EWP Daily Inspection Form
Complete this form to record the daily inspection of an Elevated Work Platform. Ensure all checks are performed and defects are reported.
Date of Inspection
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
EWP Unit Number
*
Inspector Name
*
Pre-Start Safety Checks Completed
*
Yes
No
Not Applicable
Visual Inspection for Damage or Leaks
*
No issues found
Minor issues (no immediate action)
Defect found (requires action)
Emergency Controls Function Test
*
Operational
Not operational
Not tested
Platform Guardrails and Gates Condition
*
Secure and undamaged
Loose or damaged
Defects Identified?
*
No defects
Defects present
If defects present, describe the defect(s)
Follow-Up Action Required
*
No action needed
Immediate repair required
Monitor and review
Submit Inspection
Should be Empty: