General

Central Maintenance

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date Manufactured

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date Manufactured

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date Manufactured

  • Ladder ID Number

  • Date of Last Inspection

  • What Class

  • What type

  • Number of Steps.

  • Date Manufactured

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date Manufactured

  • Are there any other ladders in the department

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date of Manufacturing

  • Are there any other ladders in the department

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date of Manufacturing

  • Are there any other ladders in the department

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date of Manufacturing

  • Are there any other ladders in the department

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date of Manufacturing

  • Are there any other ladders in the department

  • Ladder ID Number

  • Date of last inspection

  • What Class

  • What type

  • Number of Steps.

  • Date of Manufacturing

General Condition of Ladders

  • Are all the ladders in this Department in a fit condition to continue service:

  • Ladder ID Number

  • Why is ladder being taken from service?

  • Are any of the steps/rungs loose or bent?

  • Are there any loose nails, screws, bolts, rivets or other metal parts?

  • Are there any slivers on uprights, steps or rungs?

  • Is there any damage to the non slip bases?

  • Date of last inspection

  • Location of where ladder/work platform is stored now once taken out of service

  • Are there any other damaged ladders in the department

  • Ladder ID Number

  • What Class

  • What type

  • Number of Steps.

  • Date of last inspection

  • Location of where ladder/work platform is stored now once taken out of service

Work Platforms

Maintenance pop up Scaffold.

  • Does the work platform have any wheels that bind when moving?

  • Does the work platform have a self closing safety door?

  • Does the work platform have tread grip on the steps or rungs?

  • Does the work platform have safety railing that is in good condition?

  • Does the work platform have a brake system to stop the plant from sudden movement?

  • Does the work platform have tool guards around the platform edge?

  • Are all guard rails structurally sound?

  • Any other pop-up platform or trestle

  • ID number.

Comments

General comments:

  • Inspectors Name

  • Inspectors signature

  • Date completed

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