Mercury ladder audit.

• Engineer Name

• Conducted on

  Date

• Prepared by

• Location
  Address

Ladder / Asset Information

• Ladder Asset ID - (Example - Engineer Initials 001 002)

• Ladder Type

  Step Ladder

  A-Frame Ladder

  Tripple Ladder

  Roof Ladder

• Ladder Material

  Fibre Glass

  Aluminum

  Wooden

Inspection Questions

• Are asset identification markings legible?

  Yes

  No

  N/A

• Is the asset free of paint or other condition obscuring coatings?

  Yes

  No

  N/A

• Are stiles in good order; free from damage, twist and excessive wear?

  Yes

  No

  N/A

• Are rungs in good order; none broken, loose, missing or worn?

  Yes

  No

  N/A

• Are rungs supported and fitted correctly; not held with nails, screws or chocks?

  Yes

  No

  N/A

• Are rungs free of any debris; mud and grease?

  Yes

  No

  N/A

• Are rungs and stiles free of sharp edges and burrs / splinters?

  Yes

  No

  N/A

• Are non slip fittings securely on feet?

  Yes

  No

  N/A

• Are all parts free of decay or corrosion?

  Yes

  No

  N/A

• Can it stand firmly; free from sagging, rocking and distortion?

  Yes

  No

  N/A

• Is the ladder tagged and has the inspection date been updated

  Yes

  No

  N/A

Ladder Inspection Status

• Has the Ladder Passed or Failed the Inspection

  PASS

  FAIL

• If the ladder has failed inspection please detail the defects and actions taken to remove this from use and any follow up actions required

Ladder Images

• Add Images of any defect

  Media

Audit Completion and Sign Off

• Engineer Print Name & Signature

  Sign

• Area Manager / Senior Engineer Print Name & Signature

  Sign