Daily_Pre-Shift_Inspection AERIAL WORK PLATFORM DAILY PRE-SHIFT INSPECTION Before equipment operation on each work shift, the aerial work platform and area of planned usage shall be given a visual inspection by the operator for equipment defects and the location of hazards that could affect the equipment’s safe operation and use. SAT = Satisfactory UNSAT = Unsatisfactory N / A = Not Applicable DO NOT OPERATE IF EQUIPMENT OR SIDE CONDITIONS FAIL INSPECTION*RequiredJob NameJob #1. Operator *(Required)2. Date(Required) MM slash DD slash YYYY 3. Equipment Type4. Manufacturer5. Model Number6. Serial Number7. EQUIPMENT INSPECTION – Operating and emergency controls SAT UNSAT N/A 8. Safety Devices and designed fall protection tie-off points SAT UNSAT N/A 9. Fuel, hydraulic and batter water levels SAT UNSAT N/A 10. Air, fuel and hydraulic lines SAT UNSAT N/A 11. Cables and wiring harnesses SAT UNSAT N/A 12. Associated equipment parts and assemblies (check for damage) SAT UNSAT N/A 13. Tires and wheels (proper inflation and condition) SAT UNSAT N/A 14. Equipment welds (check for any cracked welds) SAT UNSAT N/A 15. Structural members (check for bent or broken members) SAT UNSAT N/A 16. Outriggers, stabilizers, extendible axles and other relevant components SAT UNSAT N/A 17. Warning and control decals or placards (present and legible) SAT UNSAT N/A 18. Guardrail system, safety gates and chains SAT UNSAT N/A 19. Platform condition (platform is free of slip and trip hazards) SAT UNSAT N/A 20. Operating and Safety Manual available & legible SAT UNSAT N/A 21. Correct Personal Protective Equipment in place (PPE) SAT UNSAT N/A 22. SITE INSPECTION – Ditches or trenches SAT UNSAT N/A 23. Drop-offs, slopes, and extreme elevation changes SAT UNSAT N/A 24. Holes SAT UNSAT N/A 25. Bumps, floor obstructions or protrusions SAT UNSAT N/A 26. Overhead power lines or other electrical conductors SAT UNSAT N/A 27. Wind and inclement weather SAT UNSAT N/A 28. Other equipment or personnel affecting operation of aerial lift SAT UNSAT N/A 29. Sufficient clearance SAT UNSAT N/A 30. Surface capable of supporting the equipment in all configurations SAT UNSAT N/A