Pre-Shift Inspection Report Template - Boomlift/scissor Lift Page 2

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P
-S
I
R
RE
HIFT
NSPECTION
EPORT
O
UTRIGGER
Date:
Equipment ID:
Contractor:
Project:
Operator’s Name:
Supervisor:
P
-
: Before use each day or at the beginning of each shift, the outrigger must be given a visual
RE
SHIFT INSPECTION
inspection including but not limited to the following:
Needs attention /
Daily Inspection Checklist
Date Inspected _______________
(month)
remarks
(day)
(day)
(day)
(day)
(day)
Straightness
Cracking
Bending
Corrosion
Other deformation
Beam / cylinder distortion
Structural damage
Worn out / cracked / distorted parts
Pins
Shafts
Locking devices
Hooks
Lugs
Abnormalities or deformation on outer
cover
Other
May 2014

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