Scissor Lift Annual Inspection Report, 3-Part Carbonless Form

ASLIR-001-10

This one-page annual machine inspection report provides a place to document a scissor lift inspection, including machine and owner/user details, hourmeter reading, and inspection dates.

Format and report contents

  • 8.5 × 11 inches, three-part carbonless paper.
  • Y/N/C/NA status choices: Yes (Passed), No (Failed), Corrected, and Not Applicable.
  • Inspection sections for Functions & Controls, Platform Assembly, Scissor Arms, Chassis, Power System, Hydraulic/Electrical System, Manuals & Decals, and General.
  • Comments and discrepancy notes, plus fields for authorized and owner/user signatures, printed names, and dates.
  • Available order quantities: 10, 25, 50, 100, 250, or 500 reports.

The report directs users to the operator, safety, service, and maintenance manuals and asks that discrepancies be documented. Use it alongside the equipment manufacturer’s instructions and applicable requirements; the form itself does not certify compliance.

It has sections for functions and controls, platform assembly, scissor arms, chassis, power, hydraulic/electrical systems, manuals and decals, and general condition.

Yes (passed), No (failed), Corrected, and Not Applicable.

It’s an 8.5 × 11-inch, three-part carbonless report.

No. It’s a recordkeeping form. Follow the equipment manufacturer’s instructions and applicable requirements.

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