Elizabeth Fisher

PSU OPP SAFETY - Ladder Inspection Form

February 2017; Use this form to document Penn State Ladder Inspections

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Information

Ladder Location
Inspection Date
Inspected by:
Location

Step Ladder

Ladder type:
- Fiberglass
- Aluminum
- Wood
Steps: Loose, Cracked, Bent or Missing?
Rails: Cracked, Bent, Split or Frayed Rail Shields?
Labels: Missing or Not Readable?
Pail Shelf: Loose, Bent, Missing or Broken
Top: Cracked, Loose or Missing
Spreader: Loose, Bent or Broken
General: Rust, Corrosion or Loose
Other: Bracing, Shoes, Rivets
Actions

Extension Ladder

Ladder Type:
Rungs: Loose, Cracked, Bent or Missing
Rails: Cracked, Bent, Split or Frayed
Labels: Missing or Not Readable
Rung Locks: Loose, Bent, Missing or Broken
Hardware: Missing, Loose or Broken
Shoes: Worn, Broken, or Missing
Rope/Pulley: Loose, Bent or Broken
Other: Bracing Rivets
General: Rust, Corrosion or Loose
Actions:

Elizabeth Fisher

PSU OPP SAFETY - Ladder Inspection Form

February 2017; Use this form to document Penn State Ladder Inspections

Use this Template

Print as PDF

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