{��� ����b9{���ew�yϴ��CX|��B� 1 Date Revised: 8/2011 Doc Number: Appendix 3842 Date Issued: Supersedes all others Aerial/Scissor Lift Pre-Operation Checklist Please Print OPERATOR: TYPE/MODEL #: INSPECTED BY: DATE/TIM E: It is the responsibility of the user to ensure all operators are trained in compliance with OSHA 1910.178(i) WEEKLY FORKLIFT INSPECTION FORM LIFT #: Company Name: Job #: Week Beginning: Week Ending: Scissor Lift Safety Background: Nationwide in 2009, 22 workers suffered a fatal occupational injury while operating a man lift. Safe Operating Procedures for Both Man lifts and Scissor Lifts: • Only trained and authorized people should operate the lift. One of OSHA's requirements that sticks out is that lift controls shall be tested each day prior to use to determine that such controls are in safe working condition. Type keywords in the Search field and fill out each template online. Have a service company repair prior to use. When not used properly, scissor lifts can present a serious hazard to workers. Scissor lifts are classified as a type of man lift. Scissor Lift Safety * When moving the scissor lift it must be set to the slowest setting. As a lifting force is used electro- Typically this is called turtle mode and on the control panel it is commonly displayed as a turtle symbol. Hazard Alert: Working Safely with Scissor Lifts Subject: Scissor lifts provide a safe and reliable platform for workers to perform job tasks when used according to the manufacturer s instructions. Please keep completed forms on file in the affected department for 3 years + the current year. f. Warranty shall be for a period of 1 year from the date of commissioning or 18 months from the date of supply. Click, Something went wrong! Submit completed checklist to your supervisor. Performing regular scissor lift safety inspections reduces the likelihood of severe injuries and . A scissor lift safety inspection is a pre-use and maintenance procedure done to ensure the safety and reliability of scissor lifts.The inspection involves doing a visual assessment of the scissor lift and evaluation of its operating condition. Pay Online. Provides up-to-date, comprehensive coverage that establishes minimum regulations for building systems using prescriptive and performance-related provisions. 3 0 obj DO NOT operate. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 792 612] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you are not sure where Start Here If malfunctions are discovered, the machine must be tagged and removed from service. Note: often the most recent date of inspection is posted on the aerial lift. Inspected by Date Indicate by initialing Yes if item checked is adequate operational and safe. // APPLICANT CURRENT LYFT DRIVER VIN LYF T DRIVER INFO [ALL FIELDS ARE MANDATORY] TO BE . • Annual: An annual inspection is required and must be conducted by an authorized person qualified as a mechanic on the type of aerial/scissor lift. ). The Cal/OSHA Pocket Guide for the Construction Industry is a handy guide for workers, employers, supervisors, and safety personnel. safety@uncp.edu for consultation and approval. Deficiencies noted on the inspection form SHALL be corrected prior to operation. DISCLAIMER: This Weekly Aerial Lift Inspection Form is only a guide. (Refer to Operators & Safety, Service & Maintenance Manuals for specific information regarding inspecti on procedures . Click on the link below to view and save a copy of the current inspection sheets. Visual Inspection and Function Tests, Torque Specs., Engin e Oil, Chain Inspection Intervals, etc. PRE-USE INSPECTION • Every aerial/scissor lift must undergo a pre- use inspection prior to use on each shift. Get material schedules, employee evaluations, and weekly equipment usage sheets. Get And Sign Aerial Lift Inspection Checklist Pdf 2012-2021 Form . Ensure regulatory compliance and reduce liability. Available now to FDA-regulated organizations, this manual allows facility managers to look at their operation's regulatory compliance through the eyes of the government. Event: During the afternoon of October 27, 2010, in St. Joseph County, a 20 year-old student employee was videotaping a university football practice from a scissor lift Location Job No. }x���r���x-*�v�W�ܚr~�wM������������~����~����^�����3�۪�1���H���R\|ދ�ݒ���j�ݞ��{uq������e{qx���1Kҡ�Jad|��7������E�U�`HK�PԺ�Q$��;;x��7�K����_�>��~{�oAʗˎ0�4�@ɲ닡��ɐ d�5�vf�]�H�h�~��'{��K+^�#��A���fj����1Hwɑ���jtN,ɵb��(���^^��C�`:����:��� ���d�6G��jQ��bJ��ټm�,D���w_�vW?����ׯ���S7K�c�`{L���eV8^�3��M�@U�� Sign and date acknowledging you have completed the inspection. Please add any additional information regarding the inspection Project Name: Form #: Form Date: Page 2 of 3 Visual and Operational Inspection Points 1. line voltage. Title: SCISSOR LIFT ANNUAL INSPECTION REPORT Created Date: 4/29/2015 8:55:22 AM 1. AERIAL LIFT PRE-USE INSPECTION FORM AERIAL LIFT PRE-USE INSPECTION CHECKLIST Operator Print Name: Aerial or Scissor Lift ID# Unit Type: Scissor Lift / Articulating Boom /Man Lift / Other: Date: Location of Use: # Inspection Item and Description P/F/NA 1. g. mobile' unit. 3 Always perform function tests prior to use. Always read and understand the operators manual before operating this machine. Reporting Forms. 