Information
-
Document No.
-
Student Name:
-
Division/ Hub:
-
Conducted on
-
Trainer:
-
Location: 3767 All American Blvd Orlando, FL 32703 (407) 427-0897 alfre.desaussure@mybrighthouse.com
-
Additional Personnel:
-
CERTIFICATION or RECERTIFICATION:
-
INSPECT & PUT ON PPE:
-
Student Photo (Wearing PPE):
LADDER SAFETY CHECK
-
RAILS:
-
Observation:
- No splinters or cracks
- No warped rails
- No additional holes
- Rail guides present & intact
- Rail caps present & intact -
Rungs:
-
Observation:
- No loose or missing rungs
- No loose or missing rivets
- Rail slides present & in place
- No worn or bent rungs -
ROPE & PULLEY:
-
Observation:
- No fraying of rope
- No stains on rope
- Rope secured to rung on the fly side
- Pulley wheel rolls freely
- Pulley secured to rung -
FEET:
-
Observation:
- Both cleats intact
- Both rubber pads present & intact
- No missing rivets
- Both attachment bolts secured so feet move freely -
STRAND HOOKS & V-RUNGS ASSEMBLY:
-
Observation:
- Securely attached to rails
- Hooks move freely from "closed" to "open" position
- No cracking, excessive wear or bends
- V-Rung secured to assembly
- No cracking on bracket
- Rubber present and attached -
FLIPPERS & PAWLS:
-
Observation:
- Pawl assemblies secured to rails
- Flippers & pawls intact
- Spring tension on flippers
- Spring tension on pawls -
ANNUAL LADDER CERTIFICATION DECAL:
-
Observation:
- Extension Ladder
LADDER HANDLING CHECK
-
LADDER REMOVAL:
-
Observation:
- Safely removed ladder from truck -
LADDER CARRY:
-
Observation:
- Check for clearance often
- Ladder feet lead when walking
- Keep wide side of ladder towards body
- Arms do not pass through the rungs
- Keep balance and control from truck to worksite
- Lifting ladder with legs, not back
- Demonstrate vertical carry
- Demonstrate shoulder carry
- Demonstrate D-Ring carry -
SETTING LADDER:
-
Observation:
- Set the strand hooks to working position
- Stand ladder upright at a 10:1 ratio
- Position ladder so wide side is toward support surface
- Ensure ladder feet are stable -
EXTENDING LADDER:
-
Observation:
- Extend the ladder using lanyard and free hand
- Do not wrap lanyard around hand or allow it to slip thru the hand
- Do not place hands or feet on any rungs
- If pole is support surface, V-Rung rests against pole
- Keep balance and control of ladder
- Lift ladder and pull base out to 4:1 ratio
- Strand hooks are on the strand for final working position
- Take up slack in lanyard and tie off to ladder -
CLIMBING THE LADDER:
-
Observation:
- Properly adjust safety strap length before climbing
- Shoulder safety strap or tuck slack into D-Ring
- Use 3-Point of contact to ascend to working height -
BELT-IN PROCEDURES:
-
Observation:
- Maintain 3-Points of contact
- Unclip and pass single end of safety strap over the strand
- At mid-span use (1-1-1) or (1-2-1) tie off with safety strap
- If pole is support surface, use proper tie off method (1-1-1)
- Watch snap hook clip engage D-Ring
- Snap hook opening face outwards
-
WORKING ALOFT:
-
Observation:
- Strand should be at chest height
- Both feet remain on same rung
- Demonstrate belt buckle rule left & right -
DESCENDING THE LADDER:
-
Observation:
- Release safety strap while maintaining 3-Points of contact
- Shoulder safety strap or tuck strap into D-Ring -
LOWERING THE LADDER:
-
Observation:
- Untie lanyard slack from rung
- Lift ladder and push base to 10:1 ratio
- Use lanyard and free hand to retract ladder
- Lower ladder a few rungs at a time
- Do not wrap lanyard around hand or allow it to slip thru the hand
- Do not place hands or feet on any rungs while lowering
- Keep balance and control of ladder
- Ensure that lanyard is secured to rung
- Use approved method to carry ladder back to vehicle -
STOW THE LADDER:
-
Observation:
-Safely place ladder on truck -
!!FAILURE TO OBTAIN A PASS IN ALL SECTIONS WILL REQUIRE
A NEW CERTIFICATION OR RECERTIFICATION FORM AND TEST!! -
Signature of Trainer:
-
Signature of Student:
-
COMMENTS:
