FS Ladder Inspection Form

• Inspector Of Ladder

• Date Of Inspection

  Date

• Contractor Name

• Location
  Address

Ladder

• Ladder I.D Tag Number

• Type Of Ladder

  Ladder

  Step-Ladder

  Hop Up

  Other

• What Type of ladder is it?

• Ladder Material

  Metal

  Wooden

  Fibre Glass

  Other

• What Type Of Material is it?

• Are the treads/rungs in good condition

  Yes

  No

  N/A

• Are the treads/rungs free from defects such as holes, cracks, ETC

  Yes

  No

  N/A

• Are the treads/rungs free from grease, paint, mud or other substance

  Yes

  No

  N/A

• Are the treads/rungs secured to the stiles

  Yes

  No

  N/A

• Does the ladder stand firmly & evenly

  Yes

  No

  N/A

• Are ropes and cords in good condition without damage

  Yes

  No

  N/A

• Are rivets and other fittings in good condition without corrosion

  Yes

  No

  N/A

• Are pulleys and hinges in good condition without damage

  Yes

  No

  N/A

• Is there any movement in the treads/rungs

  Yes

  No

  N/A

• Are any treads/rungs missing

  Yes

  No

  N/A

• Are the treads/rung warped, distorted or bent

  Yes

  No

  N/A

• Is the ladder painted or otherwise treated which may hide defects

  Yes

  No

  N/A

• Are the stiles worn or damage at the top or bottom

  Yes

  No

  N/A

• Is the ladder in a suitable condition for use

  Yes

  No

  N/A

• Other comments

Sign Off

• Name of inspector

• Sign

  Sign

• Date

  Date