Ladder Safety

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

Step Ladders

• Step Ladders braces locked?

  Safe

  At Risk

  N/A

• Step Ladder on firm level ground?

  Safe

  At Risk

  N/A

• Top two steps are not being used?

  Safe

  At Risk

  N/A

• Belt buckle rule being followed?<br>

  Safe

  At Risk

  N/A

• Inspected and in good condition?

  Safe

  At Risk

  N/A

• Fall protection used when working at or above 6'?

  Safe

  At Risk

  N/A

• Stored properly?

  Safe

  At Risk

  N/A

• Proper ladder identifying labels?

  Safe

  At Risk

  N/A

Extension Ladders

• Extended 3' above landing?

  Safe

  At Risk

  N/A

• 4 to 1 base to height ratio?

  Safe

  At Risk

  N/A

• Tied off or held during use?

  Safe

  At Risk

  N/A

• Inspected and in good condition?

  Safe

  At Risk

  N/A

• Proper identifying labels in place?

  Safe

  At Risk

  N/A

• Stored properly?

  Safe

  At Risk

  N/A

• Ladder safety device i.e. Retractable for access and egress in place or Fall Protection in use over 6'?

  Safe

  At Risk

  N/A