Multi-Ladder Inspection Form
Inspection Date
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Company Name
*
Site / Location
*
Inspection Frequency
*
3 Monthly
6 Monthly
12 Monthly
Usage
*
Professional
non Proffessional
Ladders
*
Inspection Summary
*
Rows
Yes
No
N/A
Remarks
Are the ladders of suitable classification.
Has the ladders been subject to any makeshift repairs or modifications (e,g Painted / Shortened).
Ladders inspection holder present and in good condition.
Safe use and Warning Labels Present and legible.
Inspection Summary
*
Rows
Yes
No
Remarks
Have all the ladders passed the Inspection and is fit for continued use?
If NO - The ladder Log inspection Tag should be removed to display the DO NOT USE THIS EQUIPMENT warning. Ladders should be removed to Quarantine Area Location and all failed Ladders should be listed below with failed Pictures.
Failed Ladders
Failed Ladder Pictures
Inspector Name
*
First Name
Last Name
Date Signed
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
I understand and accept that my electronic signature will be as valid as a handwritten signature and considered original to the extent allowed by applicable law. Consumer Consent Disclosure
Signature
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