Information

  • AGL Project Manager for this site

  • Conducted By Whom

  • Conducted on -

  • By clicking "add" you are able to add multiple ladders to this report.

  • Ladder
  • Who is this ladder assigned to

  • Which Ladder?

  • Model Number

  • Ladders Construction?<br>

  • Step Condition - Look For loose, cracked, bent or missing Steps

  • Rails - Cracked, Bent, Split, Frayed

  • Labels - Missing or Not Legible

  • Pail Shelf - Loose, Bent, Missing or Broken

  • Top Shelf - Cracked, Loose or Missing

  • Spreader: Loose, Bent or Broken

  • General: Rust, Corrosion or Loose

  • Model Number

  • Ladders Construction?<br>

  • Rung Condition - Look For loose, cracked, bent or missing Steps

  • Rails - Cracked, Bent, Split, Frayed

  • Labels - Missing or Not Legible

  • Rung locks - Loose, Bent, Missing or Broken

  • Shoes : Worn, Broken or missing

  • Rope/ Puller: Loose, Bent or Broken

  • Other: Bracing Rivets

  • Other: Bracing Rivets

  • General: Rust, Corrosion or Loose

  • Model Number

  • Ladders Construction?<br>

  • Steps/Rungs: Loose, Cracked Bent or Missing

  • Rails: Cracked, Bent, Split or Frayed

  • Labels: Missing or Not Readable

  • Hardware: Missing, Loose or Broken

  • Fasteners: Rust, Corrosion, Loose or Missing

  • Top: Cracked, Loose, or Missing

  • Spreader: Loose, Bent or Broken

  • Outriggers: Missing, Rust, Corrosion or Loose<br>for scaffolding

  • General: Rust, Corrosion or Loose

  • Hinges: Loose, Bent or Missing

  • Locks: Loose, Bent, Broken or Missing

  • Bracing Front,Rear: Loose, Bent, Broken or Missing

  • Rivets: Rust, Corrosion, Loose, Missing

  • Shoes: Worn, Broken or Missing

  • Rivets: Rust, Corrosion, Loose, Missing

  • Platform: Loose, Bent, Broken or Missing

  • Rail Shield: Missing or Loose

  • Casters: Rust, Corrosion or Loose<br>for scaffolding

Completion

  • Use the box below to add any pictures of defects

  • Image
  • Photo

  • Description

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.