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Design
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Construction
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Careers
Dashboard
Submit an EWP inspection checklist
Date
Job Location
Moosenee - De Beers Yard
Completed by?
Email of person completing the plan.
Make/Model
Unit Number
Equipment Type:
Scissor Lift
Boom Lift
Trailer-Mounted
Vehicle-Mounted
Are the weather/wind conditions acceptable?
Yes
No
Safety Documentation
Operator holds valid EWP certification
Completed Fall Protection and Rescue Plan
Completed Job Safety Assessment (JSA)
Pre-Start Visual inspection
No Leaks
Tires/Tracks in good condition
Platform and Guardrails secure
Controls and labels legible and intact
Anchor points present and in good condition
Battery/Charging system is good
Fluid levels adequate
Terrain conditions are good
Load limit plate visible
Emergency Lowering System is available
Functional Inspection (with Platform Lowered)
Horn and alarms functional
Steering and drive working
Lift and lower functions smooth
Platform rotate/extend smooth
Emergency stop operational
Tilt/Overload sensors operational
Issue notes
Approved by?
François Charron
Tyler Berlingeri
Supervisor Acknowledgement
I hereby confirm that I have reviewed the Fall Protection and Rescue Plan in full, including all identified hazards, control measures, inspection requirements, and emergency procedures. I understand the responsibilities outlined within this plan and will ensure that all workers under my supervision are informed and compliant with the safety measures described.
Submit
