• MEWP Rescue Plan Checklist

    Use this form to plan and verify a safe rescue response for a mobile elevated work platform or aerial work platform task.

  • Site & Rescue Context

  • Planned work date*
     - -
    2 digit month, 2 digit day, 4 digit year
  • Planned work start time

  • Personnel & Emergency Contacts

  • Have all required personnel been briefed?*

  • Rescue Equipment & Method

  • Primary Rescue Method*
  • Required Rescue Equipment Available*
  • Harnesses in Serviceable Condition*
  • Lanyards in Serviceable Condition*
  • Lowering Devices and Communication Device Checked*

  • Hazards, Communication & Final Check

  • Hazards affecting rescue readiness*
  • How will emergency responders be alerted?*
  • Final readiness confirmation*
  • Should be Empty:
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