Title Page
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Conducted on
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Prepared by
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Location of inspection
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Ladder Reference number
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Check that detail is correct against register – update register as required
Ladder Description
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Ladder Material
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EN131 / BS2037
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Duty Rating / Kgs
Equipment Checklist
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All rivets and fastenings in place & secure?
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Stiles free from distortion or damage?
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All rungs in place and secure?
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Stiles & Rungs free from sharp edges?
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Ladder free from flaws, cracks & defects?
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Ladder free from corrosion?
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Anti-slip fittings in place (top & bottom), secure and undamaged?
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Is the ladder clear from paint, plaster or other products?
Stepladders / Hop-Ups – As Above Plus the Following
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Are Steps / Hop-Up stable when positioned on level ground?
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Hinges in place, secure & free from damage and corrosion?
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Brackets / Spreaders free from damage & distortion?
Additional comments / Actions to be taken
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Has the equipment failed on any of the conditions detailed above?
Results
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If any of the equipment has failed take the ladder out of service
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Can the ladder be repaired?
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If no, arrange for the ladder to be destroyed
Sign off
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Assessors Signature