Title Page
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Ladder 1 Reference #
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Ladder 2 Reference #
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Ladder 3 Reference #
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Ladder 4 Reference #
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Vehicle Registration or Location Ladder is currently stored
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Conducted on
General Information
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Take a photo of the ladder
Ladder Inspection
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Ladder feet in good order
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Rung locks working safely and are secure
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Ladder has no signs of cracks or dents
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Work at height accessories (rojack plate/standoff bracket) in good order
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Any defects observed with any work at height equipment?
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Take a Photograph of Defects
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Overall Rating
Completion
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Full Name and Signature of the Inspector