(Boomlift) Checklist

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CHECK LIST FOR BOOMLIFT

PROJECT NAME:- ESR LOGISTIC PARK SOHNA

Contractor Name Boom lift Sr No. Date

SR OK/NOT OK/NO
CHECK ITEM PHOTOS SR NO CHECK ITEMS PHOTOS
NO OK T OK

Boom lift working


platform is Both side emergency
1 provided with hand 2 stop switch in
rail and midrail with working condition.
good condition.

SWL/Instruction
Foot switch is coverd
3 marked on boom 4
and good condition.
lift.

Cage Lock & No Damage in Tyre


5 platform Is working 6 (Crack, cut, air
condition pressure etc.).

Amber light & swing Both side manual


7 horn in working 8 operating system in
condition. working condition.

Boom structure
condition while full
Fire extinguisher is in
expansion
9 10 available inside the
(damage, crack and
cage.
jamming while
extending).

Level adjustment is in
Load chart display
11 12 good working
on boom lift.
condition

Hydraulic oil level


13 14 Others
Indicator (max/min)

Remarks:-

15. DOCUMENTS

A Third party certificate C Operator license (heavy duty)

B Vehicle valid insurance D Tax invoice

NAME SIGNATURE
Checked by Competent Person/P&M in Charge

NAME SIGNATURE
Checked by Contractor Safety Officer

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