Title Page

  • Ladder Reference #

  • Client / Site

  • Date Purchased

  • Location
  • Conducted on

  • Prepared by

General Information

  • Take a photo of the ladder

  • Take a photo of the tag or label

  • Type of ladder

  • Enter type of ladder

  • Ladder Material

  • Length

Ladder Safety Inspection

  • Is the ladder placed on level ground? Is the ladder placed on level ground?

  • Do the ladder rungs run parallel (horizontally) with the floor?

  • Is the ladder fixed at regular intervals or do you have a stability device in place to prevent it from slipping and falling?

  • Is the top of the ladder resting against a strong surface, such as a brick wall?

  • Is the ladder at a 75° angle – 1 unit out for every 4 units up?

  • Has the ladder been checked for defects before use?

  • Are the feet missing, worn or damaged?

  • Are the rungs and stiles bent or damaged?

  • On a stepladder, does the locking mechanism engage fully?

  • Are the steps or feet free of dirt?

  • Has a regular formal inspection of the ladder been done?

  • Other defects observed?

  • Take a photo of other defects (optional)

Recommendations

  • Please write here

  • Overall Rating

Completion

  • Full Name and Signature of the Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.