Operator/Inspector________________________
What are you inspecting?
INSPECT ON DAILY BASIS
Operation Maintenance Manual
Operation and emergency controls
Personal Protective Equipment
Guardrails/Containment System
Mechanical Components
Overall Structure
Safety Decals
Wheels/Tires
Outriggers
Other Items
WORK ENVIRONMENT INSPECTION
Operating Surface
Working Area
Obstructions/Weather Conditions
MACHINE OPERATION
Fall Protection
Controls
Guardrails/Outriggers/Brakes
Loads
Work Position
SAFETY.CAT.COM
Date__________________ Time_______________
9 What are you looking for? 9 Evaluator Comments
Intact with the machine, legible
Damage, Missing, Properly working
Proper PPE is used during operation
Damage, Broken Welds, Intact
Air Lines, Hydraulic hoses, couplers,
and electrical lines are in working
condition
Loose or missing parts
All safety decals are intact and
legible
Proper inflation
Structures used to stabilize the
equipment are working properly
Read and understand original
manufactures OMM for other items to
be inspected before daily use
Obstructions or substantial elevation
changes, holes, drop-offs, inadequate
surface support, etc.
Debris/Clutter, Persons working
around machine
Obstructions above machine (Min. 10
feet from power lines), Wind (Do not
operate in wind greater then 25 mph)
ALWAYS use harness and lanyard tied-
off to the manufactures directed tie-
off point on machine
Platform controls are within easy
reach of operator. Lower level
controls are never operated unless
permission has been obtained from
the operator
All guardrails and gates are being
used, outriggers in place, and brakes
are set
All loads are distributed and do not
exceed rated capacity
Operator is standing firmly on floor,
do not sit, never use ladder or
climbing devices in an elevated work
position. Never tie off to adjacent
structures while working from an
aerial platform