IPS Fixed ladder Annual inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Region

• Location

• Inspection date

  Date

• Inspector signature

  Sign

• Fixed ladder unit number

Inspection Items

• 1. Is the ladder securely attached?

  Yes

  No

  N/A

• 2. Is the ladder sturdy and does not shake?

  Yes

  No

  N/A

• 3. Are rungs/steps secure and intact?

  Yes

  No

  N/A

• 4. Is ladder free of loose screws, bolts or other metal parts?

  Yes

  No

  N/A

• 5. Is ladder free of cracks, splits, broken uprights, braces or rungs?

  Yes

  No

  N/A

• 6. Are rungs/steps free of grease or oil?

  Yes

  No

  N/A

• 7. Does railing sit properly

  Yes

  No

  N/A

• 8. Can railing be pinned

  Yes

  No

  N/A

• 9. Condition of railing

  Safe

  At Risk

  N/A

• 10. Is overall condition of fixed ladder safe.

  Yes

  No

  N/A