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Customer - : Ladder Inspection Form

This ladder inspection form documents a safety inspection of a customer's ladder. It records the customer and contact information, ladder details like type and size, and evaluates over 20 individual components and features of the ladder. For each item, the inspector checks whether it is damaged, okay, or not applicable. At the end, the inspector recommends if the ladder should be removed from service and destroyed, removed from service and repaired, or if it is okay to use. Space is also provided for any comments.

Uploaded by

Adrian Nusa Patria
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
24 views

Customer - : Ladder Inspection Form

This ladder inspection form documents a safety inspection of a customer's ladder. It records the customer and contact information, ladder details like type and size, and evaluates over 20 individual components and features of the ladder. For each item, the inspector checks whether it is damaged, okay, or not applicable. At the end, the inspector recommends if the ladder should be removed from service and destroyed, removed from service and repaired, or if it is okay to use. Space is also provided for any comments.

Uploaded by

Adrian Nusa Patria
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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LADDER INSPECTION FORM

Customer _______________
LOCATION __________________
TYPE OF LADDER
STEP
STRAIGHT
EXTENSION
FIXED

CONTACT ___________________

DATE OF PURCHASE ___/___/___ SIZE ______


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____
____
____

ITEM
RAILS: Check for bends, splits, cracks, or other defects.
STEPSRUNGS:

TOP:

STEP/RUNG BRACES:
"
LOCKS: Check locks and spreaders for functionality.
GUIDES: Check guides for functionality
HARDWARE ITEMS: Check top irons, hinges, etc. for functionality.
METAL COMPONENTS: Check for excessive rust and corrosion.
RIVETS: Check integrity of all heads and crimps.
NUTS/BOLTS: Check to insure nuts are intact and are not stripped.
CRIMPS/SWAGES: Check for looseness, cracking,
or other problem conditions.
WELDS: Check welds for cracks and/or damage.
SAFETY SHOES: Check shoes are attached and in good condition.
ROPE/PULLEY: Check for damaged rope and/or pulley.
LADDER LEVELS: Check condition for proper operation.
HOOKS/GRIPS/LASHES: Check condition for proper operation.

DISPOSITION: Remove from Service and Destroy


Remove from Service and Repair
Okay to Use

Damaged

Okay

N/A

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COMMENTS:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

Inspector: ________________________

Date ___/___/___

Shop: www.1SafetySource.com
800 844 6652 - 1SafetySource Customer Service
800 844 7650 - 1SafetySource FAX & FaxQuote Line
[email protected] - email
NOTE: This form has been distributed freely and is copy protected -if copied please reproduce in full.

1SafetySource.com

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