Annual Bucket Truck Inspection Report | 3-Part Form

Not by itself. The form has OK and repair date columns, a remarks area, and spaces for the qualified inspector’s printed name and signature. It does not contain a universal “passed inspection” certification or determine whether noted repairs have been completed. The findings, required corrective work, and applicable inspection procedures must be evaluated separately.

This is an 8.5 × 14-inch paper report, not a decal to mount on the truck. It provides white, yellow, and pink carbonless copies so the completed record can be distributed under your organization’s procedures. Decide which copy stays with the vehicle, inspector, or office according to your applicable recordkeeping requirements; the form itself does not assign those copies.

The form provides a written record with vehicle and aerial-device identification, inspection date, equipment check areas, repair dates, remarks, and inspector sign-off. Whether it meets a particular OSHA, DOT, state, or employer documentation requirement depends on which rules apply to the equipment and whether the completed report contains every required detail.

It organizes checks for both the vehicle and aerial equipment. Printed sections include tires, brakes, steering, lighting and frame items, along with the lift chassis, hydraulics, outriggers, booms, elbow, bucket, winch, and placards. The inspector can mark listed items OK, record repair dates, add remarks, and sign. It is a documentation aid, not a substitute for the manufacturer’s inspection procedure; some listed items may not apply to every truck.

The form provides spaces for the qualified inspector’s printed name and signature, plus the inspection garage or company name and telephone number. Your organization should designate a person qualified under the requirements applicable to that inspection and set its own process for reviewing findings, addressing repairs, distributing the three copies, and retaining records.