Maintenance Platform Safety Inspection Checklist
Complete this checklist to ensure all safety standards are met for maintenance platforms.
Inspector Full Name
*
First Name
Last Name
Inspector Email Address
*
example@example.com
Inspector Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Platform/Equipment ID or Location
*
Overall Condition of Platform
*
1
2
3
4
5
Safety Checklist
*
Rows
Pass
Fail
N/A
Guardrails and toe boards are secure
1
2
3
Platform surface is free of debris and hazards
4
5
6
Access ladders/stairs are in good condition
7
8
9
Handrails are intact and secure
10
11
12
Warning signs and labels are visible and legible
13
14
15
Emergency stop devices are functional
16
17
18
Fall protection equipment is available and inspected
19
20
21
Electrical components are properly covered
22
23
24
Lighting is adequate and operational
25
26
27
No visible structural damage or corrosion
28
29
30
Comments or Observations
Were any issues found that require corrective action?
*
Yes
No
If corrective actions are required, please describe them and note the responsible person(s) and target completion date.
Signature of Inspector (sign below to confirm the accuracy of this inspection)
*
Submit Inspection
Submit Inspection
Should be Empty: