Monthly Working at Height Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

*CENTRE NAME* - These checks are to be completed on a monthly basis to ensure the below ladders are of a satisfactory condition for use. If there is any non conforming ladders a picture must be taken at the end of this report, and then logged in the Corrective Action Log located within the Shared Drive. The ladders must then be quarantined or secured until actioned.

Monthly Working at Height Inspection:

• MONTH:

• Ladder 1 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 2 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 3 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 4 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 5 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 6 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 7 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 8 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 9 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Ladder 10 - *INSERT LOCATION* - *INSERT TYPE OF LADDER* - Inspected and safe to use.

• Please note down any issues in the space provided below, log on the corrective action log and take a picture using the media tool below if applicable.

  Media

• Select date

  Date

• Add signature

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