Title Page

  • Conducted on

  • Prepared by

  • Location
  • JOB No.:

  • Job Name:

  • Asset Number:

  • Ladder Type:

General items to be checked

  • Loose steps or rungs

  • Loose nails, screws, bolts, or other metal parts

  • Cracked split, or broken uprights (stiles), braces, steps or rungs

  • Slivers on uprights, rungs or steps

  • Damaged or worn non-slip rubber feet or bases

  • Rusted or corroded spots

  • Is ground stable & even

Step Ladders

  • Unsteady (from side strain)

  • Loose or bent hinge spreaders broken

  • Stop on hinge spreaders broken.

  • Broken, split, or worn steps

  • Loose hinges

Extension Ladders

  • Loose, broken, or missing extension locks

  • Defective locks that do not seat properly when the ladder is extended

  • Deterioration of rope, from exposure to acid, or other destructive agents

Trolley & Platform Ladders

  • Worn or missing tyres

  • Wheels that bind

  • Floor wheel brackets broken or loose, or missing

  • Floor wheels and brackets missing

  • Ladders binding in guides

  • Ladder and rail stops broken, loose, or missing

  • Rail supports broken or section of rail missing

  • Platform stable and all fixing brackets in working order (not damaged)

  • Trolley wheels out of adjustment

Sectional Ladders

  • Worn or loose metal parts

  • Unsteady

Fixed Ladders

  • Loose, worn or damaged rungs or side rails

  • Damaged or corroded parts of cage

  • Corroded bolts and rivet heads on inside of metal stacks

  • Damaged or corroded handrails or brackets on platforms

  • Weakened or damaged rungs on brick or concrete slabs

  • Base of ladder obstructed

Ladder fit for use:

  • Yes / No If unfit for use tag out and remove from Service.

  • COMMENTS:

  • Add signature

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