Delta Company Ltd.

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

ELEMENT 2.4.1 Quarterly Portable Ladders Inspections

• LOCATION:

  Select Al Maather Al Hazem Al Waha Al Marjhan Hindawiah Khuzam Murjan Taima Hail Madinah

  • Al Maather
  • Al Hazem
  • Al Waha
  • Al Marjhan
  • Hindawiah
  • Khuzam
  • Murjan
  • Taima
  • Hail
  • Madinah

• Select date

  Date

• Schedule of Checks ( quarterly)

  3rd Quarter

  2nd Quarter

  1st Quarter

  4th Quarter

L-001

• Ladder No.:

• Ladder asset/ref number:

• NOTE: Do not "tick" Write yes or no or use the number of the specific deviation given in the legend below. if the equipment is defective it must be tagged "Defective" and must be reported to the person responsible for the repair of the equipment. if the equipment is beyond repair it must be destroyed and discarded.

Checks

• 1. Loose rungs (move by hand)

  No

  Yes

• 2. Loose nails, screws, bolts, etc.

  No

  Yes

• 3. Loose mounting brackets,etc.

  No

  Yes

• 4. Cracked, broken, split or bent stays/rungs

  No

  Yes

• 5. Splinters on stay or rungs

  No

  Yes

• 6. Damaged/worn non slip devices

  No

  Yes

• 7. Unstable

  No

  Yes

• 8. Loose or defective hinge spreader/hinge.

  No

  Yes

• 9. Defective center guide for extension<br>

  No

  Yes

• 10. Defective tension lock.

  No

  Yes

• 11. Defective rope pulley

  No

  Yes

• 12 Deterioration of rope.

  No

  Yes

• 13. Painting of wooden ladder needed.

  No

  Yes

• 14. No. Identification number.

  No

  Yes

• 15. Storage place not acceptable.

  No

  Yes

• 16. Other, specify.

  No

  Yes

• Date Inspected:

  Date

• Inspector Initials:

  Sign

• Manager Sign and Approved after taking all corrective action.

  Sign