Area/Department: __________________ Ladder No.: _______
Task/activity: ________________________________________
Equipment description: _________________________________
Inspection at _______________ intervals
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Date Due |
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Aspect Inspected
(as appropriate) |
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Rungs |
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Stiles |
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Feet |
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End plugs |
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Hinges |
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Latching |
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Platform |
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Wheels |
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Shafts |
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Grounding
Mechanism |
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Hand rails |
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Signed |
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Date Inspected |
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Repairs Required
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Date |
Description |
Date Completed |
Signature |
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Any faulty stepladder or set of mobile steps MUST be reported immediately and removed from service. A ‘FAULTY - DO NOT USE’ notice must be prominently displayed and securely fixed to the faulty item until a proper repair has been completed.