Page 15
PUSH PRO -0120843
DAILY PREVENTATIVE MAINTENANCE CHECKLIST
PREVENTATIVE MAINTENANCE REPORT
DATE
OWNER
MODEL NO.
SERIAL NO.
SERVICED BY
OPERATOR’S MANUAL
ELECTRICAL SYSTEM
Battery Terminals
Battery Charge Indicator
Battery Charger
Cables and Wiring Harness
HYDRAULIC SYSTEM
Fluid Level
Hoses, tubes and fittings
CASTORS
MANUAL BRAKES
LOWER CONTROL STATION
Operating Controls
Emergency Stop
Lowering Alarm and Interrupt
EMERGENCY LOWERING
SAFETY PROP
STRUCTURES
Weldments - Scissors, chassis,
steps, platform, etc.
Platform Slide Rollers
Fasteners
UPPER CONTROL STATION
Guardrail System
Platform Floor
Entry Gate
Operating Controls
Lowering Delay
Emergency Stop
OPERATION AND SAFETY DECALS
ITEM
INSPECT FOR
Y N R
In manual holder, all pages readable and intact.
Clean, connectors tight.
Proper operation.
Proper operation.
No wear or physical damage.
Between full and add marks with platform stowed.
No leaks, all fittings tight.
Good condition, no damage/smooth movement.
Proper operation, no damage or deformation.
Proper operation.
Shuts off lower controls/proper operation.
Sounds when platform lowers/proper operation.
Proper operation.
No damage or deformation.
Welds intact, no damage or deformation.
In place, no damage or deformation.
In place, tight, and no damage.
Welds intact, no damage or deformation.
All fasteners in place, no loose or missing parts.
No damage or deformation.
Clean to prevent slip and fall hazards.
Proper operation, no damage or deformation.
Proper operation/raise and lower.
Proper operation, limit switch delays lowering.
Shuts off upper controls.
In place and readable.
Maintenance Table Key: Y = Yes/Acceptable, N = No/Not Acceptable, R = Repaired/Acceptable
