Information
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Supervisor
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Engineer
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Conducted on
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Location
Harness, Ladder and Associated Equipment Inspection Record
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Is this the Statutory harness and associated equipment Inspection?
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Please check all full body harnesses and associated equipment in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and arrangements made for destruction. The equipment must not be allowed to go back into service.
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Harness Serial Number
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Date of Manufacture
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Is the general appearance of the harness ok?
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Please State why?
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Are all the metal fittings, buckles and fastenings free from cracks, deformations, corrosion, dirt or contamination?
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Please State why?
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Is the rip stitch intact?
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Please State why?
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Is the webbing free from cuts, furring, contamination, dirt, abrasion or excessive wear?
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Please State why?
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Is the general appearance of the kern-mantle rope and hook ok?
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Please State why?
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Rope Serial Number
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Date of Manufacture
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Inspect the full length of the rope - is it free from end creeping or soft or hard areas of the sheath and core?
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Please State why?
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Is the hook in good condition; free from damage or corrosion?
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Please State why?
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Is the hook operating correctly (double action)?
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Please State why?
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Are all attachment points free from wear or cracking?
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Please State why?
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Is the general appearance of each karabiner ok?
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Please State why?
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Is the karabiner operating correctly - does it snap shut?
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Please State why?
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Are the karabiners free from mechanical damage and corrosion?
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Please State why?
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Are the pin and gate on the karabiners working ok and free from damage or debris?
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Please State why?
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Is the general appearance of the rope grab ok?
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Please State why?
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Is the rope grab free from mechanical damage or corrosion?
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Please State why?
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Is the rope grab operating correctly? Check operation on the rope.
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Please State why?
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Is the front lobe cam free from damage on the rope grab?
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Please State why?
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Is the rope grab attachment point free from damage?
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Please State why?
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Is the rope grab safety mechanism operating ok?
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Please State why?
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Is the general appearance of the cows tail and hook ok?
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Please State why?
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Cows Tail Serial Number
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Date of Manufacture
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Check the webbing and stitching on the cows tail including eye loops, are they ok?
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Please State why?
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Is the hook free from corrosion or mechanical damage?
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Please State why?
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Is the hook attachment point free from wear or cracking?
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Please State why?
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Is the double action operation of the hook working correctly?
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Please State why?
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Is the general appearance and thread condition of the eye bolts ok? ( de & re-assemble then check operation)
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Please State why?
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Check the metal / rubber bond & the tightness of the adapter and hanger nut of the eye bolts; are they ok?
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Please State why?
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Is the general appearance & webbing and stitching of the drill bandolier ok (if used)?
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Please State why?
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Is the general appearance of the ratchet/restraint strap ok?
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Please State why?
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Ratchet/Restraint Strap Serial Number
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Date of Manufacture
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Is there any sign of mechanical damage or corrosion on the ratchet strap?
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Please State why?
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Is the webbing and stitching ok on the ratchet strap?
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Please State why?
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Check the operation of the cam/ratchet; do a slippage test - is the operation ok?
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Please State why?
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Is the general appearance of the ladder strap ok?
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Please State why?
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Ladder Strap Serial Number
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Date of Manufacture
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Is the ladder strap free from mechanical damage or corrosion?
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Please State why?
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Is the webbing and stitching on the ladder strap ok?
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Please State why?
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Check the operation of the ladder strap ratchet; do a slippage test - is the operation ok?
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Please State why?
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Is the general appearance of the ladder yoke ok?
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Please State why?
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Is the ladder yoke free from mechanical damage or corrosion?
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Please State why?
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Ladder Yoke Serial Number
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Date of Manufacture
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Is the webbing and stitching on the ladder yoke ok?
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Please State why?
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(PV only) Is the twin leg lanyard ok, free from damage, corrosion and the webbing & stitching intact?
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Please State why?
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Twin Lanyard Serial Number
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Date of Manufacture
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Is the bag holding all of the ladder safety equipment ok, free from damage?
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Please State why?
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Are there any other items not mentioned above? If 'Yes, please state what they are and what the condition is
Additional Equipment Description
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Enter details of additional equipment and its condition
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Is the equipment free from damage or corrossion
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Give details
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Is this the Statuary Ladder And Step Ladder Inspection?
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Please check all ladders and step ladders
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Please State why?
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Step Ladder Reference Number
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Step Ladder Type i.e 4 rung A frame or fibre glass 6 rung
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Step Ladders - Are the Step Ladders free of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Step Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Step Ladders - are all of the rungs in place and secure?
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Please State why?
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Step Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Step Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Step Ladders - are the step ladders stable when positioned on level ground?
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Please State why?
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Step Ladders - are the hinges in place, secure and free from damage?
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Please State why?
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Step Ladders - are the brackets/spreaders free from distortion and damage?
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Please State why?
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Step Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Please State why?
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Are there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Are there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Is there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Is there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Is there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Are there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Are there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Is there additional ladders for inspection?
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Ladder Reference Number
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Ladder type i.e triple extension
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Please check all ladders and step ladders in the van and in use. Any piece of equipment that has failed on any of the checks MUST be removed from service and either arrangements made for repair or destruction. The equipment must not be allowed to go back into service.
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Ladders - Are the ladders free of any evidence of significant wear, flaws, distortion, cracks, splits or corrosion?
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Please State why?
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Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Ladders - are all of the rungs in place and secure?
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Please State why?
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Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Ladders - are all of the ladder accessories in good working order I.e. Ladder stays or footers?
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Please State why?
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Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Please State why?
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Are there additional Step ladders for inspection?
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Step Ladder Reference Number
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Step Ladder Type i.e 4 rung A frame or fibre glass 6 rung
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Step Ladders - Are the Step Ladders free of significant wear, flaws, distortion, cracks, splits or corrosion?
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Step Ladders - are stiles and rungs free from any sharp edges?
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Please State why?
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Step Ladders - are all of the rungs in place and secure?
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Please State why?
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Step Ladders - are all (top & bottom) anti-slip feet in place, secure and free from damage?
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Please State why?
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Step Ladders - is the ladder marked with the SWL (safe working load) and is the Help-Link inspection sticker visible?
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Please State why?
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Step Ladders - are the step ladders stable when positioned on level ground?
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Please State why?
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Step Ladders - are the hinges in place, secure and free from damage?
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Please State why?
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Step Ladders - are the brackets/spreaders free from distortion and damage?
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Please State why?
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Step Ladders - are the ladders company issue and suitable for work use? (Class 1 or EN131 only)
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Please State why?
Comments and Actions
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Add any relevant photos
Auditors signature
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Add signature
Engineers signature
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Add signature