Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Type of Ladder:

  • Ladder Material

  • Ladder ID:

General

  • Loose steps or rungs (considered the hand)?

  • Slivers on uprights, rungs or steps?

  • Damaged or worn nonslip base?

  • Stepladders

  • Wobbly (from side strain)?

  • Loose or bent hinge spreaders?

  • Stop on hinge spreaders broken?

  • Loose hinges?

  • Broken, split, or worn steps?

  • Extension ladders

  • Worn or rotted rope?

  • Inspector:

  • Date:

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