Title Page

  • Operative Name

  • Conducted on

  • Inspection Location
  • Inspected by

Extension Ladder

  • Does the operative have an Extension Ladder?

  • Material

  • Rungs - Loose, Cracked, Bent or Missing

  • Rung Lock - Loose, Bent, Missing or Broken

  • Rails - Cracked, Bent, Split or Frayed

  • Shoes - Worn, Broken or Missing

  • Rope or Pully - Loose, Bent or Broken

  • General - Rust or Corrosion

  • Other - Bracing & Rivets

  • Label - Missing / Not Readable

  • Conform to Standard EN 131 (150KG)

  • Supported Weight (KG)

  • Ladder Tag - Present, Undamaged & Updated

  • Asset Register Reference

  • Inspection Overview

Telescopic Ladder

  • Does the operative have an Telescopic Ladder?

  • Material

  • Rungs - Loose, Cracked, Bent or Missing

  • Rails - Cracked, Bent, Split or Frayed

  • Rung Lock/s - Loose, Bent, Missing or Broken

  • Shoes - Worn, Broken or Missing

  • General - Rust or Corrosion

  • Label - Missing / Not Readable

  • Conform to Standard EN 131 (150KG)

  • Supported Weight (KG)

  • Ladder Tag - Present, Undamaged & Updated

  • Asset Register Reference

  • Inspection Overview

Stepladder

  • Does the operative have a stepladder?

  • Material

  • Steps - Loose, Cracked, Bent or Missing

  • Rails - Cracked, Bent, Split or Frayed

  • Top - Loose, Cracked, Bent or Missing

  • Shoes - Worn, Broken or Missing

  • General - Rust or Corrosion

  • Other - Bracing & Rivets

  • Label - Missing / Not Readable

  • Conform to Standard EN 131 (150KG)

  • Supported Weight (KG)

  • Ladder Tag - Present, Undamaged & Updated

  • Asset Register Reference

  • Inspection Overview

Hop Up / 2 Tread Steps

  • Does the operative have a hop up?

  • Material

  • Steps - Loose, Cracked, Bent or Missing

  • Working Platform - Loose, Cracked, Bent or Missing

  • Shoes - Worn, Broken or Missing

  • General - Rust or Corrosion

  • Other - Bracing & Rivets

  • Label - Missing / Not Readable

  • Conform to Standard EN 131 (150KG)

  • Supported Weight (KG)

  • Ladder Tag - Present, Undamaged & Updated

  • Asset Register Reference

  • Inspection Overview

Tail Lift / Ramps

  • Does the operative have a tail lift / ramps?

  • Material

  • Rungs - Loose, Cracked, Bent or Missing

  • Rails - Cracked, Bent, Split or Frayed

  • Rung Lock - Loose, Bent, Missing or Broken

  • Shoes - Worn, Broken or Missing

  • General - Rust or Corrosion

  • Label - Missing / Not Readable

  • Conform to Standard EN 131 (150KG)

  • Supported Weight (KG)

  • Ladder Tag - Present, Undamaged & Updated

  • Asset Register Reference

  • Inspection Overview

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.