Ladder Inspection Form

Date

DayMonthYear
Date
Ladder Inspection Form

This form needs to be completed for each ladder you inspect
Your Name
Ladder Serial #:
should be written on the ladder / sticker

A-Frame Ladder

Inspection Form
How Many Steps?
Steps: Loose, Cracked, Bent or Missing?
Rails: Cracked, Bent, Split or Frayed?
Labels: Missing or Not Readable?
Pail Shelf: Loose, Bent, Missing or Broken?
Top: Cracked Loose or Missing?
Spreader: Cracked Loose or Missing?
Shoes: Worn, Broken or Missing?
General: Rust, Corrosion or Loose?
I'm paying attention to these questions?
Other: Bracing, Shoes, Rivets In
Circle Damage on Image Below (Don't use black!)

Extension Ladder

Inspection form
Rungs: Loose, Cracked, Bent or Missing?
Rails: Cracked, Bent, Split or Frayed?
Labels: Missing or Not Readable?
Rung Locks: Loose, Bent, Missing or Broken?
Hardware: Cracked Loose or Missing?
Shoes: Worn, Broken or Missing?
Rope/Pulley: Loose, Frayed or Broken?
I'm paying attention to these questions?
Other: Bracing, Rivets
General: Rust, Corrosion or Loose?
Circle Damage on Image Below (Don't use black!)
Should be Empty: