Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Candidates name

  • Kit bag number

Pre use safety inspection equipment

Extension ladders

  • Stiles ( straight, true and undamaged)

  • Treads ( secure, clean and undamaged)

  • Hinging/stays ( secure and undamaged)

  • No signs of corrosion or oxidisation

  • Safety t bar ( secure and undamaged )

  • Ladder tags ( present and complete)

Roof ladders

  • Stiles ( straight, true and undamaged)

  • Treads ( secure, clean and undamaged)

  • Extensions ( complete and undamaged)

  • Roof hook ( secure and undamaged )

  • No signs of corrosion or oxidisation

  • Ladder tags ( present and complete)

Ladder stand off

  • Frame/fittings ( complete and undamaged )

Harness

  • Webbing undamaged

  • Buckles/clips in good condition

Cowstail webbing strop

  • Webbing undamaged

  • Karabiner in good condition

SKR Rope grab

  • Mechanism clean and operational

  • Karabiner in good condition

10m/8m rope & hooks

  • Rope in good condition ( clean, no fraying)

  • Hooks in good condition

Ratchet straps x3

  • Long ratchet strap

  • 2x short ratchet straps

  • Webbing in good condition ( clean, no fraying )

  • Ratchet mechanism working correctly

Eyebolts

  • Threads straight and undamaged

  • 10mm plugs

  • Expanding rubber eye bolts ( in good condition)

Vertical wall practical assessment

  • Assembles system correctly

  • Positions ladder correctly

  • Fits eyebolt correctly

  • Secures ladder correctly

  • Dons harness correctly

  • Fits cowstail correctly

  • Fits rope grab to rope correctly

  • Ascends ladder using correct technique

  • Work position

  • Descending ladder using correct techniques

Pitched roof work assessment

  • Assembles system correctly

  • Positions ladder correctly

  • Fits eyebolt correctly

  • Secures ladder correctly

  • Dons harness correctly

  • Fits cowstail correctly

  • Fits rope grab to rope correctly

  • Attaches 8m rope to roof ladder correctly

  • Positions roof ladder correctly to climb ladder

  • Ascends ladder using correct technique ( 3 points of contact)

  • Assessment of roof integrity

  • Transfer roof ladder to roof

  • Secure roof ladder

  • Transfer to roof ladder

  • Transfer self to roof ladder

  • Descending roof ladder

  • Transfer back to main ladders

  • Remove roof ladders

  • Make good hole once finished

Overall comments

  • How competent was they

Signature

  • Engineers signature

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