Bucket truck checklist
Date
Time
Location
Operator name
Truck or unit number
Odometer or hour meter
Chassis, outriggers and boom
PassFailN/A- Tires and wheels are in good condition
- Lights, horn and back-up alarm work
- Outriggers extend and retract, and the pads are in place
- Boom and jib show no cracks, bends or damage
- Hydraulic hoses, cylinders and fittings are free of leaks
- Hydraulic fluid and fuel levels are correct
Bucket and insulating parts
PassFailN/A- Bucket or platform is not cracked, and the liner is intact
- Bucket and liner are clean and dry
- Insulating components are current on your program's test schedule
- Insulating boom sections are clean and show no damage
- Bucket anchorage points are intact for fall protection
Controls and emergency lowering
PassFailN/A- Lower controls work, and the lower operator can override
- Upper controls work smoothly
- Emergency stop works at both stations
- Emergency lowering works and the operator knows how to use it
- Load rating and operating decals are readable
Tools, rubber goods and work area
PassFailN/A- Rubber gloves, sleeves and covers are inspected and current, per your program
- Hot sticks and tools are inspected and current, per your program
- Overhead lines are identified and kept at the distances in your procedures
- Work area is set up as your procedures require
Defects found and action taken
Taken out of service? Yes NoReported to
Inspector signature
Date
Supervisor review
Date
A starting point. Adapt it to your equipment, your procedures and the rules that apply to you.Free template from portalbaseai.com