Title Page
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Prepared by
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Facility
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Conducted on
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Type of ladder
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Is the ladder free from oil, grease or other material?
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Are rungs, cleats or steps intact and free from damage?
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Are rails free from cracks and splintering?
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Is the ladder free from protruding objects that could cause injury?
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Is the ladder equipped with safety device?
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Is it operating properly?
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Is the ladder equipped with locking device?
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Is it intact and functional?
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Is there a cage and are cages intact?
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Is the ladder free from any other defects that may impair its safe usage?
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Construction of ladder
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Inspector
