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.