OSHA Aerial Lift Inspection Form

Prior to each work shift, is a pre-start inspection conducted to verify that the equipment and all its components are in safe operating condition?

Are the manufacturer’s recommendations followed during the pre-start inspection?

Are the following vehicle components checked during the pre-start inspection: • Proper fluid levels (oil, hydraulic, fuel, and coolant)? • Leaks of fluids? • Wheels and tires? • Battery and charger? • Lower-level controls? • Horn, gauges, lights, and backup alarms? • Steering and brakes?

Are the following lift components checked during the pre-start inspection: • Operating and emergency controls? • Personal protective devices? • Hydraulic, air, pneumatic, fuel, and electrical systems? • Fiberglass and other insulating components? • Missing or unreadable placards, warnings, or operational, instructional, and control markings? • Mechanical fasteners and locking pins? • Cable and wiring harnesses? • Outriggers, stabilizers, and other structures? • Loose or missing parts? • Guardrail systems?

Are access gates or openings ensured to be closed?

Are workers required to stand firmly on the floor of the bucket or lift platform?

Is climbing on or leaning over guardrails or handrails prohibited?

Are planks, ladders, or other devices not to be used as a working position?

Is a body harness or a restraining belt with a lanyard attached to the boom or bucket required?

Is belting off to adjacent structures or poles while in the bucket prohibited?

Are the load-capacity limits never to be exceeded, taking into account the combined weight of the worker(s), tools, and materials?

Is the aerial lift prohibited from being used as a crane?

Are objects larger than the platform prohibited from being carried on the lift?

Is driving with the lift platform raised prohibited unless allowed by the manufacturer’s instructions?

Are lower-level controls not to be operated unless permission is obtained from the worker(s) in the lift (except in emergencies)?

Is exceeding vertical or horizontal reach limits prohibited?

Is operating an aerial lift in high winds above the manufacturer’s recommended limits prohibited?

Is overriding hydraulic, mechanical, or electrical safety devices prohibited?

Is awareness of overhead clearance and overhead objects, including ceilings, necessary during operation?

Is it advised to avoid positioning aerial lifts between overhead hazards whenever possible?

Are all overhead power lines and communication cables treated as energized, with a minimum distance of 10 feet (3 meters) maintained?

Is it necessary to ensure that the power utility or power line workers de-energize power lines in the vicinity of the work?

Are outriggers set on pads or on a level, solid surface to ensure stability?

Are the brakes set when outriggers are used?

Are wheel chocks used on sloped surfaces when it is safe to do so?

Are work zone warnings, such as cones and signs, set up when necessary to warn others?