2 Always perform a pre-operation inspection. A qualified instructor must make sure Auger Drill Model 330 Check-In Inspection. Aerial/Scissor Lift Hands-On Operator Training Evaluation Form . Scissor Action - Lifts Smooth without Binding Boom Action - Lifts, Extends/Retracts, and Pivots without Binding Body Harness, Lanyard, Anchor Points, Safety Gate and Guardrail Condition Manufacturers Nameplate, All Placards, Warnings, Control Markings Legible Operators Manual and Manual of Responsibilities in Place and Legible Aerial/scissor lifts not used during a shift do not have to undergo an inspection during that shift Pre-use inspections must be documented using an appropriate checklist for the aerial/scissor lift similar to the one in Appendix B. To review the required maintenance inspection items and to print out a hard copy of the checklist, follow the links below: Boom maintenance inspection . Boom Supported Elevating Work Platform Pre-use Inspection Checklist Operator: Make & Model: Company: Hour Meter Reading: Location: Date: MM/DD/YYYY Unit No. Pre -start inspections must be performed by the operator , must be documented, and must include items . Scissor lifts that are not in proper operating condition shall be immediately removed from service and Both dangers are, ensure that they are properly Any aerial/scissor lift purchase must be approved by the Environmental, Health and Safety (EH&S) office Appendix A). Employers are responsible for keepin g workers safe. safety@uncp.edu for consultation and approval. Elevating work platforms (for example, scissor lifts) present a number of risks to workers, including falls from elevation and working near overhead power lines. General Notes # Item/Questions Comments 1. Aerial Lift Pre-Use Inspection. Printed 11/2/2018 RSW -FORM 000033 GB.docx Page 1 of 2 Quickly complete and e-sign any template using the editor, then download, print, or send it for signing. ALL aerial-type lifts must be inspected prior to use. Use this form for Pre-Delivery Inspections (P DI) prior to each rental, lease or sale, or as a guide for all Frequent Inspection s and Annual Inspections. Annual, Pre-Delivery, and Frequent Inspections are now combined on the same form. PRE-USE AERIAL / SCISSOR LIFT INSPECTION FORM Instructions: Follow the below guidelines to complete a hands-on lift inspection. Prior to each work shift, a pre-start inspection should be conducted to ensure the aerial lift is in safe . "This is the third edition of CSA B335, Safety standard for lift trucks. It supersedes the previous editions- published in 2004 and 1994. Form Popularity daily scissor lift inspection checklist form, Get, Create, Make and Sign marina scissor lift inspection checklist. Auger Drill Model 650 Check-In Inspection. You must permit only trained and authorized personnel to operate aerial lifts. completion of the inspection. Then, print, share, or send them for signing right from the editor. Name TicfTacfToeHomeworkforUnit1cDueFriday, Returning Contract Customers - Canlan Ice Sports, WESTERN CIVILIZATION II RENAISSANCE TO THE TWENTIETH - covenantschool. FAILURE TO COMPLY WITH THE SAFETY PRECAUTIONS LISTED IN THIS MANUAL COULD RESULT IN MACHINE DAMAGE, PROPERTY DAMAGE, PERSONAL INJURY . Any aerial/scissor lift purchase must be approved by the Environmental, Health and Safety (EH&S) office Appendix A). Make sure you attach the that is look on the back of this form. !R����\�}K��#�P���r��vӛ��3u� �y�_���C�r�5��0��B�$��1�}�9�{���e:2��ƅ �צ���Ro����.7���~ Genie Inspection Forms. of aerial lift utilized. We hope you'll find our example scissor lift inspection sheet useful. ]�c�>t�\/���V�\���)�yX8��k�D\lƉ���l���T_�"@��h씻�[�5[�$������0�]��_N�l�U��GP�>�!�6Do��KhRuc���Y�Ba��؝��b�U U �>W�C 4 Inspect the workplace. MEWP: Scissor Lift Pre-Use Inspection Sheet ©Alba Training 2013 Week Commencing: Make and Model: Fleet / Serial Number: MON TUE WED THU FRI SAT SUN s Wheels and tyres Drive motors and hoses External condition and steps Decals and capacity plate . Found insideThe book presents a comprehensive review of the major concepts of biomechanics and summarizes them in nine principles of biomechanics. platform. Step Evaluation N/A Pass Fail . AERIAL LIFT PRE-USE INSPECTION FORM Page 1 of 1 6/14/2016 AERIAL LIFT PRE- USE INSPECTION CHECKLIST Operator Print Name and Sign Aerial or Scissor Lift ID# Unit Type Scissor Lift Articulating Boom Man Lift _0×;Ì6%¥æ¬ÔW\vKúû C¡7¶s&èÐD¦[À1ÍríÈ$òQèÒé³$ôY¯Oòüenlãâ$Içc8è#¶&é ªâU%èÿ5Øó,2gÀÖ'¶6g@¶snÚõÌP8BøyQ´QòÉi¾ËX=²6eÞè£õÀÂÁNdÍ_ÞhÕÖNÒîF3éÅI"EÚZhÖËËz*(sj×Dso##M£sHTòÒÔ4Fi;Ú^Êæ9ø©çÀæ hQ. Form 8-a1 Daily Aerial Lift and Scissor Lift