Information

  • Document No.

  • Audit Title

  • Ladder Description

  • Conducted on

  • Prepared by

General

General Ladder Description

  • Photo ID of ladder/work platform

  • Description of what ladder/work platform is used for:

  • Location of where ladder/work platform is stored

  • Location

General

  • Are any of the steps/rungs loose?

  • Are there any loose nails, screws, bolts, rivets or other metal parts?

  • Are there any slivers on uprights, steps or rungs?

  • Is there any damage to the non slip bases?

Step ladders

  • Is the step ladder wobbly? (side to side)

  • Does the step ladder have any loose or bent hinge spreaders?

  • Does the step ladder have any loose or bent hinge spreaders?

  • Does the step ladder have and loose or worn hinges?

Extension Ladders

  • Does the extension ladder have any loose or worn steps or rungs?

  • Does the extension ladder have any defective locks that do not seat properly when the ladder is extended?

  • Does the extension ladder have deterioration of grip tape on the rungs?

Trestle Ladders

  • Does the trestle ladder have any loose, worn or damaged steps or rungs?

  • Is the trestle ladder wobbly?

  • Does the trestle ladder have any bent or loose hinge spreaders?

  • Does the trestle ladder have any damaged stops on the hinge spreaders?

  • Does the trestle ladder have a damaged centre section guide or is out of alignment?

  • Does the trestle ladder have any broken or defective locks for the extension?

Trolley Ladders

  • Does the trolley ladder have any missing wheels?

  • Does the trolley ladder have any wheels that bind when moving?

  • Does the trolley ladder have any wheel brackets that are loose, broken or missing?

  • Does the trolley ladder have any loose, worn or damaged steps or rungs?

Work Platforms

  • Does the work platform have any wheels that bind when moving?

  • Does the work platform have a self closing safety door?

  • Does the work platform have tread grip on the steps or rungs?

  • Does the work platform have safety railing that is in good condition?

  • Does the work platform have a brake system to stop the plant from sudden movement?

  • Does the work platform have tool guards around the platform edge?

  • Are all guard rails structurally sound?

Comments

General comments:

  • Ladder is in fit condition to continue service:

  • Why is ladder being taken from service?

  • Time and Date ladder taken from service

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.