Patient Transfer Lift Inspection Checklist
Complete this checklist to document the inspection and ensure the safe operation of patient transfer lifts.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Lift Identification Number or Serial Number
*
Lift Location (Room or Area)
*
General Condition of Lift
*
Excellent
Good
Fair
Poor
Not Applicable
Inspection Checklist – Please assess each item below:
*
Rows
Pass
Fail
N/A
Check for visible damage or wear
1
2
3
Test emergency stop function
4
5
6
Inspect lift straps/slings for fraying or damage
7
8
9
Test battery/charging system
10
11
12
Check hand controls and switches
13
14
15
Inspect wheels/casters for smooth operation
16
17
18
Ensure safety locks and brakes function properly
19
20
21
Verify all labels and instructions are legible
22
23
24
Are there any issues requiring immediate attention?
*
Yes
No
Additional Comments or Notes
Inspector Signature
*
Submit Inspection
Submit Inspection
Should be Empty: