Information
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Issuing Office
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Ladder ID
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Type of ladder
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Time and Date of Check
Checks
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Are the anti-slip feet on metal and fibreglass ladders/ stepladders in place, undamaged and not unduly worn?
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Are the feet free of such items as stones, grease, dirt or other debris, thus preventing them from not making direct contact with the ground?
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Are the rungs, stiles or platform free from mud, grease, oil or wet paint?
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Are the rungs, stiles, steps or platform free from cracks, splits, bends or warps?
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Are the rungs or steps all in place, unbroken and not weakened?
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Are the welds free of cracks / undamaged and all screws or rivets firmly in place?
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Is the equipment free of corrosion, sharp edges and dents?
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When set up on a flat surface, is the stepladder stable?
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Are the surfaces unpainted?
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Taking into account the findings above, is the ladder / stepladder safe to use? If not then the ladder must be immediately taken out of service and the ladder tag removed clearly showing 'DO NOT USE THIS LADDER'
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Photo of defects
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Please sign to confirm all appropriate checks have been completed: