Title Page

  • Site/ Department: conducted

  • Date:

  • Done by:

  • undefined

Untitled Page


  • Ladder no

  • Type


  • 1. Everything in order

  • 2. Rungs or steps loose and damaged

  • 3. Ladder dirty

  • 4. Loose nails ,screws and bolts

  • 5. Ladders stored unsafely

  • 6. Stiles, rails, uprights damaged or cracked

  • 7. Wheels damaged

  • 8. Spreader or spreader locks/ stops damaged

  • 9. Other

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

  • 11. Rope pulley system damaged

  • 12. Rope damaged

  • 13. Rung lock damaged

  • 14. Ladder not standing firmly/ wobbly

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

  • * see drawings of ladders on back page

  • Add drawing

  • Add drawing


  • Action required:

  • By Whom:

  • Target Date:

  • Inspectors Signature

  • Supervisor/ Team leader/ HOD

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.