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JLG Annual Machine Inspection Report 2009-2025 free printable template

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SCISSOR LIFT Annual Machine Inspection Report JUG Industries, Inc. 1 JUG Drive McConnellsburg, PA 17233-9533 JUG Account Holder Name & Address Serial Number: Machine Model: Hour meter Reading: Customer
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How to fill out jlg annual inspection form pdf

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How to fill out JLG Annual Machine Inspection Report

01
Obtain the JLG Annual Machine Inspection Report form.
02
Fill in the machine identification details including model, serial number, and location.
03
Check and record the operational status of each machine function including the boom, platform, and controls.
04
Inspect safety features such as emergency stop buttons, safety harness, and guard rails.
05
Conduct a visual inspection of all mechanical components for signs of wear and tear.
06
Document any repairs or maintenance performed on the machine.
07
Ensure all required documentation is included, such as operator training records.
08
Review and sign the completed inspection report.
09
Submit the report to the relevant supervisor or maintenance department.

Who needs JLG Annual Machine Inspection Report?

01
Equipment operators who need to ensure machines are safe and compliant.
02
Safety managers responsible for workplace safety compliance.
03
Maintenance personnel for tracking machine condition and repairs.
04
Regulatory bodies requiring documentation of equipment safety inspections.
05
Equipment owners for maintaining accurate records of machine inspections.
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This is because raising the boom on a slope can easily cause the lift to topple over. The exception to this rule is boom lifts with outriggers. These machines are designed for uneven surfaces since the outriggers provide a way to level the lift and thus elevate it safely.
If the load shifts too far in one direction, it can cause the lift to tip over. ✓ Unstable Surface: Operating a man lift on dirt, sand, or other unstable surfaces increases the risk of a tip-over. ✓ Bumps, Potholes, and Other Road Hazards: Driving a man lift on rough terrain puts an operator in danger of a tip-over.
Aerial Lift Pre-Use Inspection One of OSHA's requirements that sticks out is that lift controls shall be tested each day prior to use to determine that such controls are in safe working condition.
Though very rare, it is also possible for boom lifts to tip over. Keeping the area under and around the boom lift clear will help ensure that no one is hurt if the entire structure tips over.
2:49 6:31 On all components ensure that there are no missing parts that they are securely fastened and noMoreOn all components ensure that there are no missing parts that they are securely fastened and no visible damage or excessive wear exists in addition to any other criteria.
Federal law requires individuals to inspect their aerial lifts every 150 hours or 90 days (3 months), whichever comes first. It is recommended that you place your aerial lift on a planned maintenance schedule based on your application and hours of operation.

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The JLG Annual Machine Inspection Report is a comprehensive evaluation document that assesses the condition, safety, and operational status of JLG machinery, required to be completed on an annual basis.
The JLG Annual Machine Inspection Report must be filed by organizations or individuals who own or operate JLG machinery, ensuring compliance with safety regulations and equipment maintenance standards.
To fill out the JLG Annual Machine Inspection Report, you need to gather necessary equipment details, inspect the machinery for any issues or required repairs, and complete all sections of the report accurately, including observations and maintenance records.
The purpose of the JLG Annual Machine Inspection Report is to ensure the safety and reliability of JLG equipment, identify any maintenance needs, help comply with legal and safety standards, and prevent accidents or equipment failures.
The information that must be reported includes machinery model and serial number, inspection dates, operator details, a list of inspections performed, identified issues or repairs needed, and any required maintenance actions.
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