Run Wheelchair Lift Preventive Maintenance Record — Free

Inspection Details

Vehicle or asset identifier recorded

Enter the vehicle number, unit ID, or asset tag for the lift being serviced.

Lift make, model, and serial number recorded

Document the wheelchair lift manufacturer, model, and serial number.

Service date and technician recorded

Record the date/time of preventive maintenance and the technician performing the work.

Note (optional)

Manufacturer service interval verified critical (required)

Confirm the maintenance was performed per the manufacturer-scheduled interval and service instructions.

Yes No N/A

Pre-Service Safety and Readiness

Vehicle secured and lift area made safe before service critical (required)

Confirm the vehicle is parked, transmission secured, parking brake set, and the lift area is clear before inspection begins.

Yes No N/A

Lockout-tagout applied where required critical (required)

Confirm hazardous energy controls were applied before servicing any components requiring isolation.

Yes No N/A

Required PPE used during service

Select the PPE used for this maintenance task.

Note (optional)

Service area free of slip, trip, and pinch hazards

Verify the work area is clear of debris, oil, and obstructions that could create a hazard during maintenance or testing.

Yes No N/A

Visual Condition and Component Inspection

Hydraulic system free of visible leaks critical (required)

Inspect cylinders, hoses, fittings, reservoir, and connections for fluid leakage.

Yes No N/A

Hydraulic fluid level within acceptable range critical (required)

Confirm hydraulic fluid level is within the manufacturer-specified range.

Yes No N/A

Hoses, wiring, and connectors free of damage critical (required)

Inspect for abrasion, cuts, fraying, corrosion, loose connectors, or other visible damage.

Yes No N/A

Platform, rails, and edges free of structural damage critical (required)

Check the platform, side rails, stops, and edges for bends, cracks, deformation, or missing parts.

Yes No N/A

Fasteners, pins, and mounting hardware secure

Verify bolts, pins, retainers, and mounting points are present, secure, and not visibly worn or loose.

Yes No N/A

Hydraulic and Electrical Function Checks

Hydraulic pressure test completed critical (required)

Record the measured hydraulic pressure during the test.

Note (optional)

Hydraulic pressure within manufacturer specification critical (required)

Confirm the measured pressure is within the manufacturer-specified acceptable range.

Yes No N/A

Control switches and interlocks operate correctly critical (required)

Verify all lift controls, emergency stop functions, and safety interlocks operate as intended.

Yes No N/A

Electrical wiring and harnesses show no exposed conductors critical (required)

Inspect wiring, harnesses, and terminals for exposed conductors, chafing, heat damage, or loose terminations.

Yes No N/A

Load Test and Operational Verification

Load test completed critical (required)

Record the test load used during the lift load test.

Note (optional)

Load test met manufacturer-required capacity critical (required)

Confirm the lift successfully supported and operated with the required test load.

Yes No N/A

Lift raises and lowers smoothly under load critical (required)

Verify the platform travels smoothly without binding, unusual noise, drift, or hesitation.

Yes No N/A

Platform stows and deploys properly critical (required)

Confirm the lift deploys, levels, and stows correctly after the load test.

Yes No N/A

Deficiencies, Corrective Actions, and Sign-Off

Deficiencies documented

List all deficiencies, non-conformances, or critical items found during the inspection.

Corrective action and parts disposition recorded

Document repairs completed, parts replaced, or the plan and due date for unresolved items.

Lift returned to service or tagged out of service critical (required)

Select the final disposition of the lift after maintenance and testing.

Inspector signature

Inspector attestation that the preventive maintenance record is complete and accurate.

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Run: Wheelchair Lift Preventive Maintenance Record

Inspection Details

Pre-Service Safety and Readiness

Visual Condition and Component Inspection

Hydraulic and Electrical Function Checks

Load Test and Operational Verification

Deficiencies, Corrective Actions, and Sign-Off

Get your results