Title Page
-
Site conducted
-
Conducted on
-
Sub-Contractor
-
Prepared by
-
Names of operatives using Step Ladder
-
Location of use (Please state exact location e.g. apt. 102 bathroom)
-
Confirm fibreglass step ladder is to be used
-
Step Ladder reference ID
-
Number of treads (top 3 treads not to be used)
-
CAN OTHER SAFER MEANS OF ACCESS BE USED? (Is yes then you MUST use a safer means of access)
-
State why it is not practical to use a safer means of access equipment
-
The user/s named in this permit MUST consider if the work can be done without working at height in accordance with Cilantro’s Work at Height Hierarchy.
-
PRE USE CHECK
-
Free from over wear or use?
-
Cracked, split or twisted etc?
-
Free from mud, paint or grease?
-
PRE-USE CHECK OF FITTINGS, RIVETS AND WELDING:
-
All parts intact?
-
Free from signs of decay or corrosion?
-
Feet and Caps: Please check that feet are present, wear to feet is suitable, there is no damage, cracks or sloping onto styles
-
Hinges: Please check that they are secure and move freely, for rust and damage
-
Free from signs of distortion?
-
All feet in place and in good condition?
-
Are 2 operatives in attendance when using step ladder?
-
Step Ladder fit for use?
-
Scaff tag signed off by a PASMA Trained person within last 7 days?
-
UPLOAD PASMA CERTIFICATE
-
SIGN OFF CILANTRO
-
Sign OFF SUB-CONTRACTOR
