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Pre-Use Equipment Inspection:

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Work Area Inspection:

Utilization of Fall Protection:

Function Test or Lower Control Station and Bucket/Platform:

Drive and Creep/Inch Forward and Reverse:

Turn Vehicle 360 Left and Right:

Boom Up and Down/In and Out:

Rotate/Swing Boom 360 Degrees In Each Direction:

Tilt Platform In Each Direction:

Turn Off Unit Using Emergency Shutdown:

Park and Shut Off Aerial/Scissor Lift:

Exiting The Unit Utilizing Three Point Contact Method?

I certify that the above mentioned employee has successfully completed the above mentioned steps in the certification process. Also all information in this certification is true and accurate to the best of my knowledge.

I certify that I have successfully completed the above mentioned steps in the certification process. Also all information in this certification is true and accurate to the best of my knowledge.