Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Enter Inspector name
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Ladder reference number
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Department
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Ladder Type
- Stepladder
- Extension
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Ladder material
- Fiberglass
- Aluminum
- Wood
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Steps/Rungs : Loose, Cracked, Bent or Missing
- yes
- no
- na
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Rails : Cracked, Bent, Split or Frayed
- yes
- no
- na
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Labels : Missing or Not Readable
- yes
- no
- na
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Pail Shelf : Loose, Bent, Missing or Broken
- yes
- no
- na
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Top : Cracked, Loose or Missing
- yes
- no
- na
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Spreader : Loose, Bent or Broken
- yes
- no
- na
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Rung Locks : Loose, Bent, Missing or Broken
- yes
- no
- na
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Hardware : Missing, Loose or Broken
- yes
- no
- na
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Rope/Pulley : Loose, Bent or Broken
- yes
- no
- na
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Shoes : Worn, Broken or Missing
- yes
- no
- na
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General : Rust Corrosion or Loose
- yes
- no
- na
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Other : Bracing, Rivets
- yes
- no
- na
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Actions
- ladder tagged as damaged & removed from use
- ladder is in good condition
