PSU OPP SAFETY - Ladder Inspection Form

• Ladder Location

• Inspection Date

  Date

• Inspected by:

• Location
  Address

Step Ladder

• Ladder type:

  Select Fiberglass Aluminum Wood

  • Fiberglass
  • Aluminum
  • Wood

• Steps: Loose, Cracked, Bent or Missing?

  Safe

  At Risk

  N/A

• Rails: Cracked, Bent, Split or Frayed Rail Shields?

  Safe

  At Risk

  N/A

• Labels: Missing or Not Readable?

  Safe

  At Risk

  N/A

• Pail Shelf: Loose, Bent, Missing or Broken

  Safe

  At Risk

  N/A

• Top: Cracked, Loose or Missing

  Safe

  At Risk

  N/A

• Spreader: Loose, Bent or Broken

  Safe

  At Risk

  N/A

• General: Rust, Corrosion or Loose

  Safe

  At Risk

  N/A

• Other: Bracing, Shoes, Rivets

  Safe

  At Risk

  N/A

• Actions

  Ladder tagged as damaged & removed from use

  Ladder in good condition

Extension Ladder

• Ladder Type:

  Fiberglass

  Aluminum

  Wood

• Rungs: Loose, Cracked, Bent or Missing

  Safe

  At Risk

  N/A

• Rails: Cracked, Bent, Split or Frayed

  Safe

  At Risk

  N/A

• Labels: Missing or Not Readable

  Safe

  At Risk

  N/A

• Rung Locks: Loose, Bent, Missing or Broken

  Safe

  At Risk

  N/A

• Hardware: Missing, Loose or Broken

  Safe

  At Risk

  N/A

• Shoes: Worn, Broken, or Missing

  Safe

  At Risk

  N/A

• Rope/Pulley: Loose, Bent or Broken

  Safe

  At Risk

  N/A

• Other: Bracing Rivets

  Safe

  At Risk

  N/A

• General: Rust, Corrosion or Loose

  Safe

  At Risk

  N/A

• Actions:

  Ladder tagged as damaged & removed from use

  Ladder in good condition