Danis/RN Rouse Ladder Inspections

• List Job Number & LI (Place "LI" after Job Number for Ladder Inspection)

• Conducted on

  Date

• Prepared by

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• More Ladders to Inspect?

  Yes

  No

  N/A

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• More Ladders to Inspect?

  Yes

  No

  N/A

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• More Ladders to Inspect?

  Yes

  No

  N/A

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Select Step Extension Job Built

  • Step
  • Extension
  • Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Ladder Type

  Step

  Extension

  Job Built

JOB BUILT LADDER

• Filler blocks between rungs, 3 nails in rung and filler block, no spike knots in rungs.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Side rails not split, not over 24 feet in height, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

STEP LADDER

• Rungs secure/not cracked and Feet secure/good shape.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Spreader Braces Secure, Side Rails Good, and rivets in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Height

  Select 4' 6' 8' 10' 12' 16' 20'

  • 4'
  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

EXTENSION LADDER

• Rungs secure/good shape, Safety feet good shape/secure/free movement

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Locking Slide Braces secure/springs operable, Side Rails Good, rope secure/good shape, corral in place.

  Safe

  At Risk

  N/A

REMOVE FROM JOBSITE - Tag ladder if repairable. If not repairable, Destroy and throw away.

• Picture of Ladder Inspected.

  Media

• Length

  Select 6' 8' 10' 12' 16' 20' 40'

  • 6'
  • 8'
  • 10'
  • 12'
  • 16'
  • 20'
  • 40'

• Ladder Strength

  I - 250 lb

  IA - 300 lb

  IAA - 375 lb

• Auditor Signature:

  Sign