AUTO LIFT INSPECTION FORM
Client's Name
First Name
Last Name
Client's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
EVALUATIONS
FUNCTIONS & OPERATING CONTROLS
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Checking and recording emergency stops and brakes.
1
2
3
2. Checking whether the Safety Signs are readable.
4
5
6
3. Checking that the ground emergency stop switches and platform control stations are working properly.
7
8
9
4. Checking the proper functioning of the brakes.
10
11
12
5. Checking that the fasteners lock the controls properly. Checking the condition of the control enclosures and protective boots/guards.
13
14
15
6. Inspection of all operations, switches, indicators, and instruments and verification of their operability.
16
17
18
PLATFORM ASSEMBLY
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Inspection and control of Anchorage Points.
19
20
21
2. Checking that the hardware is secure and undamaged.
22
23
24
3. Checking whether the scissor arms are undamaged.
25
26
27
4. Checking arm pins, wear pads, and attaching.
28
29
30
5. Checking that the platform extension deck and associated components are safe and undamaged.
31
32
33
6. Checking that the platform rails are installed and secure and that the mid-rail chain/door and bars are installed and properly latched.
34
35
36
7. Checking the status of arm safety devices (Working / Not Working)
37
38
39
8. Inspecting the installation of the cylinder and pivot pins and hardware (for Safe and Damage-Free)
40
41
42
HYDRAULIC / ELECTRICAL SYSTEM
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Inspecting whether the hydraulic tank cap is tight and the vent is open.
43
44
45
2. Evaluate all electrical connections for corrosion and wear, checking that there is no problem.
46
47
48
3. Evaluating the hydraulic oil in the tank and checking whether the oil amount is at the appropriate level.
49
50
51
4. Checking all cylinders (for damage and leaks)
52
53
54
5. Checking and recording any leaks.
55
56
57
POWER SYSTEM
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Checking and confirming that the air and fuel filter is clean.
58
59
60
2. Checking fluid levels, inspecting parts such as hydraulic tank, engine oil torque hubs, coolant, and batteries. Reporting of results.
61
62
63
3. Checking and confirming that there are no leaks in the exhaust system, except for the specified units (Gas and Diesel units)
64
65
66
4. Checking and confirming that engine idle, throttle & RPM are set correctly.
67
68
69
CHASSIS
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Checking and confirming that the steering, driving & axle components are safe and undamaged.
70
71
72
2. Checking that the wheel rim nuts are properly tightened.
73
74
75
3. Checking the tires for air pressure, damage & wear
76
77
78
4. Checking that the hydraulic tray and battery/engine compartment cover open and latch properly.
79
80
81
5. Check and confirm the outrigger/stabilizers are working properly.
82
83
84
MANUAL & DECALS
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Manual of responsibilities in manual storage box
85
86
87
2. Check that all safety signs are attached and instructions are legible.
88
89
90
3. Checking the availability of operators and safety manual.
91
92
93
GENERAL
Rows
Fail
Pass
N/A
Comments / Suggestions
1. Checking and confirming that there are no unauthorized changes or additions to the elevator.
94
95
96
Findings & Evaluations
Inspection Agency Name
Agency's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Inspector's Name
First Name
Last Name
Inspector's Signature
Submit
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