"Ladder Inspection Checklist Template - Public Services Health and Safety Association"

ADVERTISEMENT
ADVERTISEMENT

Download "Ladder Inspection Checklist Template - Public Services Health and Safety Association"

492 times
Rate (4.5 / 5) 24 votes
Ladder Inspection Checklist
Before using a ladder must be inspected thoroughly for any damage, defects,
suitability and quality. This checklist will help you determine if the ladder is safe to use
or not. If you answer “yes” to any of the following, the ladder should be tagged and
taken out of service immediately.
Date: __________________________________ Type/Grade of Ladder ____________________________
Inspected By: ____________________________ Length: ________________________________________
Location: ________________________________ Ladder ID: ______________________________________
Material:
Wood
Fiberglass
Aluminum
Other
_____________
Inspection Item
Yes No
Metal Parts
broken, loose, dented, rusty, missing
Side Rails
broken, loose, dented, rusty, signs of deterioration
Rungs
broken, loose, dented, rusty, signs of deterioration
Braces, Uprights or Steps
broken, cracked, splintered, chipped, defective, missing or signs of deterioration
Anti-Slip Feet
broken, cracked, defective, poor condition, missing, or signs of deterioration
Extension ladder lock, pulley or other fittings
worn, out of place, damaged, unworkable, missing or signs of deterioration
Steps:
greasy, slippery, cracks, splitting
Spreader Arms and Stops
broken, bent, loose, damaged, defective, rusty, unworkable or missing
Rope
damaged, worn, broken, frayed, knotted or missing
Pail Tray
damaged, worn, broken, bent, rusty, tight, unworkable or missing
Ladder
makeshift repairs, signs of deterioration, bent, warped, twisted or bowed
Storage
Improperly stored
Identification Marks (CSA)
not visible
Continue Use
Repair
Destroy
© Public Services Health and Safety Association
Ladder Inspection Checklist
Before using a ladder must be inspected thoroughly for any damage, defects,
suitability and quality. This checklist will help you determine if the ladder is safe to use
or not. If you answer “yes” to any of the following, the ladder should be tagged and
taken out of service immediately.
Date: __________________________________ Type/Grade of Ladder ____________________________
Inspected By: ____________________________ Length: ________________________________________
Location: ________________________________ Ladder ID: ______________________________________
Material:
Wood
Fiberglass
Aluminum
Other
_____________
Inspection Item
Yes No
Metal Parts
broken, loose, dented, rusty, missing
Side Rails
broken, loose, dented, rusty, signs of deterioration
Rungs
broken, loose, dented, rusty, signs of deterioration
Braces, Uprights or Steps
broken, cracked, splintered, chipped, defective, missing or signs of deterioration
Anti-Slip Feet
broken, cracked, defective, poor condition, missing, or signs of deterioration
Extension ladder lock, pulley or other fittings
worn, out of place, damaged, unworkable, missing or signs of deterioration
Steps:
greasy, slippery, cracks, splitting
Spreader Arms and Stops
broken, bent, loose, damaged, defective, rusty, unworkable or missing
Rope
damaged, worn, broken, frayed, knotted or missing
Pail Tray
damaged, worn, broken, bent, rusty, tight, unworkable or missing
Ladder
makeshift repairs, signs of deterioration, bent, warped, twisted or bowed
Storage
Improperly stored
Identification Marks (CSA)
not visible
Continue Use
Repair
Destroy
© Public Services Health and Safety Association