Ladder Inspection
Item Description : _______________________
Unique Number : ________________________
Sr. No Inspection Checked Comments
Day 1 Day 2 Day 3 Day 4 Day 5 Day 6 Day 7
01 Any Loose Steps or rungs
02 Loose nails, screws, bolts or other metals
03 Cracked split or broken up righs, braces,
steps or rungs.
04 Damaged or worn non slip bases.
05 Loose Hinges
06 Ropes on extion ladder in good condition
07 Clear Marked and or numbered with
contractors Name
08 Contractor - ID
Contractor’s Name:
Contractors Signature:
Date: