SAIC-U-7014 - Self Propelled E. W. P.-2023
SAIC-U-7014 - Self Propelled E. W. P.-2023
SAIC-U-7014 - Self Propelled E. W. P.-2023
REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER
ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
1 GENERAL REQUIREMENTS:
ANSI/SAIA A92.6
1.1 Equipment documentation is available
Sec: 4.17
ANSI/SAIA A92.6
1.2 Previous inspection reports are checked
Sec: 6.15.1 (2)
GI 7.030
1.3 Daily pre-operational inspection checklists are checked (if applicable)
Para: 5.1.2
ANSI/SAIA A92.6
1.5 Equipment is operated by a qualified operator
Sec:7.6
Warning notice, cautions or restrictions for safe operation and ANSI/SAIA A92.6
1.6
maintenance are clearly displayed and legible Sec:4.13.1(1)
A sign is posted warning the operator not to rely solely on any automatic G.I. 7.030
1.7
device as a substitute for safe operating practice Para: 5.6.2
Manufacturer name, address, serial number and model are clearly ANSI/SAIA A92.6
1.8
marked or tagged Sec:4.13.1(2)
Safe working load and number of persons are clearly marked on the ANSI/SAIA A92.6
1.9
work platform Sec: 4.13.1(3)
ANSI/SAIA A92.6
1.10 Maximum platform height and reach are clearly marked
Sec:4.13.1(4)
ANSI/SAIA A92.6
1.11 Maximum travel height and travel directions are clearly marked
Sec: 4.13.1(5)
ANSI/SAIA A92.6
1.12 Power rating are provided and marked (for AC and/or DC)
Sec: 4.13.1 (6)
ANSI/SAIA A92.6
1.13 Platform and guardrails electrical insulation data are provided
Sec:4.13.1 (11)
Multiple configurations are described on the manual and the platform (if ANSI/SAIA A92.6
1.14
multiple ratings are used) Sec:4.13.1 (10)
2 INSPECTION POINTS:
ANSI/SAIA A92.6
2.1 Platform surfaces are at least 18" (width & length) and are slip-resistant
Sec:4.12.1
ANSI/SAIA A92.6
2.2 Platform guardrails are provided and secure
Sec:4.12.2
REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER
ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
ANSI/SAIA A92.6
2.3 Platform guardrails are 42" height (+/- 3")
Sec: 4.12.2.1
ANSI/SAIA A92.6
2.4 Platform toeboard is fitted and at least 4" high
Sec: 4.12.3
ANSI/SAIA A92.6
2.5 Moving parts are guarded
Sec: 4.12.1
ANSI/SAIA A92.6
2.6 Access to the platform is provided
Sec:4.12.4
ANSI/SAIA A92.6
2.7 Access to the platform and gate inward opening with lock.
Sec: 4.12.4
ANSI/SAIA A92.6
2.8 Electrical cables, wiring and components are undamaged
Sec:4.18
ANSI/SAIA A92.6
2.9 Extendable axles function is satisfactory (where fitted)
Sec: 8.8 (1)
ANSI/SAIA A92.6
2.10 Wheels and tires are serviceable and undamaged
Sec:7.3.3 (7)
ANSI/SAIA A92.6
2.11 Safety harness anchorage is fitted in the platform
Sec:7.3.3 (3)
ANSI/SAIA A92.6
2.12 Platform controls operate the machine correctly
Sec: 4.6.1.3
Platform controls are clearly marked with direction and mode of ANSI/SAIA A92.6
2.13
operation Sec: 4.6.1 (6)
ANSI/SAIA A92.6
2.14 Platform controls accessible to the operator
Sec: 4.7.1 (1)
ANSI/SAIA A92.6
2.15 Platform controls return to "off" or "neutral" position when released
Sec: 4.6.1 (4)
ANSI/SAIA A92.6
2.16 Platform controls are protected against inadvertent operation
Sec: 4.7.1 (5)
Over-ride control for power functions is fitted at ground level control ANSI/SAIA A92.6
2.17
panel Sec:4.6.2 (1)
ANSI/SAIA A92.6
2.18 Ground controls return to "off" or "neutral" position when released
Sec:4.7.2 (3)
ANSI/SAIA A92.6
2.19 Ground controls are clearly marked for direction and mode of operation
Sec:4.6.2 (5)
ANSI/SAIA A92.6
2.20 Ground controls do not include drive and steering functions
Sec: 4.7.2 (4)
REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER
ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
ANSI/SAIA A92.6
2.21 Ground controls are protected against inadvertent operation
Sec: 4.6.2 (4)
Auxiliary (emergency) lowering, retracting and rotating controls are fitted ANSI/SAIA A92.6
2.22
