Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
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Type of Ladder:
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Ladder Material
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Ladder ID:
General
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Loose steps or rungs (considered the hand)?
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Slivers on uprights, rungs or steps?
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Damaged or worn nonslip base?
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Stepladders
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Wobbly (from side strain)?
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Loose or bent hinge spreaders?
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Stop on hinge spreaders broken?
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Loose hinges?
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Broken, split, or worn steps?
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Extension ladders
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Worn or rotted rope?
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Inspector:
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Date: