Next Energy Ladder Inspections

• Ladder No. (Create)
  Address

• Owner

• User

• Type of ladder / stepladder

• Conducted on

  Date

• Prepared by

• Location
  Address

Rungs and Treads

• Are there any missing?

  Yes

  No

• Are there any broken?

  Yes

  No

• Are there any split or loose?

  Yes

  No

Stiles

• Are there any split or twisted?

  Yes

  No

• Are there any obvious signs of damage?

  Yes

  No

• Is there any loose or broken?

  Yes

  No

General

• Is there any presence of rot or decay?

  Yes

  No

• Are there any obvious signs of damage?

  Yes

  No

• Is there any excess dirt, mud or contaminants present?

  Yes

  No

• Is there any contamination by grease, oil or corrosive chemicals?

  Yes

  No

• Is there any sideways sway?

  Yes

  No

Fittings for Access Equipment

• Metal Fittings - are they split, loose or damaged?

  Yes

  No

• Ropes - are they frayed, loose or broken?

  Yes

  No

• Wheels - are they loose, jammed or broken?

  Yes

  No

• Brakes - are they broken or non operational

  Yes

  No

Registration & Records

• Registration number marked on each piece of access equipment?

  Yes

  No

• Date of next inspection marked on equipment?

  Yes

  No

Defects

• Defects present?

  Yes

  No

Sign Off

• Signature

  Sign

• Ladder

  Media

• Multitag

  Media

• Multitag Label

  Media