Revision 00
Effective Date 01/07/2021
Review Date 01/07/2022
Document No PLIC02
Document Type CONTROLLED COPY
PORTABLE LADDER INSPECTION CHECKLIST
Type of Ladder: ( ) Extension ( ) Step
SITE_________________________________ MONTH/YEAR____________/________ Construction of Ladder: ( ) Wood ( ) Metal ( ) Fiberglass
DATE (MM/DD)
INSPECTOR’S INITIALS
DATE / REPAIRER’S INITIALS
GENERAL ITEMS INSPECTED OK NR OK NR OK NR OK NR OK NR OK NR OK NR OK NR
Side rails in good condition
Steps or rungs not loose or damaged
Spreader braces not damaged and open fully
Nails, screws, bolts not missing or damaged
Ladder free from oil, grease, or slippery materials
Manufacturer’s labels, warnings, and ratings posted
Movable parts operate freely
Wooden parts free from splinters, cracks, decay
Non slip feet not damaged and in good condition
Ladder stored properly to prevent damage
STEP LADDERS
Stepladder is not wobbly and loose
Paint shelf not damaged or missing
Hinges not loose or damaged
Ladder does not exceed 20 feet in height
EXTENSION LADDERS
Loose, broken, or missing extension locks
Locks seat properly when ladder is extended
Pulley, rung locks, and rope are in good condition
Single section ladders do not exceed 30’ in length
Two-section ladders do not exceed 48’ in length of
metal ladders and 60’ for wood ladders
COMMENTS:
NR= Needs Repair SHE REP’S NAME ______________________ Signature _______________ Date ___________
ADDITIONAL INFORMATION
Date Unsafe condition observed Reported Date Signature Reporte Date Signatur Action Taken Date
by Reporte d to Reported e
d