Title Page
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Ladder location
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Inspection Date
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Ladder Reference / Identification
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Ladder Model
- Step ladder
- Extension ladder
- Other
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Ladder Make
IF THE ANSWER IS NO TO ANY OF THE FOLLOWING QUESTIONS TAKE A PHOTO WHEN PROMPTED
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Are all the rivets and fastenings in place and secure?
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Are all the stiles free from distortion and damage?
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Are all the rungs in place and secure?
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Are all the rungs free from distortion and damage?
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Are all the rungs & stiles free from sharp edges?
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Is the ladder free from flaws,cracks and defects?
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Is the ladder free from corrosion?
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Are all the anti-slip feet in place, secure and free from damage?
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If the ladder is wooden is it painted, hiding defects?
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Is the ladder marked with a safe working load (SWL)
Stepladders - As above plus the following
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Are the stepladders stable when positioned on level ground
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Are hinges in place, secure and free from?
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Are spreaders in place?
Additional Comments
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Please take a photo
Results
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Has the ladder failed on any of the above items?
* IF THE ABOVE ANSWER IS YES REMOVE THE LADDER FROM SERVICE NOW *
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Is the ladder fit for use?
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Name of Assessor