Central - Ladder Inspection

• Site name

• Site Location
  Address

• Reference - This is autofilled

• Conducted on

  Date

• Inspected by (Competent Person)

Ladder

About the ladder

• Name/ Number (how is this ladder identified)

• Take a photo of the ladder

  Media

• Take a photo of the tag or label

  Media

• Are user instructions from the manufacturer available on site

  Yes

  No

  N/A

• Please raise an action to order a copy

• Type of ladder

  Portable

  Self-supporting

  Non-self supporting

  Other

• Enter type of ladder

• Construction of ladder

  Wood

  Metal

  Fiberglass

  Aluminum

• Approx length/ height in meters

• Class

  Class I (Industrial)

  Class EN131 (Commercial)

  Class III (Domestic)

  Other

• Only ladders made to EN131 (Commercial) or Class I (industrial) should be used at work. Please explain why this is an exception and raise an action for it to be checked by a member of the HSEQ Department.

• Weight supported

Ladder Inspection

• Free from dents, cracks and damages

  Yes

  No

  N/A

• Feet of ladder work properly and have slip-resistant pads

  Yes

  No

  N/A

• Rung locks and spreader braces are working

  Yes

  No

  N/A

• Side rails have no signs of deterioration, dents and rusts

  Yes

  No

  N/A

• Bolts and rivets are secured

  Yes

  No

  N/A

• Rope is undamaged

  Yes

  No

  N/A

• Steps and rungs are free from oil, grease and other materials

  Yes

  No

  N/A

• Ladder stored properly (when not in use)

  Yes

  No

  N/A

• Other defects observed?

  Yes

  No

  N/A

• Overall Rating

  Good

  Needs Repair

  Do Not Use

• Please attach a DO NOT USE label and attach an image

  Media

• Please attach a DO NOT USE label and attach an image

  Media

• Attach a completed inspection tag and attach an image

  Media

• Recommendations/ Comments

Sign off

• Additional Notes

• Inspected by

  Sign