Ladder Inspection Checklist

• Name of Facility / Site / Location

• Date Inspected

  Date
• Site conducted
  Address

• Printed Name of Person Performing Audit

• Instruction(s)
  
  1. Choose the type of ladder that you will review.
  2. Choose the Location of the Ladder and its Number.
  3. If you select At Risk for any item, the LADDER must be Removed from Service. Add photos and notes by clicking on the paperclip icon.
  4. To add a Corrective Measure, click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
  5. Share your report by exporting as PDF, Word, Excel or Web Link.

Section 1.0 - Ladders (Stool, Step, Portable- Extension, Fixed, and Rolling)

• 1.1 Identify the Construction of Ladder.

  Wood

  Metal

  Fiberglass

  Extension

• 1.2 Identify the area of inspection.

  Select Inside Building - Aisle Inside Building - Near Door or Access Inside Building - Near Mobile Equipment Inside Building - Pit (Trench) Inside Building - Uneven Surface Outside Building - Near Door or Access Outside Building - Near Mobile Equipment Outside Building - Uneven Surface Outside Building - Pit (Trench)

  • Inside Building - Aisle
  • Inside Building - Near Door or Access
  • Inside Building - Near Mobile Equipment
  • Inside Building - Pit (Trench)
  • Inside Building - Uneven Surface
  • Outside Building - Near Door or Access
  • Outside Building - Near Mobile Equipment
  • Outside Building - Uneven Surface
  • Outside Building - Pit (Trench)

• 1.3 Are the warning and duty rating labels easy to read?

  Safe

  At Risk

  N/A

• 1.4 Does the ladder require service, maintenance, or removal from service?

  Safe

  At Risk

  N/A

• 1.5 Is the ladder free from oil, grease or other material?

  Safe

  At Risk

  N/A

• 1.6 Does the ladder show signs of rust?

  Safe

  At Risk

  N/A

• 1.7 Are the rungs, cleats or steps intact and free from damage?

  Safe

  At Risk

  N/A

• 1.8 Are there any missing parts from the ladder such as a rung, fly wheel, or rail?

  Safe

  At Risk

  N/A

• 1.9 Do the rails have cracks or splintering?

  Safe

  At Risk

  N/A

• 1.10 Is the ladder warped, bent, uneven, or damaged?

  Safe

  At Risk

  N/A

• 1.11 Has the ladder been hit?

  Safe

  At Risk

  N/A

• 1.12 Is the ladder free from protruding objects that could cause injury?

  Safe

  At Risk

  N/A

• 1.13 Has a repair been made to the ladder other than those allowed by the manufacturer?

  Safe

  At Risk

  N/A

• 1.14 Do rolling step ladders have a locking device to prevent movement?

  Safe

  At Risk

  N/A

• 1.15 Do the spreader and hinges bars lock when opening the step ladder?

  Safe

  At Risk

  N/A

• 1.16 Have impacted employees been trained on ladder use?

  Safe

  At Risk

  N/A

• 1.17 Fixed Ladder - Are fixed ladders (24 feet or taller) equipped with a fall restrain system?

  Safe

  At Risk

  N/A

• 1.18 Fixed Ladder - Are guard rails and chains attached or closed at the top of the ladder landing?

  Safe

  At Risk

  N/A

• 1.19 Extension Ladder - Is the rope and pulley available on the ladder?

  Safe

  At Risk

  N/A

• 1.20 Extension Ladders - Are the rung locks available and working without defect.

  Safe

  At Risk

  N/A

• 1.21 Extension Ladder - Are the rails racked, bent, split, or warped?

  Safe

  At Risk

  N/A

• 1.22 Rolling Step Ladder - Is bracing (vertical and horizontal) free of bends, loose bolts and nuts, and damage?

  Safe

  At Risk

  N/A

• 1.23 Rolling Step Ladder - Are caster wheels free of damage?

  Safe

  At Risk

  N/A

• 1.24 Did you observe an Un-safe condition? (Example - Broken or Damaged Equipment)

  Safe

  At Risk

  N/A

• 1.25 Was the Un-Safe Condition corrected?

  Yes

  No

  N/A

• 1.26 Did you observe an Un-Safe Act or Behavior? (Example - Shortcut)

  Yes

  No

  N/A

• 1.27 Was the Un-Safe Act or Behavior Corrected?

  Yes

  No

  N/A

• 1.28 Have you reported the Un-Safe Act, behavior, or Condition to a Supervisor or Management?

  Yes

  No

  N/A

• 1.29 Nominal Score = 80, Max Score = 100