Monthly Ladder Check

• Document No.

• Audit Title

• Conducted on

  Date

Ladder....

• Are there any missing or loose steps or rungs?

  No

  yes

• Are there any loose nails, screws bolts or other parts?

  No

  yes

• Are there any cracked, split, worn, twisted or broken stiles (sides of the ladder) or braces?

  No

  yes

• Are the feet damaged or worn?

  No

  yes

• Are there any corroded metal parts?

  No

  yes

Extension Ladder....

• Are there any missing or loose steps or rungs?

  No

  yes

• Are there any loose nails, screws bolts or other parts?

  No

  yes

• Are there any cracked, split, worn, twisted or broken stiles (sides of the ladder) or braces?

  No

  yes

• Are the feet damaged or worn?

  No

  yes

• Are there any corroded metal parts?

  No

  yes

• Are there any loose, broken or missing extension locks (or locks that do not seat properly when the ladder is extended?

  No

  yes

Stepladder....

• Are there any missing or loose steps or rungs?

  No

  yes

• Are there any loose nails, screws bolts or other parts?

  No

  yes

• Are there any cracked, split, worn, twisted or broken stiles (sides of the ladder) or braces?

  No

  yes

• Are the feet damaged or worn?

  No

  yes

• Are there any corroded metal parts?

  No

  yes

• Is the stepladder wobbly (side to side)?

  No

  yes

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