Ladder Inspection

• Site/ Department: conducted

  Select

• Date:

  Date

• Done by:

• undefined

Information

• Ladder no

• Type

  Yes

  No

Legend

• 1. Everything in order

  Yes

  No

  N/ A

• 2. Rungs or steps loose and damaged

  Yes

  No

  N/ A

• 3. Ladder dirty

  Yes

  No

  N/ A

• 4. Loose nails ,screws and bolts

  Yes

  No

  N/ A

• 5. Ladders stored unsafely

  Yes

  No

  N/ A

• 6. Stiles, rails, uprights damaged or cracked

  Yes

  No

  N/ A

• 7. Wheels damaged

  Yes

  No

  N/ A

• 8. Spreader or spreader locks/ stops damaged

  Yes

  No

  N/ A

• 9. Other

  Yes

  No

  N/ A

• 10. Antislip rubber feet (shoes) worn or damaged?

  Yes

  No

  N/ A

• 11. Rope pulley system damaged

  Yes

  No

  N/ A

• 12. Rope damaged

  Yes

  No

  N/ A

• 13. Rung lock damaged

  Yes

  No

  N/ A

• 14. Ladder not standing firmly/ wobbly

  Yes

  No

  N/ A

• 15. Ladder no. missing or damaged or not legible

  Yes

  No

  N/ A

• * see drawings of ladders on back page

  Drawing

• Add drawing

  Drawing

• Add drawing

  Drawing

Signatures

• Action required:

• By Whom:

• Target Date:

• Yes

  No

• Inspectors Signature

  Sign

• Supervisor/ Team leader/ HOD

  Sign