Scissor Lift Pre-Use Inspection CompanyThis field is for validation purposes and should be left unchanged.Operator Initials(Required)Shift(Required) First Shift Second Shift Scissor Lift?(Required)Select the liftHaulotteSkyjackDepartment(Required)Select Dept.FacilitiesWalther MfgI.T.Shipping & ReceivingEngineeringContractorGeneral Condition No visible damage to structure, rails, or platform Clean, free of oil, grease, or debris on platform/controls Decals, placards, and load capacity labels legible Select AllSafety Equipment Guardrails, gates, and mid-rails secure Toe boards in place Safety chain/gate closes properly Emergency lowering system present and functional Select AllControls & Electrical Ground controls operational Platform controls operational (joystick, switches, emergency stop) Tilt sensor/alarm functioning Descent alarm and horn functioning Battery charged / fuel level adequate No frayed or damaged wiring Select AllHydraulics & Mechanical No hydraulic leaks (hoses, fittings, cylinders) Fluid levels adequate Lift operates smoothly, no jerking or unusual noises Tires/wheels in good condition (no cuts, chunks, excessive wear) Structural & Stability Scissor arms and pins free of cracks, bends, or wear Platform extension slides and locks properly Outriggers (if equipped) functional and set properly Select AllWorksite Conditions Surface is stable, level, and free of holes/debris Overhead clearance checked (no obstructions, power lines) Weather conditions safe (no high winds, rain, ice) Select AllPPE & Documentation Fall protection available. Operator’s manual onboard Select AllIs there any: New Damage, Maintenance, or Repair Needed?(Required) Yes No Describe any Damage, Maintenance, Repair, or Replacement Needed(Required)
