Prior to the start and upon completion of each rental, Customers are required to complete an On Rent Report and Off Rent Report in order to track machine condition and ensure machine quality.


  On Rent
  Off Rent
Company Name *

Technician's First Name *

Technician's Last Name *

Email Address *

Phone Number *

City / State *

Equipment Number *

Machine Hours *

Fuel Level *

Visual Inspection

Inspect overall appearance, condition, and check for damage *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect fluid levels and inspect for external leaks *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect for missing components and unauthorized modifications *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Engine

Inspect air filter restriction gauge *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Clean air filter dust valve *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Electrical Systems

Ensure emergency stop switches, safety lock outs and mechanisms at the ground and platform control  stations stop platform movement and all functions.
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect all visible electrical cords, cables, wires and connections *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Platform Assembly

Inspect that platform is installed and secure *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect lanyard anchorage points, platform guardrails, floor, gate, and latches *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect platform rotator *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Boom Assembly

Inspect boom sections *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect cylinder pins, pivot pins, and attaching retention hardware *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect sheaves and sheave pins *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Hydraulics

Inspect all areas around hydraulic components *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Tires and Wheels

Inspect tire condition and inflation *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Functions and Controls

Inspect instruments, switches, accessories, gauges, horn, and lights *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect Controls *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Check footswitch *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Check all function cut-outs, speed cut-outs, and limit switches *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Check that function enable system operates properly per manufacturer specifications *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect alarms and safety devices *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Test envelope control system *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Drive and operate machine to test all machine functions including speed functions *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Structural

Inspect outrigger / extendible axles *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect all visible nuts, bolts, shafts, shields, bearings, pins, attaching hardware, and locking devices *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect structural condition and all welds *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
General

Inspect for open safety and service campaigns and bulletins *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Inspect condition and placement of all required decals *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Verify Operators manual is in manual box *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Grease and lubricate all pivot pins, pivot points, hinges, and linkages *
  Okay, Adjusted, or Serviced
  Follow Up Needed
  N/A
Additional Notes

If needed, please send corresponding photos to External link opens in new tab or windowrentals@nomadlifts.com.



* Required Fields