Information
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NAME OF ASSESSOR
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DATE OF INSPECTION
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LADDER ID
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TYPE OF LADDER
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OTHER
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LADDER MATERIAL
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OTHER
INSPECTIONS
INSPECTIONS
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ARE THE TREADS/RUNGS IN GOOD CONDITION
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE TREADS/RUNGS FREE FROM DEFECTS SUCH AS HOLES, CRACKS, ETC
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE TREADS/RUNGS FREE FROM GREASE, PAINT, MUD OR OTHER SUBSTANCES
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE TREADS/RUNGS SECURED TO THE STILES
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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DOES THE LADDER STAND FIRMLY & EVENLY
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE ROPES AND CORDS IN GOOD CONDITION WITHOUT DAMAGE
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE RIVETS, AND OTHER FITTINGS IN GOOD CONDITION WITHOUT CORROSION
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE PULLEYS AND HINGES IN GOOD CONDITION WITHOUT DAMAGE
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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IS THERE ANY MOVEMENT IN THE TREADS/RUNGS
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE TIE RODS SECURED (WOODEN LADDER ONLY)
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE ANY TREADS/RUNGS MISSING
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE TREADS/RUNGS WARPED, DISTORTED OR BENT
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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IS THE LADDER PAINTED OR OTHERWISE TREATED WHICH MAY HIDE DEFECTS
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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ARE THE STILES WORN OR DAMAGED AT THE TOP OR BOTTOM
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ENSURE LADDER IS TAKEN OUT OF SERVICE UNTIL REPAIRED
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NAME OF RESPONSIBLE PERSON NOTIFIED OF ANY DEFECTS
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DATE NOTIFIED
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ADDITIONAL COMMENTS
