Information
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Document No.
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Access Reference Number:
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Type of Access Equipment:
- Ladder
- Stepladder
- Hop Up
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Contract / Site:
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Conducted on:
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Inspected By:
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Location:
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DGSS027 LADDER, STEPLADDER & HOP UP INSPECTION. Rev 2 - 02/01/2018
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REGIONAL BRANCH
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OPERATIVES NAME
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Employment Status
- Direct
- Subcontractor
- Agency
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Type of access equipment
- Ladder
- Stepladder
- Hop Up
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Type of ladder: (i.e. 3 tread steps, 3 section extension ladder etc.)
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Reference Number
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Is the equipment in generally sound condition (clean & dry, free from paint, oil etc.) (All)
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Are the stiles, treads, rungs, top platform or hop up working platform free from cracks. (All)oo
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Are all the rungs intact? e.g. No missing or loose rungs. (Ladders)
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Are stiles or legs free from damage. (All)
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Is the access equipment free from corrosion (All)
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Is the access equipment free from sharp edges, splits or dents (All)
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Are all the rungs or treads straight and not bent. (Ladder & Stepladder)
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Are all caps / rubber feet fittings in place and in good condition (All)
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Are locking stays or cords or locking devices in good condition and operating correctly. (Steps & Hop Ups)
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ADDITIONAL COMMENTS
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INSPECTED BY SIGNATURE
