LADDER INSPECTION FORM

JOB INFO

IF ANY COMPONENT IS DEFECTIVE, REPORT IT IMMEDIATELY TO YOUR SUPERVISOR FOR TAGGING AND REMOVAL FROM SITE.

MON

TUE

WED

THU

FRI

Rails of ladder appear straight with no significant cuts/dings or crush marks
Rungs (loose or broken, cannot moved by hand)
No loose rivets, nails, screws or bolts securing ladder parts AND accessories
Feet are secure and as per original manufacturer specifications
Weight rating of ladder matches tasks to be performed

Base/feet of ladder is able to be secured properly for the task (ie proper equip)
Ladder doesn’t wobble or have side to side motion when used
Hinge separators are tight, secure, and intact
Ladder extension and hinge stops all functioning properly
Locking devices (angle locks, rung locks, etc) functioning properly and secure

All pulley wheels are intact and secure
Rope is not frayed or damaged and is knotted to prevent slip through.
All movable parts are functioning correctly
All accessories have appropriate certification markings or identification
Unit is clean and free moving

Manufacturer labels are clearly visible and readable for this specific ladder (same)
Ladder is the right type for intended use (ext ladders cannot be work ladders)
Step ladder is high enough for intended use (cannot use top 3 steps)
Ladder is clean and free from debris or signs of misuse
All wooden parts are smooth with no slivers, cracks, wanes or splits
Wooden parts are not painted clearly allowing for visual inspections
Ladders have not been modified from their original manufacture

SUPERVISOR SIGN-OFF