Ladder Inspection Form Ladder Inspection Form Ladder Inspection Form
Company: Company: Company:
Ladder No: Ladder No:
Inspector: Inspector: Inspector:
Date Insp: Date Insp:
Date Insp:
Due Date: Due Date: Due Date:
STEPLADDER STEPLADDER STEPLADDER
Size: ________ ft. Size: ________ ft. Size: ________ ft.
Fiberglass Fiberglass Fiberglass
Aluminum Aluminum Aluminum
Wood Wood Wood
Circle Areas Circle Areas Circle Areas
of Damage of Damage of Damage
YES NO YES NO YES NO
Steps: Steps: Steps:
Loose, cracked, bent, or missing Loose, cracked, bent, or missing Loose, cracked, bent, or missing
Rails: Rails: Rails:
Cracked, bent, split or frayed Cracked, bent, split or frayed Cracked, bent, split or frayed
rail shields rail shields rail shields
Labels: Labels: Labels:
Missing or not readable Missing or not readable Missing or not readable
Pail Shelf: Pail Shelf: Pail Shelf:
Loose, bent, missing, or broken Loose, bent, missing, or broken Loose, bent, missing, or broken
Top: Top: Top:
Cracked, loose, or missing Cracked, loose, or missing Cracked, loose, or missing
Spreader: Spreader: Spreader:
Loose, bent, or broken Loose, bent, or broken Loose, bent, or broken
General: General: General:
Rust, corrosion, or loose Rust, corrosion, or loose Rust, corrosion, or loose
Other: Other: Other:
Bracing, shoes, or rivets Bracing, shoes, or rivets Bracing, shoes, or rivets
ACTIONS: ACTIONS: ACTIONS:
Ladder tagged as damaged Ladder tagged as damaged Ladder tagged as damaged
and removed from use and removed from use and removed from use
Ladder is in good condition Ladder is in good condition Ladder is in good condition