LEADING EDGE SAFETY APR-000-12, Instruction Manual

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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 DATE: ____________________
Overall Cart Parts
Yes No
Inspected By:
Welded Connections
Yes No
Inspected By:
Attachment Point Rings and
Hoisting Rings Yes No
Inspected By:
Engagement Arm Cable
Yes No
Inspected By:
Engagement Arm Freely Moving
Yes No
Inspected By:
Warning Labels
Yes No
Inspected By:
Overall Cart Corrosion
Yes No
Inspected By:
Inspection Item
Corrective Action
Needed?
Maintenance Performed