Ladder Safety Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. General Areas/ Site Compliance/ House Keeping

• 1.1 - Traffic Control- Are vehicles parked on one side of the street or obeying posted signs?

  Yes

  No

  N/A

• 1.2. Job Hazard Analyzes- Was a JHA conducted by on site crew prior to the start of work?

  Yes

  No

  N/A

• 1.3. Trash- Is the job site clear of trash?

  Yes

  No

  N/A

• 1.4. Material Storage- Are materials organized, consolidated, and not blocking exits?

  Yes

  No

  N/A

• 1.5. Streets & Sidewalks- Is the street & sidewalks swept from Pin to Pin?

  Yes

  No

  N/A

• 1.6. SES- Is the Service Entrance door locked while lot has construction(temp) power

  Yes

  No

  N/A

• 1.7. IIPP- Is the Trade Partner company IIPP (Safety Manual) on site?

  Yes

  No

  N/A

• 1.8. MSDS- Is the Trade Partners company MSDS on site?

  Yes

  No

  N/A

• 1.9. Labeling- Are all cups and containers properly labeled?

  Yes

  No

  N/A

2. Ladders

• 2.1. Is the ladder Type 1 or 1A?

  Yes

  No

  N/A

• 2.2. Is the ladder in good condition?

  Yes

  No

  N/A

• 2.3. Is the ladder set up with the proper 4:1 lean ratio?

  Yes

  No

  N/A

• 2.4. Is the ladder tied off?

  Yes

  No

  N/A

• 2.5. Is the ladder extended 3 feet above landing?

  Yes

  No

  N/A

• 2.6. Are all A frame ladders properly used? (Fully extended, level surface, and top & top step not used)

  Yes

  No

  N/A

Corrective Actions

• Enter any corrective actions that will be undertaken

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• Shea Employee

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