Rainey Restoration Ladder Inspection Checklist

• Ladder Ref #

  Select 001 002 003 004 005 006 007 008 009 010 011 012 013 014 015 016 017

  • 001
  • 002
  • 003
  • 004
  • 005
  • 006
  • 007
  • 008
  • 009
  • 010
  • 011
  • 012
  • 013
  • 014
  • 015
  • 016
  • 017

• Client / Site

• Location
  Address

• Conducted on

  Date

• Inspected by:

  Brian Rainey

  Chris Baird

  Anthony Sharkey

• Personnel

• Document No.

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

• Enter type of ladder

• Construction of ladder

  Wood

  Metal

  Fiberglass

  Aluminum

• Length

  3 metres

  4.5 metres

  2.5 - 5.7 metres

  other

• Please specify length

• Class

  Select Type IAA (Extra Heavy Duty) Type IA (Extra Heavy Duty) Type I (Heavy Duty) Type II (Medium Duty) Type III (Light Duty) Other

  • Type IAA (Extra Heavy Duty)
  • Type IA (Extra Heavy Duty)
  • Type I (Heavy Duty)
  • Type II (Medium Duty)
  • Type III (Light Duty)
  • Other

• Please specify class

• Weight supported

  125kg

  150kg

  175kg

  Other

  Not known

• Please specify weight supported

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

• Spigots securely in place, straight and not distorted or otherwise damaged. Check for cuts, dents or excessive corrosion

  Yes

  No

  N/A

• Rope is undamaged

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• Metal arms/ ladder bracket are secure and fixed?

  Yes

  No

  N/A

• Steeplejack sleeves undamaged

  Yes

  No

  N/A

• Ladder stored properly (when not in use)

  Yes

  No

  N/A

• Other defects observed?

• Take a photo of other defects (optional)

  Media

• Overall Rating

  Good

  Needs Repair

  Do Not Use

Recommendations

• Please write here

Completion

• Full Name and Signature of the Inspector

  Sign