Date
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________________
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Inspector's Initials
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________
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Ladder ID
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__________________________
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Location
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__________________________
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Supervisor
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_________________
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LADDER DESCRIPTION (circle appropriate material and style)
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Material:
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Wood
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Aluminum
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Fiberglass
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Metal
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Style:
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Single
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Extension
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Step
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Fixed
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INSPECTION CHECKLIST
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Side Rails
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Good
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Need Repair
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Not Applicable
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Rungs/steps
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Good
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Need Repair
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Not Applicable
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Side Guides
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Good
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Need Repair
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Not Applicable
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Rung Locks
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Good
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Need Repair
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Not Applicable
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Safety Feet
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Good
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Need Repair
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Not Applicable
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Spreader Braces
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Good
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Need Repair
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Not Applicable
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Truss rods and blocks
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Good
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Need Repair
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Not Applicable
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Rope/pulley
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Good
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Need Repair
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Not Applicable
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Rivets
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Good
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Missing
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Not Applicable
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Overall condition
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Good
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Fair (Normal wear)
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Do Not Use.
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Comments:
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______________________________________________________________________
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______________________________________________________________________
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*All portable ladders must be formally inspected and that inspection documented (maintain for one year). Ladders in need of repair or disposal must either be marked "Dangerous — Do Not Use" or otherwise decommissioned to prevent use.
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