Quarterly Ladder Inspection

• Site conducted

• Ladder Reference #

• Conducted on

  Date

• Prepared by

Ladder Inspection

General Information

• Take a photo of the ladder

  Media

• Take a photo of the tag or label

  Media

• Type of ladder

  Portable

  Self-supporting

  Non-self supporting

  Other

Ladder Inspection

• Free from dents, cracks and damages

  Yes

  No

  N/A

• Feet of ladder work properly and have slip-resistant pads

  Yes

  No

  N/A

• Rung locks and spreader braces are working

  Yes

  No

  N/A

• Side rails have no signs of deterioration, dents and rusts

  Yes

  No

  N/A

• Bolts and rivets are secured

  Yes

  No

  N/A

• Steps and rungs are free from oil, grease and other materials

  Yes

  No

  N/A

• Other defects observed?

• Take a photo of other defects (optional)

  Media

• Overall Rating

  Good

  Needs Repair

  Do Not Use

Completion

• Full Name and Signature of the Inspector

  Sign