MEWP: Pre-Use Inspection Checklist: Inspection Item Pass Fail Comments
MEWP: Pre-Use Inspection Checklist: Inspection Item Pass Fail Comments
To be completed by operator or authorized person when a MEWP is first brought on site and before it is used
Please print
CONTACT NAME: CONTACT NUMBER:
INSPECTED BY: DATE/TIME:
TYPE OF MEWP: MODEL #:
Workplace Assessment: Survey work area for potential hazardous operating conditions prior to MEWP usage. Ensure hazards
identified are addressed in JHAM or during pre-task planning process with sufficient strategies to mitigate the hazards or risks.
Floor/ground conditions: Drop offs, holes, uneven surfaces, sloped floors, unstable ground, etc. Present Not present
Housekeeping: Debris, floor obstructions, cords, construction materials, supplies, etc. Present Not present
Hazardous Energy: Electrical power cables or panels, chemical/gas/drain lines, utilities, etc. Present Not present
Overhead obstructions: Tight working conditions, adjacent structures, pipe racks, beams, ceiling
Present Not present
grids, etc.