Title Page
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Conducted on
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Prepared by
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Location
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JOB No.:
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Job Name:
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Asset Number:
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Ladder Type:
General items to be checked
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Loose steps or rungs
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Loose nails, screws, bolts, or other metal parts
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Cracked split, or broken uprights (stiles), braces, steps or rungs
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Slivers on uprights, rungs or steps
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Damaged or worn non-slip rubber feet or bases
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Rusted or corroded spots
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Is ground stable & even
Step Ladders
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Unsteady (from side strain)
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Loose or bent hinge spreaders broken
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Stop on hinge spreaders broken.
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Broken, split, or worn steps
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Loose hinges
Extension Ladders
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Loose, broken, or missing extension locks
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Defective locks that do not seat properly when the ladder is extended
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Deterioration of rope, from exposure to acid, or other destructive agents
Trolley & Platform Ladders
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Worn or missing tyres
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Wheels that bind
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Floor wheel brackets broken or loose, or missing
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Floor wheels and brackets missing
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Ladders binding in guides
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Ladder and rail stops broken, loose, or missing
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Rail supports broken or section of rail missing
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Platform stable and all fixing brackets in working order (not damaged)
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Trolley wheels out of adjustment
Sectional Ladders
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Worn or loose metal parts
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Unsteady
Fixed Ladders
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Loose, worn or damaged rungs or side rails
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Damaged or corroded parts of cage
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Corroded bolts and rivet heads on inside of metal stacks
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Damaged or corroded handrails or brackets on platforms
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Weakened or damaged rungs on brick or concrete slabs
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Base of ladder obstructed
Ladder fit for use:
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Yes / No If unfit for use tag out and remove from Service.
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COMMENTS:
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