Prior to operating this lift, the daily checklist must be completed by a licensed and qualified operator. Check the items listed below and check each box with the appropriate letter to identify satisfactory operation or condition of item. This pre-inspection form must be updated whenever there is a change of operator and also at the beginning of each shift. There are 2 sections to this pre-inspection form. Section 1 is an operational checklist. Section 2 indicates site conditions in which the lift will be operated. If there is a change of site location, please update the form to reflect which change(s) are applicable.

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Comments area is to capture any additional information to describe deficiencies that are observed.

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For all items checked with “R” for repair, report discrepancy to your general foreman.

S = Satisfactory

R = Repair/Replace (leave comment/photo to describe discrepancy/deficiency)