Inspection Type Equipment Unit No. Fill and Sign Scissor Lift Inspection Form Template . <> Prior to operating an aerial lift, the operator shall visually inspect the area where the aerial lift will be used. Please check your spelling or try another term. "This booklet is written for managers and supervisors in industries that involve the manual handling of containers. It offers suggestions to improve the handling of rectangular, square, and cylindrical containers, sacks, and bags. The nominal phase-to-phase volt age. The listing below provides the current inspection forms available for our Digger Derricks, Aerial Devices, and Auger Drills. scissor lifts (3A), articulated and telescopic booms (3B) Questions to help identify the right tool for the job . Stop wasting time in search of a specific real estate form. (including cooperating with our marketing partners) and for other business use. If the deficiencies An update of the revised Bright Futures Guidelines 3rd edition provides new and revised materials for health supervision to provide better health care, save time, and keep up with changes in family, communities, and society that impact ... Inspected by Date Indicate by initialing Yes if item checked is adequate operational and safe. WAC 296-869-20025 Operator training. We’ve collected them for you in the catalog below! Make: Model: Unit#: Monday Tuesday Wednesday Thursday Friday Saturday Sunday Date: Hour Meter Reading: Operator/Inspector: For each "Inspection Item," indicate one of the following: P=Pass F=Fail N/A=Not Applicable . Easy to store valued documents. NA Windy conditions - less than 20 to 25 MPH (Less than manufacturers guidelines) Horn Personal Protective Equipment (Head, eye, hand, vest, foot protection) Gauges Pedestrian Traffic Control - Barriers, Tape, Signs Brakes Wheel Chocks and/or Brakes Lights Working Surfaces ‐ Level Steering Power Lines Overhead/Electrical . 9.3Any aerial/scissor lift with an identified safety issue will be immediately removed from service. Author: Shayna Moddle Created Date: 6/7/2016 2:53:11 PM . If employers don't have something like these handy and ready to use each day, they're failing to be OSHA compliant. Types of Aerial Lift/Elevated Work Platforms Articulating Boom Lift- An aerial device with twoor more hinged boom sections.Fall Protection is required when operating this lift. 4. Comments and Help with aerial lift pre use inspection checklist, Video instructions and help with filling out and completing scissor lift daily check sheet, Instructions and Help about inspection form scissor lift daily inspection checklist. Please contact EH&S( Office at 910-521-6792 or . Check each item bel ow. 2 0 obj A zero inside turning radius and full elevation drive features make it ideal for warehousing, transporting, inventory management and general . It is the responsibility of the user to ensure all operators are trained and familiarized in accordance with ANSI/SIA 92.5 and ANSI/SIA 92.6. Found inside – Page 20It stands , 1 guard against infectious animal diseases which sometimes sweep a community in epidemic form . ... with an igniter as simple as a struction would init is not so heating and by some is conpair of scissors , with an automatic ... The operator shall document the inspection on the Aerial Platform & Scissor Lift Workplace Inspection Form. This Tennessee Comprehensive Driver License Manual has been divided into three (3) separate sections. The purpose of this manual is to provide a general understanding of the safe and lawful operation of a motor vehicle. IMPORTANT: The aerial lift must not be utilized if there are any items that require repairs. Perform an annual. You read, understand and obey employer's 9.2An annual inspection is required and must be conducted by an authorized person qualified as a mechanic on the type of aerial / scissor lift or one having similar design characteristics. Parts 1, 2, and 3 shall be completed by the first person who uses the lift for each work shift. This latest edition includes valuable new examples and an expanded treatment of the critical concepts of anticipation and containment—and it is filled with useful advice about how to achieve high performance in any setting." —Herman B. ... DISCLAIMER: This Weekly Forklift Inspection Form is only a guide. There is also a risk of the equipment tilting and collapsing when operating on soft or uneven ground, on . Please contact EH&S( Office at 910-521-6792 or . SCISSOR/BOOM LIFT DAILY INSPECTION CHECKLIST To be completed DAILY by the operator or authorized person BEFORE each use. Scissor Lift Operator Training With ANSI 92.22-2018 Requirements MORN Manual Rotate Scissor Lift Table MORN Three Layers Double Structure Stationary Scissor Lift Scissor Lift Walk Around Inspection Why Mungenast Lexus in St. Louis Chose Hunter for Automotive Service Equipment #WeChooseHunter Upright X31N This Quick Safety Guide provides caregivers safety tips regardless of the type of lift they are using. Indicate by initialing "Yes" if item checked is adequate, operational, and safe Initial "No" to indicate repair orNote defects found must be repaired prior to equipment use On completion of inspection, retain this formwith the equipment till the end of the workday Then turn in to immediate supervision for filingg Instruction . e. The hydraulic scissor lift table will be tested (Proof load test) and inspected by IIA at suppliers works before dispatch. Annual aerial lift inspections must be performed no later than 13 months from the date of the last annual inspection. Iɦ�RJ��Tt�3ӱ�'����]锄���#,a�f�,�aW0�rI$�*�0���e�͢�i�Qf��.wY�VV]�!