Title Page
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Date
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Inspector
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Location
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Ladder number
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Ticket number
STEPS
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Check for loose, cracked bent or missing steps
RAILS
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Check for cracked , bent, split or frayed rail shields
LABELS
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Ensure ladder tag is present and readable
TOP SHELF
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Check for loose, bent or missing components
SPREADER
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Check the spreader is not loose, bent or broken
GENERAL
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Check for rust or corrosion and any other concerns or issues
OTHER
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Check all rivets are good
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Check ladder feet/shoes
SIGN OFF
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Are you passing this equipment as safe and in good working order
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Reason for failure
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Have you removed the equipment from use
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NAME
