Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Engineer Name
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Vehicle Registration
Extending Ladder (N/A) only applies if no ladder issued
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Asset Number
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Rungs Free from warping
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Rungs Free from dents
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Rungs Free from cracks
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Rungs Free from contamination
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Rivets in place and secure
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Rivets free from corrosion
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Stiles free from Twisting and warping
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Stiles free from dents
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Stiles free from cracks
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Ladder Feet Present
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Feet free from cracks
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Feet have no chunks out of them
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Feet free from excessive wear
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Feet free from contamination/slippery substances
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Please take photo of ladder which has been checked (Clear and showing full ladder)
Step Ladder (N/A) only applies if no ladder issued
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Asset number
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Feet free from contamination and slippery substances
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Steps rungs are ok and undamaged
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Steps feet are ok and undamaged
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Free from dents
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Free from warping
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Please take photo of ladder which has been checked (Clear and showing full ladder)
Ladder Stand Off (N/A) only applies if no ladder issued
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Securing mechanism secure
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Free from corrosion
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Free from warping
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Free from cracks
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Please take photo of stand off which has been checked (Clear and showing full ladder)
