Ladder Inspection Form

• If identified, ladders with defects WILL be tagged “Out of Order” and removed from use until repaired.
  All newly purchased ladders are to be rated minimum 120kg Industrial with 150kg preferred.

• Conducted on

  Date

• Prepared by

• Signature

  Sign

• Ladder rating

• Manufacturer

• Ladder size (steps)

• Ladder identification

General

• Manufacturers label is present and legible, showing rating of Industrial

  Ok

  Needs repair

  N/A

• Ladder has identifying number and inspection tag attached

  Ok

  Needs repair

  N/A

• No loose steps or rungs (consider loose if they can be moved at all with hand)

  Ok

  Needs repair

  N/A

• No loose nails, screws, bolts or other metal parts

  Ok

  Needs repair

  N/A

• Steps free of grease, oil, dirt and sharp edges

  Ok

  Needs repair

  N/A

• No cracked, split or broken uprights, braces, steps or rungs, rusted or corroded spots

  Ok

  Needs repair

  N/A

• No cracks in welds or other parts of the ladder

  Ok

  Needs repair

  N/A

• No sharp burrs on uprights, rungs or steps

  Ok

  Needs repair

  N/A

• No damaged or worn non-slip bases/feet

  Ok

  Needs repair

  N/A

Ladder Type

• Ladder type

  Step Ladder

  Extension Ladder

  Platform/Trolley Ladder

  Fixed Ladder

Stepladders

• Not wobbly (from side strain)

  Ok

  Needs repair

  N/A

• No loose or bent hinge spreaders

  Ok

  Needs repair

  N/A

• Stop on hinge spreaders not broken

  Ok

  Needs repair

  N/A

• No broken, bent, split or worn steps

  Ok

  Needs repair

  N/A

• No loose hinges

  Ok

  Needs repair

  N/A

Extension Ladders

• No loose, broken or missing extension locks

  Ok

  Needs repair

  N/A

• No damaged or defective pulleys, rung locks or ropes

  Ok

  Needs repair

  N/A

• No defective locks that do not seat properly when the ladder is extended

  Ok

  Needs repair

  N/A

• No deterioration of rope from exposure to acid or other destructive agents

  Ok

  Needs repair

  N/A

• Ladder levelling device fitted and operating correctly

  Ok

  Needs repair

  N/A

• Platform railing in good condition

  Ok

  Needs repair

  N/A

• Platform in good condition, supporting arms connected to platform

  Ok

  Needs repair

  N/A

• Floor wheel brackets not broken or loose

  Ok

  Needs repair

  N/A

• Floor wheels and brackets not missing

  Ok

  Needs repair

  N/A

• Ladders binding in guides

  Ok

  Needs repair

  N/A

• Ladder and rail stops not broken, loose or missing

  Ok

  Needs repair

  N/A

• Rail supports not broken or no section of rail missing

  Ok

  Needs repair

  N/A

• Trolley wheels not out of adjustment

  Ok

  Needs repair

  N/A

• No loose, worn or damaged rungs or side rails

  Ok

  Needs repair

  N/A

• No damaged or corroded parts of cage, handrails or brackets on platforms

  Ok

  Needs repair

  N/A

• No corroded bolts and rivet heads on inside of metal stacks

  Ok

  Needs repair

  N/A

• Base of ladder not obstructed

  Ok

  Needs repair

  N/A

• Lockout system working and displayed appropriately

  Ok

  Needs repair

  N/A

• Ladder secured from unauthorised use

  Ok

  Needs repair

  N/A

• Were faults identified?

  Yes

  No

Faults / Issues Identified:

• Faults / Issues Identified:

• Reported to:

• Reporting method:

  Email

  Telephone

  In person

• Ladder tagged out?

  Yes

  No

  N/A