Scissor Lift Safety Audit Template

Project / Site Date
Auditor Name Equipment ID / No.
Location

Pre-Use Inspection

Item OK Needs Action N/A Comments
Operator manual present & legible
Wheels and tires condition
Guardrails and gates intact
Emergency lowering system functional
Controls labeled and operational
Fall protection/PFAS used as required

Operational Checks

Item OK Needs Action N/A Comments
Outriggers/stabilizers used if required
Platform not overloaded
Area below platform warning posted
Clear overhead hazards checked
Travel path clear of obstructions
Platform never moved while elevated (unless permitted)

Comments & Corrective Actions