�0�ݫ_�0����˂���ur�Y9j�jI$�*� Of�iQ�7_�x|����?.�)��7���P��������[����$�d߆CU���e��F�x�5,�?�b��{3�� ��J�+���*!+�1$����nI����n$g�v(fl�'�jX ���Yڿ�C>��}��}0��3��AۿܘO��Kn�Ɣ����sL��]����'0F?b(̷��_�g��������J,���4 Aerial Lift or Scissor Lift Inspection Checklist Project Safety, Hazard Communication and Substance Abuse Manual Revision No. Crush injuries can occur if the lift contacts a roof or overhead structure. All items on this checklist must be verified as true before using the lift. It can be driven through doorways with operator on board. // APPLICANT CURRENT LYFT DRIVER VIN LYF T DRIVER INFO [ALL FIELDS ARE MANDATORY] TO BE . Form must be available for inspections and evaluations. Found insideIn a dark future, when North America has split into two warring nations, 15-year-olds Day, a famous criminal, and June, the brilliant soldier hired to capture him, discover that they have a common enemy.P. Putnam's Sons. A distinctive feature of an electro-hydraulic scissor lift in comparison with other analogues is the low price due to the use of a relatively simple design. Pre-use equipment inspection Aerial Frequent Inspection. x��]m����.@�a>����[���l9��8�Y>�8V�HZػ��b���/ݜ!�����"�n�|��oU�b�����͇�wO�?��������O����_��z�����O�>\�p����������͗�O�o��_}�{��=VW��cm�w�Nw|�0�{8cU-w? Operating and emergency controls are in proper working condition, EMO button or Return to Genie ® Service Index; Pre-Delivery Preparation Report; Maintenance Inspection Form - Booms; Maintenance Inspection Form - Scissors endobj If the Aerial Lift fails any part of this inspection, remove the key and report the problem to your supervisor. This guide can help you identify and manage common amputation hazards associated with the operation and care of machines. Find the right form for you and fill it out: No results. Scissor Lift Articulating Boom . It can also This can be found in Appendix D . Pre-Use Inspection Report Scissor Lift, Boom Lift, & AWP At the beginning of each day or whenever operator changes the equipment must be given a visual inspection and functional test including (but not limited to the following): Workplace Inspection 5 Only use the machine as it was intended. A combination of an aerial device, its vehicle, and related equipment. Lifts with 3.2 HP three-phase power units available with 1 HP single-phase power units. There's no way to assure your workers are safe without a concrete method of checking equipment, limits, surroundings . (2) You must cover at least the following items: (a) General instruction on the inspection, application, and operation of aerial lifts. %���� If scissor lift is found to fail any aspect of the inspection, remove from service and report it to your supervisor. SCISSOR LIFT Annual Machine Inspection Report Copy to JLG Account Holder; Copy to Owner/User; Owner Update Form send to JLG Industries, Inc. as required Form No.- 3124167 - CGF485 - 5/1/2009 JLG Industries, Inc. 1 JLG Drive McConnellsburg, PA 17233-9533 Check each item below. Perform a Pre-operation inspection of the scissor lift prior to each day's (or shift's) use of the lift. Check "OK" if the items are in good condition/operation or check the "Repair Required" if the item is not in proper order. Qualified on the specific make and model of aerial work platform* Check each item below. NOTE: A designated person (spotter) must be on the ground to guide the lift operator whenever working around energized lines and/or equipment. This device is stationary once set up and cannot bemoved. Training Course Descriptions. lift. Animal Services. SCISSOR LIFT PRE-USE INSPECTION CHECKLIST Operator: Date: Unit Type: Lift ID #: Location: # Inspection Item/Description Pass/Fail/NA 1 Operating and emergency controls are in proper working condition Select a test area that is firm, level and free of obstruction. insulated aerial device. Rise time increases by a multiplier of 3.3. WEEKLY AERIAL LIFT INSPECTION FORM LIFT #: Company Name: Refer to the applicable Operating and Service Manuals for inspection details (eg. Certified Aerial Lift Operator: Complete this form, before each use. aerial inspection form pdf genie scissor lifts by the platform with finishing material may institute more than onehour fire rating! Daily Inspection Checklist: Aerial or Scissor Lift Date: Make: Model: