Ladder Inspection - V.2

• Document No.

• Audit Title

• Ladder Description

  Select Work Platform Trestle Ladder Trolley Ladder Step Ladder Extension Ladder

  • Work Platform
  • Trestle Ladder
  • Trolley Ladder
  • Step Ladder
  • Extension Ladder

• Conducted on

  Date

• Prepared by

General Ladder Description

• Photo ID of ladder/work platform

  Media

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

• Location of where ladder/work platform is stored

  Select Burton yard other

  • Burton yard
  • other

• Location

General

• Are any of the steps/rungs loose?

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

• Is there any damage to the non slip bases?

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

• Is the trestle ladder wobbly?

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

• yes

  no

  na

• Does the trolley ladder have any missing wheels?

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  yes

  no

  na

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Are all guard rails structurally sound?

  Yes

  No

  N/A

General comments:

• Ladder is in fit condition to continue service:

• Why is ladder being taken from service?

• Time and Date ladder taken from service

  Date