Ladder Monthly Checklist

• Conducted on

  Date

Ladder

• Ladder #

• Photo of the ladder

  Media

• Type of ladder (Step, Extension, Platform, Fixed).

• Are the steps/rungs loose?

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Is there oil, grease, or other slippery material on the steps/rungs?

  Yes

  No

  N/A

• Are there dents or bends in the ladder rails or steps/rungs?

  Yes

  No

  N/A

• Is the ladder wobbling?

  Yes

  No

  N/A

• Are the hinges loose?

  Yes

  No

  N/A

• Are the dogs/pawls (extension locks) loose, broken, or missing?

  Yes

  No

  N/A

• Is there rust or corrosion on the rungs or rails of the ladder?

  Yes

  No

  N/A

Completion

• Date & Time Completed

  Date

• Name & Signature

  Sign