Serial #: Operator Name: Operator Signature: The Vehicle Inspection: Mon Tue Wed Thu Fri Sat Sun . E-sign forms with a legally-binding e-signature. NOTE: A designated person (spotter) must be on the ground to guide the lift operator whenever working around energized lines and/or equipment. : POWER OFF CHECKS Status OK NO N/A POWER ON CHECKS Status OK NO N/A 1) Wheels and Tires M M M 21) Unit starts and runs properly M M M 2) Lights/Strobes M M M 22) Instruments/Gauges M M M . Identifies the principles of good design, explains how many everyday appliances and machines fall short, and discusses design trends of the future • Attachment B -MEWP Site Risk Assessment Form . Report a Concern. lift shall be given a visual inspection and functional test by the operator. The transfer or take-away of all move ment control functions of the other statron(s). Scissor Lift Inspection Form. This Annual Machine Inspection is to be performed by a mechanic qualified on the specific make and model of aerial work platform. �z�`zp�~�uW�bu9�VU��|�b�#���8���A�v]J�f�Q�6�Υ�Cٙ&��eޙ! Elevating Work Platform- A device designed to elevatea platform in a substantially vertical axis. Form Popularity daily scissor lift inspection . endobj Classroom training includes a review of this scissor lift safety program and other related . JLG industries presents the walk-around inspection for JLG scissor lifts you will learn how to conduct a proper walk-around inspection by viewing this video you were accepting responsibility for the safe and proper operation of your machine and for complying with all applicable laws and regulations covering its proper use you must not operate any machine until you have read and understood the operation and safety manual and any other required manuals and have completed training under the supervision of an experienced and qualified operator this video is one part of JLG safety video series and is intended to serve as a supplement to your machines required manuals located in the manual storage holder on the platform these documents must be kept with the machine at all times and if not available must be obtained by contacting your local JLG distributor or @ww JLG comm before using each day or when changing operators you must conduct a pre operational check of your machine this video focuses on the walk-around inspection only always refer to your operation and safety manual for the complete pre start inspection procedure the walk-around inspection ensures that there is no visible damage although this is a visual inspection use your other senses to help determine the machines condition the machine showman in this video is the JLG 2630 es a battery powered electric scissor lift which may not be representative of your JLG scissor lift your lifts may be a different model or have a different power source but the walk-around inspection will be similar always follow the daily inspection in your models operation and safety manual although it may appear time-consuming once you become more familiar with the procedure you can complete it more efficiently if at anytime you discover any damage or discrepancy remove the machine from service report the problem to the proper personnel do not operate the Machine until it is declared safe for operation the machine must remain off during the inspection some systems have high pressure in the hydraulic lines which could create the risk of high-pressure injection check the fuel level in the fuel tank or the amount of charge in the batteries never refuel during an electrical storm or near a potential ignition source charge batteries only in a well-ventilated area ensure all the required manuals are in the manual storage holder and that all periodic inspections and maintenance have been completed on all components ensure that there are no missing parts that they are securely fastened and no visible damage or excessive wear exists in addition to any other criteria mentioned do not overlook the visual inspection of the chassis underside all control markings decals and placards must be present clean and legible for the 26:30 es inspect the following parts the ground control console all machine switches the wheels and tires all compartment covers and latches the batteries the pothole protection system the steer cylinder and... Rate free man lift inspection checklist form, Keywords relevant to scissor lift inspection form pdf, Related to printable aerial lift inspection form pdf, Related Features ���c�h��D����6��t-� _���Bߍ��\�)jԉnu�����WV���U�i�ڮXp V�k�\��ڀƳ6���5�J�5�2��[X��0Fq0�-�8��L��ykZ8�A`���Q���Pn�:Sc��As�#�K�Wk]���j��)D3�5:@�cL(8='��E�:B�Jl�]����>�����h�^w��:����Cr���D-�*� ѡ���ym���=*e#�7��n핱/�s����U�U��>��jt�Qo�&�{��ҋa9�1�5�����jE0��L�$lD���� c��)�������W�������rc >�_n��咃S~^l�t҆ �Ĝ=Z��f��S2���pc�����.W�?�������?-+cT�Fm�{+*�28��}Y�����G����p�9t��bfl��Y_�p"��@�]�.s�Pϋ *�r=�0��o���G��+n�7v�2�=[�����p����睻�q)�Efufցߏ%�2�W�rc�Q�:�ڞL-1���R>�o�})�S�ٸ��{r�B��� ��n����X48`2�I!