beams, power lines