Monthly Escape Way Inspection Check List - A

• Inspected By:

• Date Inspected:

  Date

TASKS

Level

• Level:

• Check cover for the raise

• Check to ensure escape way is marked on maps (sation, refuge station)

• Check signage going into escape raise

• Is the top of the escape way clean of obstruction?

  Yes

  No

  N/A

• Check the ladders for dryness

• Check and ensure the rungs are in good condition

• Check that the ladder is extended above the landings

• Check the platform (landings) clean of muck and debris and no dry rot

• Is the ground support adequate and in good condition?

  Yes

  No

  N/A

• Check signage at the bottom of the raise

• COMMENTS: