Title Page
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Conducted on
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Prepared by
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Location
Type of Ladder
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Brand:
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What is is made from: (fiberglass, metal)
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Size (m):
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Type:<br><br>
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Other: (please describe)
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Ladder Asset Number:
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State and Town this ladder is currently located in:
Inspection - Please tick Yes, No or N/A for the following: (If answer Yes please explain in the Comments)
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Steps/Rungs - are any loose, cracked, bent or missing?
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Comment:
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Labels - are labels missing or not readable (incl Asset #)
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Comment:
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Rails - are they cracked, bent, split or frayed?
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Comment:
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Hardware - are any bolts or screws loose or missing?
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Comment:
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Top - is it cracked. loose or missing?
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Comment:
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Spreader/Bracing - is it loose, bent, broken or missing?
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Comment:
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Rung Locks - are they loose, bent, broken or missing?
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Comment:
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Rope/Pulley - Is it loose, bent, broken or missing?
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Comment:
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Hinges - are they loose, bent, broken or missing?
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Comment:
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Fasteners - is there any rust or corrosion? Are they loose or missing?
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Comment:
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Platform - is it loose, bent, broken or missing?
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Comment:
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General - is there any rust or corrosion?
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Comment:
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Cleanliness - is it free from grease, oil, slippery materials?
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Comment:
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Feet - are the feet damaged or worn non-slip bases?
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Comment:
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Other - is there any rot, fraying, excessive wear, corrosion or damage that may affect the reliability of the ladder. If you feel the ladder is unsafe to use, remove it from use immediately.
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Comment:
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Please add photos of the ladder - front on, side view and close up of any labels/serial numbers etc.
Sign Off
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Did the ladder pass inspection?
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Select date
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Add signature
