Ladder Safety Checklist

• Company:

  Select Borton Greenhill Concrete Greenhill Materials Greenhill Sand Klaver Millennial Asphalt OCM Sherwood Construction Wildcat CO Wildcat KS Wildcat Concrete

  • Borton
  • Greenhill Concrete
  • Greenhill Materials
  • Greenhill Sand
  • Klaver
  • Millennial Asphalt
  • OCM
  • Sherwood Construction
  • Wildcat CO
  • Wildcat KS
  • Wildcat Concrete

• Site conducted

  Select

• Ladder Reference #

• Client / Site

• Date Purchased

  Date
• Location
  Address

• Conducted on

  Date

• Prepared by

General Information

• Take a photo of the ladder

  Media

• Take a photo of the tag or label

  Media

• Type of ladder

  Step Ladder

  Extension

  Multipurpose

  Articulated

  Step Stool

• Enter type of ladder

• Ladder Material

  Wood

  Metal

  Fiberglass

  Aluminum

• Length

Ladder Safety Inspection

• Are the manufacturers labels present and legible?

  Yes

  No

  N/A

• Are all ladders maintained in good condition? (rungs, side rails, hardware and fittings securely attached, moveable parts operating freely without binding or undue play)

  Yes

  No

  N/A

• Is the ladder of the proper length and is it capable of supporting the maximum intended load for which it was built?

  Yes

  No

  N/A

• Are non-slip safety feet provided on each ladder?

  Yes

  No

  N/A

• Is the ladder free of oil, grease, mud or other slippery materials?

  Yes

  No

  N/A

• Are the rungs and steps of portable ladders corrugated, knurled, dimpled, coated with skid-resistant material or otherwise treated to minimize slipping?

  Yes

  No

  N/A

• Is it prohibited to place ladders on boxes, barrels or other unstable bases to obtain additional height?

  Yes

  No

  N/A

• Are ladders prohibited from being tied or fastened together to provide longer sections (unless they are designed for such use)?

  Yes

  No

  N/A

• Is the ladder setup at the right angle (1 foot back for every 4 feet in height)?<br>? placed so that the working length of the ladder is four times the horizontal distance from the ladder’s base to the structure — a 4:1 ratio?

  Yes

  No

  N/A

• Has the ladder been checked for defects before use?

  Yes

  No

  N/A

• Are non-conductive ladders used around electrical hazards?

  Yes

  No

  N/A

• Are employees instructed to face the ladder when ascending or descending?

  Yes

  No

  N/A

• When portable ladders are used for access to an upper landing surface, does the ladder side rails extend 3 feet above the surface or secured at its top?

  Yes

  No

  N/A

• Are employees instructed not to use the top step on portable ladders, including step ladders?

  Yes

  No

  N/A

• Are employees instructed not to carry any object or load that could cause the employee to lose balance and fall when ascending or descending a ladder?

  Yes

  No

  N/A

• Are ladders prohibited from being placed in front of door openings except when the door is blocked open, locked or guarded?

  Yes

  No

  N/A

• Are portable ladders secured at the base to prevent the ladder from moving?

  Yes

  No

  N/A

• When using a stepladder, is the side braces and/or cross braces locked?

  Yes

  No

  N/A

• Has a regular formal inspection of the ladder been done?

  Yes

  No

  N/A

• Are employees trained in hazard recognition and the proper use of ladders?

  Yes

  No

  N/A

• Other defects observed?

• Take a photo of other defects (optional)

  Media

Recommendations

• Please write here

• Overall Rating

  Good

  Needs Repair

  N/A

Completion

• Full Name and Signature of the Inspector

  Sign