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Kenai Peninsula
North Slope
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Aerial Lift Pre-Shift Inspection
Scissor Lift / Boom Lift / MEWP Daily Inspection
OSHA 1926.453 / 1910.67 REQUIRED
📋
Inspection Information
Date
*
Shift
*
Select Shift...
Day Shift
Night Shift
District / Base
*
Select District / Base...
Kenai
CIO
Kuparuk
Alpine
Willow
Pikka
Badami
Point Thomson
Endicott
Northstar Island
Prudhoe Bay East
Prudhoe Bay West
Deadhorse
Shop / Yard
In Transit
Other
Operator Name
*
Lift ID / Unit #
*
Lift Type
*
Select Type...
Scissor Lift
Boom Lift - Articulating
Boom Lift - Telescopic
Vertical Mast Lift
Personnel Lift
Trailer-Mounted Lift
Other MEWP
Power Type
*
Select...
Electric (Battery)
Diesel
Propane (LP)
Dual Fuel
Hybrid
Gas
Hour Meter
*
Make
Model
Max Height (ft)
Capacity (lbs)
Serial Number
🔍
Pre-Operation Inspection
ANSI/OSHA Requirement:
Aerial lifts must be inspected before each shift. Do not operate if any safety defects are found.
Documentation & Labels
Pending
✓
Operator manual available
✓
Capacity/load chart visible
✓
Safety/warning decals legible
✓
Annual inspection current
✓
OSHA/ANSI compliance labels
✓ PASS
✗ DEFECTS
Base & Frame
Pending
✓
Frame - no cracks or damage
✓
Welds - no cracks or defects
✓
Outriggers/stabilizers functional
✓
Mounting hardware secure
✓
No visible structural damage
✓ PASS
✗ DEFECTS
Tires & Wheels
Pending
✓
Tire condition - adequate tread
✓
Tire inflation - proper pressure
✓
No cuts, bulges, or damage
✓
Wheel lugs tight
✓
No missing or damaged wheels
✓ PASS
✗ DEFECTS
Hydraulic System
Pending
✓
Hydraulic fluid level adequate
✓
No hydraulic leaks
✓
Hoses - no damage or wear
✓
Cylinders - no damage or leaks
✓
Fittings secure
✓ PASS
✗ DEFECTS
Lift Mechanism
Pending
✓
Scissors/boom - no damage
✓
Pivot pins secure
✓
Extension cylinders functional
✓
Slide pads adequate (scissor)
✓
Boom sections extend/retract smoothly
✓ PASS
✗ DEFECTS
Platform / Basket
Pending
✓
Platform floor - no damage
✓
Guardrails secure
✓
Mid-rails in place
✓
Toeboards secure
✓
Gate/entry chain functional
✓
Extension deck secure (if equipped)
✓ PASS
✗ DEFECTS
Ground Controls
Pending
✓
Emergency stop functional
✓
All controls labeled
✓
Controls return to neutral
✓
Override key/switch present
✓
Emergency lowering functional
✓ PASS
✗ DEFECTS
Platform Controls
Pending
✓
All controls functional
✓
Emergency stop functional
✓
Controls labeled and legible
✓
Foot switch functional (if equipped)
✓
Drive/steer controls respond properly
✓ PASS
✗ DEFECTS
Electrical / Battery
Pending
✓
Battery charged adequately
✓
Battery connections secure
✓
No corrosion on terminals
✓
Wiring - no damage or exposure
✓
Charger functional
✓ PASS
✗ DEFECTS
Safety Devices
Pending
✓
Tilt alarm/indicator functional
✓
Descent alarm functional
✓
Load sense system (if equipped)
✓
Limit switches functional
✓
Travel alarm functional
✓ PASS
✗ DEFECTS
PPE Available
Pending
✓
Hard hat available
✓
Safety harness available (boom lifts)
✓
Lanyard available and in good condition
✓
Harness inspection current
✓
Anchor point identified
✓ PASS
✗ DEFECTS
Complete all sections above to see overall status
✅
Certification & Actions
Additional Defects/Damage Description
Corrective Actions Required
Safe to Operate?
*
Yes
No
Supervisor Notified?
*
Yes
No
N/A
Lockout/Tagout Applied?
*
Yes
No
Fall Protection Required?
*
Yes
No (Scissor)
Work Area Inspected?
*
Yes - Ground conditions, overhead hazards, slopes checked
No
Operator Signature (Type Full Name)
*
Additional Comments
✅ Submit Aerial Lift Inspection
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