1. This document provides a checklist for inspecting mobile elevated work platforms (MEWPs) on a weekly basis. 2. The checklist includes over 20 inspection items to check the equipment, controls, safety devices, maintenance records, and conditions of the work area. 3. Inspectors from both HSE and plant sign off after inspecting to indicate if the MEWP passed, requires maintenance, or failed inspection and must be removed from the project.

1. MOBILE ELEVATED WORK PLATFORMS
(To be completed on Weekly basis)
Page 1 of 1 Form # HSEQ- MEWPs (Rev 1 – Mar 23)
Project Information
Project Name: Company Name:
Location: Date :
Equipment type: Plate No:
MEWP CHECKS BY HSE
Status
OK
NOT
OK
N/A
1 Pre-operational checklist
2 Risk Assessment/Method Statement
3
MEWPs should be operated on level
ground
4
Ensure maintenance records are kept
up to date and documented
5
Area Barricaded and Warning signs
placed
6 Housekeeping
7 Bumps and floor/ground obstructions
8
Minimum of three trained, experienced,
competent and certified operatives
(two at the platform and one at the
ground)
9 Full body harness
10 Overhead obstructions
11 Energized power lines
12 Control markings
13 Hazardous locations
14 Ground surface and support conditions
15 Pedestrian/vehicle traffic
16 Wind and weather conditions
17
Operator License & Third Party
certificate
18
3rd Party Plant or Equipment
Certificates
19
First Aid Box & Fire Extinguisher
Available
20 Accessory plugs and cables
MEWP CHECKS BY PLANT
Status
OK
NOT
OK
N/A
1
Wheels and Tires in good
condition
2 Drive – forward/reverse
3 Steer – left/right
4 Platform – tilt/rotate/extend
5 Stability enhancing devices
6
Function-enable (Deadman)
devices
7 Emergency/auxiliary controls
8 Braking – stops & holds
9 Lights functioning
10 Control panels in good condition
11
Boom/lift arms – general
condition/wear
12
Platform – guardrails/toe
board/anchorages/gate
13 Unit starts and runs properly
14 Warning lights/audible alarms
15 Instruments/Gauges
16 Fuel/Charge level
17 Horn/audible warning device(s)
18
Boom/Jib/Lift Arms –
raise/lower/extend/retract
19
Pressure Sensing Bar Installed
and functioning
20
SWL displayed in a prominent
location
21
Up-Stand above the platform
control panel installed
22
Others (Specify):
Remarks:
Inspected By Plant: Signature:
Inspected By HSE: Signature:
Reviewed By HSE Manager / In charge: Signature:
☐ Passed ☐ Remove for Maintenance ☐ Rejected (Remove from project)