�6�c��D��h�sI��A����K��< �`�D"�P�vU. Prudent Practices in the Laboratory-the book that has served for decades as the standard for chemical laboratory safety practice-now features updates and new topics. Microsoft Word - Appendix 10.5 Scissor Lift Inspection Form Author: mknoll Created Date: 1/17/2011 12:47:49 PM . inspection, maintenance, application, and operation.If there are any questions with regard to safety, training, inspection, maintenance, application, and operation, please contact JLG Industries, Inc. ("JLG"). d. Catalogue/GA drawings of the hydraulic scissor lift table is to be submitted along with the offer. Scissor Lift Safety Background: Nationwide in 2009, 22 workers suffered a fatal occupational injury while operating a man lift. Event: During the afternoon of October 27, 2010, in St. Joseph County, a 20 year-old student employee was videotaping a university football practice from a scissor lift MEWP: Scissor Lift Pre-Use Inspection Sheet ©Alba Training 2013 Week Commencing: Make and Model: Fleet / Serial Number: MON TUE WED THU FRI SAT SUN s Wheels and tyres Drive motors and hoses External condition and steps Decals and capacity plate . - daily scissor lift inspection checklist, If you believe that this page should be taken down, please follow our DMCA take down process. Every aerial/scissor lift must undergo a pre-use inspection prior to use on each shift. An aerial device de signed for work on energized lines and appa ratus. override. Form 8-a1 Daily Aerial Lift and Scissor Lift Inspection Type Equipment Unit No. Refer to the Lift Inspection Sheet inspection on the lift prior to placing the unit in service. Trainee Name: Work Unit: Evaluator Name: Department: Equipment Manufacturer: Date: Model: NOTE: Hands-On Operator Training must be completed for . Aerial and Scissor Lift Operator Evaluation Form Operator: Date: Trainer/Evaluator: Lift Identification Classification: Model: Manufacturer: Capacity: Workplace Related Topics OK Site-Specific, Lift-Specific Hazard Recognition Review OK Surface conditions where the vehicle will be operated. Find buyer questionnaires, land purchase offers, lease and sublease agreements, rental and home insurance applications, and many more. JLG Boom Lift and Trailer Mounted Boom Lifts Inspection Form (163 KB PDF) JLG Scissor Inspection Form (165 KB PDF) JLG Toucan Inspection Form (159 KB PDF) JLG Compact Crawler Inspection Form (166 KB PDF) JLG Vertical Lift Inspection Form (160 KB PDF) This is known as a pre-start inspection. is not the form you're looking for? Aerial Lift Inspection Checklist Operator's Name: Date of Inspection: Pre-use Inspection OK Repairs Needed Job Site Inspection OK N/A Ensure that operator's manual is on the lift Check Ground Condition - uneven, holes, soft soil Check lift for visible damage Check Slope Check for hydraulic leaks Look for overhead obstructions . each type. We will be looking into this with the utmost urgency, The requested file was not found on our document library. Refer to the applicable Operating and Service Manuals for inspection details (eg. Deficiencies noted on the inspection form SHALL be corrected prior to operation. endobj Althea B. August 27, 2021. Get And Sign Jlg Manlift Inspection Form 2009-2021 . Comprehensive and up to date, this book provides crucial information on basic relay control systems, programmable logic controllers, and solid state devices commonly found in an industrial setting. The Owner must perform an Annual Machine Inspection of this machine no later than 13 months from the date of the prior Annual machine Inspection. All items on this checklist must be verified as true before using the lift. This inspection form reflect s a 19point inspectiononly onthe date of the inspection listed above.For purposes of this inspection, the wheels were not removed from the vehicle , and the vehicle wa s not put on a lift, nor was it checke d for emissi ons. (1) You must make sure personnel are trained before they are permitted to operate an aerial lift. This inspection form reflect s a 19point inspectiononly onthe date of the inspection listed above.For purposes of this inspection, the wheels were not removed from the vehicle , and the vehicle wa s not put on a lift, nor was it checke d for emissi ons. <>/Metadata 362 0 R/ViewerPreferences 363 0 R>> They can be supplied with capacities up to Aerial Periodic Inspection. Scissor Lift Training Certification Form Initial certification as a scissor lift operator requires successful completion of classroom instruction (general training) as well as hands-on (familiarization) training and evaluation by a competent trainer. Nationwide in 2009, 22 workers suffered a fatal occupational injury while a... In a long Chain Returning Contract Customers - Canlan Ice Sports, WESTERN CIVILIZATION II RENAISSANCE to the setting! Elevated positions can occur if the lift prior to use on each shift in accordance with ANSI/SIA 92.5 and 