and operable at platform control panel Sec:4.6.4
Auxiliary (emergency) lowering, retracting and rotating controls are fitted ANSI/SAIA A92.6
2.23
and operable at ground control panel Sec:4.6.4
ANSI/SAIA A92.6
2.24 Battery is secure, guarded and ventilated
Sec: 4.15.2
Outrigger position microswitches and interlocks are fully functional at ANSI/SAIA A92.6
2.25
their control panel Sec:4.8.2
ANSI/SAIA A92.6
2.26 Safety cables and wiring harness are available
Sec:7.3.3 (4)
ANSI/SAIA A92.6
2.27 Air, Hydraulic and fuel systems are not leaking
Sec:7.3.3 (3)
ANSI/SAIA A92.6
2.28 Emergency stop button is available at ground control station
Sec:4.6.3
ANSI/SAIA A92.6
2.29 Emergency stop button is available at platform control station
Sec: 4.7.3
There are no loose nuts, bolts, missing, worn or damaged parts around ANSI/SAIA A92.6
2.30
the structure Sec:7.3.3 (6)
ANSI/SAIA A92.6
2.31 The equipment is free of defective and/or corroded members/joints
Sec:6.6 (6)
Working environment is hazard free and machine can be safely ANSI/SAIA A92.6
2.32
operated Sec:8.9
ANSI/SAIA A92.6
2.33 An hour meter is fitted
Sec: 4.16.3
ANSI/SAIA A92.6
2.34 A fire extinguisher is fitted (type depends on operating location)
Sec:8.9
ANSI/SAIA A92.6
2.35 All fluid levels for oil, water and hydraulic are adequate
Sec: 6.6 (5)
ANSI/SAIA A92.6
2.36 All moving parts are lubricated
Sec: 6.6 (5)
ANSI/SAIA A92.6
2.37 Emergency stop button is operable from platform station
Sec: 4.7.3
ANSI/SAIA A92.6
2.38 Emergency stop button is operable from ground station
Sec: 4.7.3
REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER
ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
ANSI/SAIA A92.6
2.39 Lowering/retracting is operable from platform and ground control
Sec:6.6 (2)
ANSI/SAIA A92.6
2.40 Lowering/retracting is operable from ground control
Sec:4.7.2
ANSI/SAIA A92.6
2.41 Raise/extend is operable from platform and ground control
Sec:7.3.3 (1)
ANSI/SAIA A92.6
2.42 Boom raise/extend is operable from ground control
Sec:4.7.2 (2)
ANSI/SAIA A92.6
2.43 Fluid systems are leak-free with platform raised
Sec: 7.3.3 (4)
Tilt alarm is operable (5 degrees out of level) (manually depress the ANSI/SAIA A92.6
2.44
edge of the tilt switch to cause alarm condition) Sec: 4.6.6
Tilt alarm is not combined with boom raise cut-out (dependent on ANSI/SAIA A92.6
2.45
machine manufacturer) Sec: 4.7.6
Steering is properly working when moving forward and in reverse ANSI/SAIA A92.6
2.46
directions Sec:7.3.3 (1)
Brakes are in good working condition and can hold the machine on any ANSI/SAIA A92.6
2.47
slope (parking and moving) Sec: 4.14, 7.9 (1)
ANSI/SAIA A92.6
2.48 Travel alarm is operable
Sec:7.3.3 (2)
ANSI/SAIA A92.6
2.49 Platform lowering alarm is operable
Sec: 4.11.2
Machine is safely drivable from the platform when raised (fast, slow, ANSI/SAIA A92.6
2.50
forward and reverse modes) Sec: 4.8.1
The platform does not descend when in raised position and the power is ANSI/SAIA A92.6
2.51
off Sec: 4.10.2.1
ANSI/SAIA A92.6
2.53 Engine powered machines fuel lines are supported to minimize chafing
Sec:4.15.1
Engine powered machines fuel lines are positioned to minimize ANSI/SAIA A92.6
2.54
exposure to engine and exhaust heat Sec: 4.15.1
ANSI/SAIA A92.6
2.55 Engine powered machines exhaust system is provided with muffler
Sec: 4.15.1
REMARKS:
REQUESTED INSPECTION DATE RFI No. TASK COMPLETED DATE EQUIPMENT OWNER
ITEM
ACCEPTANCE CRITERIA REFERENCE PASS FAIL N/A Remark
No.
REFERENCE DOCUMENTS:
1- ANSI/SAIA A92.6 - 2006(R2014) Issue:Self - Propelled Elevating Work Platforms
2- SAES-B067 - 2020 Issue: Safety Identification and Safety Colors
3- SA GI 7.025-2018 Issue: Heavy Equipment Operator and Rigger Testing and Certification
4- SA GI 7.030 - 2023 Issue: Inspection and Testing Requirements for Elevating/Lifting Equipment
User Representative:
Name, Signature, & Date: