MEWP Inspection Checklist – Southam and Associates

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Employee's Name *

First

Last

Date *

Company *

Manual present and stored properly? *

Fluid Levels /Leaks *

Wheels and Tires *

Structural components in good condition? *

Guards, Covers, Decals, Nuts, Bolts, Guard Rails *

Gauges working, Lights, Alarms, and Horn *

Lift and Lower System *

Brakes, Steering, and E Stop *

Boom in/out smoothly *

Rotation is smooth L/R *

Basket movement L/R *

10 feet or more away from powerlines *

Surrounding area is free from debris and hazards? *

Harness tied off to proper intended place *

Additional Comments:

Photo upload, if needed.

Click or drag files to this area to upload. You can upload up to 5 files.

We look forward to hearing from you!

Utah's Industry Leader in Sheet Metal Roofing and Siding