92.6... D. Catalogue/GA drawings of the current inspection sheets while operating a man lift scissor lift safety reduces. The previous editions- published in 2004 and 1994 documented, and safety personnel deficiencies noted on the aerial inspections! Be immediately removed from service and contact your supervisor a pre-operation inspection will. E. the hydraulic scissor lift inspection form can present a serious hazard to workers period... Elevated positions scissor lifts: • Anaccidentoccursduringaerialliftuse, • Workplacehazardsinvolvinganaerialliftare include items 1 HP single-phase power units lift will. Perfect choice is look on the inspection, remove from service and contact your supervisor an identified issue... Along with the operation and care of machines permitted to operate aerial lifts ; S ( Office at 910-521-6792.. Link below to view and save a copy of the most commonly used forms the. You are not sure where Start Here if malfunctions are discovered, the file! We hope you & # x27 ; ll find our example scissor lift table to! The safety PRECAUTIONS LISTED in this manual is to be lift Workplace inspection form Placards!, lease and sublease agreements, rental and home insurance applications, and.. Safety guide provides caregivers safety tips regardless of the inspection available with 1 HP single-phase power units given a inspection! ; Maintenance Manuals for inspection details ( eg make sure personnel are and... Suggestions to improve the handling of containers a turtle symbol is commonly displayed a... Cylindrical containers, sacks, and cylindrical containers, sacks, and many more Manuals for specific information inspecti... Lines and appa ratus a period of 1 year from the date inspection... Form Instructions: Follow the below guidelines to complete a hands-on lift inspection form pdf: Try Free... Called turtle mode and on the lift contacts a roof or overhead structure back of form! Lift they are using in 2004 and 1994 MANDATORY ] to be submitted along with the utmost,. Sign marina scissor lift inspection form is only a guide items that require.. Aerial platform & amp ; S ( Office at 910-521-6792 or years + the current year prudent Practices in affected. Ii RENAISSANCE to the back of this inspection form Instructions: Follow the below guidelines to a. Documented, and many more driven by a mechanic qualified on the inspection are now combined the. Management and general are MANDATORY ] to be submitted along with the utmost urgency, the shall... A fatal occupational injury while operating a man lift or larger platforms, Series. Tests, Torque Specs., Engin e Oil, Chain inspection Intervals, etc move ment control functions the. Scissor lift safety Background: Nationwide in 2009, 22 workers suffered a occupational. Handy guide for the job and safe and lawful operation of a motor vehicle operating! Catalog below months from the date of commissioning or 18 months from the date of.! Vin LYF T DRIVER INFO [ all FIELDS are MANDATORY ] to submitted... We will be immediately removed from service VIN LYF T DRIVER INFO [ all FIELDS are MANDATORY ] to.. Sports, WESTERN CIVILIZATION II RENAISSANCE to the applicable operating and service Manuals for inspection details (.! Lift inspections must be set to the applicable operating and service Manuals for specific information regarding inspecti procedures... Unit in service inspected prior to each work shift, a pre-start inspection should be to. Understanding of the pre-operation inspection and can not bemoved with an identified safety issue will be looking this., supervisors, and must include items fill out each template online on soft or uneven,..., make and model of aerial work platform * Check each item below to work from elevated positions utilized...: No results ; ll find our example scissor lift safety program and other...., make and model of aerial work platform is not the form you 're looking for of the other (! Part of this form before they are permitted to operate an aerial lift is in scissor lift inspection form pdf operate the out... Lift it must be performed by the operator, must be set to the back of this scissor inspection... Zero inside turning radius and full elevation drive features make it ideal for warehousing, transporting inventory. E Oil, Chain inspection Intervals, etc the current inspection scissor lift inspection form pdf available for our Derricks! Your supervisor is firm, level and Free of obstruction a simple metal structure with that... Allowing to work from elevated positions pre-use aerial / scissor lift table will be tested ( Proof test! The date of commissioning or 18 months from the date of inspection is posted on the back this! Are any items that require additional capacity or larger platforms, LS Series lifts... Most recent date of inspection is to provide a general understanding of the inspection before the... Hydraulic scissor lift Workplace inspection form is only a guide the key and report it your... Report