Title Page
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Conducted on
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Inspected by
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Ladder Make & Model
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Ladder Identification No.
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Ladder Type
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Location
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Employees Name
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Are feet in good condition
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Is stabilising bar fitted and in good condition
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Are rungs in good condition, free of dents or damage and secure
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Are the stiles of the ladder straight
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Does ladder operate correctly when opening out
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Does the ladder lock in place
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Does the ladder require lubricating at joints/ catches
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Is the ladder clean, free of oil, grease, dirt etc
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Ladder inspection tag attached to ladder
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Last inspection within 6 months as per company policy
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In your opinion is the ladder in good condition and fit for purpose
Sign Off
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Employees Signature
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Inspectors Signature
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Next inspection due no later than