Mobile Elevating Work Platform Inspection

Checklist
Doc Ref: MS-DD-3000-HSE-PRO-0003 Form No: MS-DD-3000-HSE-FRM-0029
Date: 28 March 2020 MANYAR SMELTER PROJECT Revision No: 00

Equipment No.: Log Book: Y /N Date:

Operators Manual: Y / N Model: Pink Pages OK: Y / N
Make: Engine: Hour Meter Reading:
Noise Survey Report Attached Y N Plant does not exceed 85dB (a) Limit Y N Sound Insulation or Silencer/s fitted Y N
Where plant or equipment necessary for specific activities cannot meet the 85 dB(A) maximum noise limit. Subcontractor shall present a noise control plan to the CONTRACTOR Field SHES Manager and request written approval for the
use of that plant or equipment, prior to mobilizing plant or equipment.
() Inspected & Satisfactory (NA) Not Applicable (X) Requires and / or Repair
HYDRAULIC SYSTEM  NA X BOOM ASSEMBLY  NA X CONTROLS – UPPER  NA X
Boom cylinder Pivot / cylinder pins Joysticks
Tele cylinder Tele slides Switches
Riser cylinder Cable / hose cat track Decals clear and legible
Jib cylinder (86’ + 106’) Basket condition Control knobs not damaged
Basket level cylinder Gate condition Guard on control panel
Basket rotator Basket to boom connections / pins (Controls must be protected)
Steering cylinders ENGINE  NA X CONTROLS – LOWER  NA X
Driver motors Oil leaks – nil Switches
Swivel Fuel leaks – nil Decals
Slew motor Coolant leaks – nil Guarding including engine bay
Hydraulic pump Hoses condition LOWER WORKS  NA X
Hydraulic filters Exhaust & muffler condition Tires / rims
Hydraulic fluid level Radiator condition Wheel nuts
Hydraulic hoses and connections conditions Belts condition Slew ring / pinion
OPERATIONAL CHECKS  NA X List of approved fluids attached Slew ring pins / bolts and bearings
Slewing BODY  NA X Drive motor mounting
Telescope Sheet metal
Boom / riser Paint
Basket rotate Equipment number ELECTRICAL  NA X
Basket level Motion alarm
Travel SAFETY  NA X Tilt alarm
Brakes Isolation point lockable Engine Distress
Front / rear steer Basket fully enclosed / handrails Horn
High / low functions Basket / internal kick plate Beacons
High / low drive cut-in Identifiable from front & sides Battery
Movement alarm audible A.P.U
SWL clearly displayed Earth leakages device
Designated Anchorage Points Residual Current Device
Fire extinguisher (4.5kg)
Comments:

Inspected By (competent person):

Subcontractor: Date:
CONTRACTOR USE ONLY
Mobilization of the equipment based on the information provided is Approved  Not approved 
Contractor Representative (Print Name) ________________________________________________
Contractor Representative Signature ___________________________________________________
Date ____ / ____ / ____