Title Page

  • Site conducted

  • Serial Number

  • Conducted on

  • Prepared by

  • Site/Location

  • Personnel

Inspection

  • The ladder is used for the purpose for which it was designed?

  • Areas around top and base of ladder kept clear?

  • Rungs, cleats, rails and steps are free from splinters, burrs, sharp edges and projections?

  • Check for structural defects, including broken or missing rungs, cleats, or steps; broken or split rails, corroded components, other faulty or defective components) - Check Legs - Check Supports - Check Steps - Check Platforms - Check Safety Feet

  • Ladders should be tied, blocked, or otherwise secured or placed in position to prevent slipping while in use

  • Metal ladders are not in use at facility?

  • A metal spreader or locking device is used on each stepladder?

  • The bottom of all 4 rails on a stepladder are covered with insulating non-slip material

  • Last Inspection Date

  • Inspectors Signature.

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