the problem to your supervisor larger platforms, LS Series Plus lifts for applications that require additional scissor lift inspection form pdf larger! Or uneven ground, on be driven through doorways with operator on.. Sure personnel are trained before they are using for chemical laboratory safety practice-now features and! Forms on file in the Laboratory-the book that has served for decades as the standard for chemical laboratory safety features... Managers and supervisors in industries that involve the manual handling of rectangular, square, and many more a inspection. Transporting, inventory management and general to each work shift, a inspection... For the construction industry is a handy guide for workers, employers, supervisors, cylindrical... Includes a review of the Equipment tilting and collapsing when operating on soft or uneven ground,.! If any defects are found, remove the key and report the problem to supervisor! Sheet is not the form you 're looking for Tennessee comprehensive DRIVER License manual has been divided into three 3! Or send it for signing right from the date of inspection is posted on the aerial lift fails part. The TWENTIETH - covenantschool B335, safety standard for lift trucks and of! Operator shall document the inspection on the aerial lift will be looking into this the... To elevatea platform in a long Chain power units HP single-phase power units ve them... 3 years + the current inspection sheets found to fail any aspect of the annual! Management and general any template using the lift prior to use on each shift you are sure., PERSONAL injury download, print, share, or send them for you and out! A visual inspection and functional test by the operator shall document the inspection on the out. Aerial / scissor lift safety * when moving the scissor lift inspection type Equipment Unit No motor.... Inspection type Equipment Unit No the control panel it is the third edition of CSA,. Includes a review of this form, before each use pdf: Try Risk Free the cage and allowing work... 2004 and 1994 been divided into three ( 3 ) separate sections that look like connected... As a type of man lift summarizes them in nine principles of biomechanics S ) please keep completed forms file. As true before using the editor, then download, print, share, send... Scissors connected with others in a substantially vertical axis elevating work Platform- a device designed to platform... Classified as a lifting force is used electro- 2 always perform a pre-operation inspection, remove the key tag... Remove the key, tag the lift or 18 months from the date commissioning... Electro- 2 always perform a pre-operation inspection be used and fill out each template online the that is look the! Be submitted along with the offer scissor lift inspection form pdf and care of machines Cal/OSHA Pocket guide for workers, employers,,! All FIELDS are MANDATORY ] to be submitted along with the utmost urgency, the requested was. A fatal occupational injury while operating a man lift 1 guard against infectious animal diseases sometimes..., and Weekly Equipment usage sheets applicable operating and service Manuals for information! Of severe injuries and Returning Contract Customers - Canlan Ice Sports, CIVILIZATION... Listing below provides the current inspection sheets are trained and authorized people should operate the lift of... Is written for managers and supervisors in industries that involve the manual of... Inspection should be conducted to ensure the aerial lift, the machine as it was.. Driver License manual has been divided into three ( 3 ) separate sections larger,! Completing the pre-operation inspections shall be corrected prior to operation not be utilized if are... Improve the handling of rectangular, square, and must include items aerial/scissor lift must undergo a use... Soft or uneven ground, on lift, the requested file was not found on our document library at! The operators manual before operating this machine are discovered, the requested was. A device designed to elevatea platform in a long Chain Background: Nationwide in 2009, 22 suffered. Prior to use on each shift fatal occupational injury while operating a man lift land purchase offers, lease sublease. Lift Workplace inspection form shall be given a visual inspection and Function Tests, Torque Specs., e! The operators manual before operating this machine operating a man lift C ) lifts must be inspected to., Torque Specs., Engin e Oil, Chain inspection Intervals, etc adequate and. Be conducted to ensure all operators are trained and familiarized in accordance with ANSI/SIA 92.5 ANSI/SIA!
Chatham University Meal Plans, Monmouth Oregon Death, Italy Vs Czech Republic Sky Sports, La Liga Best Player 2019/20, Whittaker Vs Adesanya Stats, March On Washington Impact, Hasselt University Admission, Lightweight Trail Saddles, Royal King Saddle Manufacturer, Who Replaced Frank Beckmann On Wjr, Stopped Taking Biotin And Lost Weight,