SMITH STRUCTURES INDIA PVT LTD
Project Name :                                                                                                                       Month :
                                                                                    Daily Inspection Checklist of Boom/ Scissor Lift
ID. No:                                     Make:                                          Capacity:                 Operator Name:
Sr
                               Check Points                            1   2    3   4   5   6   7   8   9   10   11   12   13   14   15   16   17   18   19   20   21   22   23   24   25   26   27   28   29   30   31
No
1     All tyres are in good condition
      Platform is secured, hand rails provided and all are in safe
2
      condition
3     Overload limit switch is functional
4     Any oil/ fuel leakage in the equipment
5     Condition of hoses and pipes are good and damage free
6     Locking system for ground panel is available
7     Warning lamp is in working condition
8     SWL is identified and Displayed on the equipment
9     One way control is available to avoid simultaneous operation
10    Hydraulic oil level and system is in good condition
11    Only two people allowed at a time in the platform
12    Full body harness is using while working at height
      Operator has a valid driving license and competency
13
      certificate
14    Valid insurance policy is available
15    Valid PUC is available
16    Third Party Inspection done and valid Certificate is available
17    Fire Extinguisher is available in the cabin
      There are no obstructions in the working path and radius of
18
      the equipment.
19    Over all condition is fit for use
Operator’s Signature
HSE Review