Encore Electric Executive Audit - Ladder Safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Ladder Safety

• Are ladders being used properly?

  Yes

  No

  N/A

• Add media

  Media

• Are extension ladders setup on a 4:1 ratio?

  Yes

  No

  N/A

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  Media

• Do extension ladders extend 3 feet above the roof, landing or floor being accessed?

  Yes

  No

  N/A

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  Media

• Are ladders being inspected?

  Yes

  No

  N/A

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  Media

• Are ladders with defects being removed from service or tagged?

  Yes

  No

  N/A

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  Media

• Are employees trained on ladder use? (Toolbox talk is sufficient).

  Yes

  No

  N/A

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  Media

Signatures

• Person performing the audit

  Sign

• Site Supervisor

  Sign