MOBILE FALL CART INSPECTION AND MAINTENANCE LOG
PLEASE COPY THIS LOG, FILL IT OUT BEFORE EACH USE, AND KEEP IT IN YOUR RECORDS.
EQUIPMENT MODEL #:
EQUIPMENT SERIAL #:
DATE OF PURCHASE:
Inspection Item
Overall Cart Parts
Inspected By:
Welded Connections
Inspected By:
Attachment Point Rings and
Hoisting Rings
Inspected By:
Engagement Box Assembly
Inspected By:
Engagement Arm Freely Moving
Inspected By:
Warning Labels
Inspected By:
Overall Cart Corrosion
Inspected By:
X-C
I
ALIBUR
NSTRUCTION
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Corrective Action
Maintenance Performed
Needed?
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
M
ANUAL
INSPECTION DATE:
18
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N
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