Title Page
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Conducted on
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Conducted by
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Ladder Unique Identification
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Date of next inspection
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ladder photo
Ladder State
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Loose steps or rungs (if they can be moved by hand)
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Loose, Damaged, corroded nails-screws-bolts or other metal parts
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Warped-bent-twisted styles
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Cracked-split-broken, styles braces, steps, or rungs
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Slivers - splinters on styles, Rungs or steps
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Damaged / missing /or worn non slip feet
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ladder painted ( may hide defects)
Stepladders
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Wobbly or unstable
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Loose or bent hinge Spreaders
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Broken stop on hinge spreaders
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Loose Hinges
SIGN OFF
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Name