Title Page
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Item to be checked (for example 6 tread set of steps)
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Ladder Number
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Date of Inspection
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User
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Inspector
Checklist
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Top Rail - In place securely affixed (no dents, cracks, contamination etc)
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Platform - In place securely affixed (no dents, cracks, contamination etc)
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End caps and feet - present & securely affixed with no dirt or contamination that could affect its stability
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Treads - In place not bent damaged or modified
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Stiles - In place not bent damaged or modified
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Back legs & rails securely affixed not bent damaged or modified
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Braces & Struts' Stable and in good condition
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Hinges and fixings in place, (not contaminated by rust or damaged/missing)
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Extending ladders
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Fly section, Rung locks, Base section Guide brackets in place, (not contaminated by rust or damaged/missing)
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Locking and restraint fixings present, undamaged, contaminated and in good working order
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Functionality of step ladder -Is it stable & solid (Inspector, you will need to open the stepladder as if you would be using it to test this)
Overall Assessment
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Condition of the equipment
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Further actions required
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New Tag to be issued to user
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Minor maintenance required such as cleaning of the ladder
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Ladder is to be taken out of service