Ladder Exception Request

Ladder Exception Request

This form is required for use of a ladder over 10 ft or Scissor Lift. There is a maximum height that cannot be exceeded which is 20 ft for a ladder and 40 ft for a Scissor Lift. Boom lifts are prohibited and must be contracted out to a 3rd party vendor.
Property*
Date Request Submitted*

MonthDayYear
Date
Your Email*
Additional CC
Yourself, your Regional, VP, and Regional Maintenance Supervisor will receive this request by default
Regional Name
Reg Maint Email
Information about Request
Who will be on the ladder?*
Who will be holding & spotting the ladder?*
Describe the work being completed*
Step ladder/ A-frameStraight (non-extension)ExtensionOther
Ladder Height*
WoodMetalFiberglass
Picture(s) of the work area*

Browse Files
Must show where the ladder will be placed (base & where leaning if straight/extension) Cancelof
Should be Empty: