Ladder / Stepladder Inspection Record

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Ladder and Employee Details

• Type of ladder/stepladder:

• Location of ladder/stepladder:

• Ladder asset/ref number:

Checks

• Are the anti-slip feet on metal and fibreglass ladders/ stepladders in place, undamaged and not unduly worn?

  Yes

  No

  N/A

• 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?

  Yes

  No

  N/A

• Are the rungs, stiles or platform free from mud, grease, oil or wet paint?

  Yes

  No

  N/A

• Are the rungs, stiles, steps or platform free from cracks, splits, bends or warps?

  Yes

  No

  N/A

• Are the rungs or steps all in place, unbroken and not weakened?

  Yes

  No

  N/A

• Are the tie rods in place and undamaged?

  Yes

  No

  N/A

• Are the welds free of cracks / undamaged and all screws or rivets firmly in place?

  Yes

  No

  N/A

• Is the equipment free of corrosion, sharp edges and dents?

  Yes

  No

  N/A

• When set up on a flat surface, is the stepladder stable?

  Yes

  No

  N/A

• Are surfaces untainted?

  Yes

  No

  N/A

• Any other issues, please specify?

  Yes

  No

  N/A

• Taking into account the findings above, is the ladder / stepladder safe to use?

  Safe

  At Risk

  N/A

• Photo of defects

  Media

• Please sign to confirm all appropriate checks have been completed:

  Sign