Rolling Ladder Inspection Form

Rolling Ladder Inspection

Date of Inspection

Ladder Number:

Rolling Ladder

Rolling Ladder Size:

in feet

Type of Ladder?

Fiberglass

Aluminum

Wood

Steel

1) STEPS/RUNGS: Loose, cracked, bent or missing?

Yes

No

N/A

2) RAILS: Cracked, bent, split or frayed?

Yes

No

N/A

3) LABELS: Missing or not readable?

Yes

No

N/A

4) HARDWARE: Missing, loose or broken?

Yes

No

N/A

5) FASTENERS: Rust, corrosion, loose or missing?

Yes

No

N/A

6) TOP: Cracked, loose or missing?

Yes

No

N/A

7) SPREADER: Loose, bent or broken?

Yes

No

N/A

8) OUTRIGGERS: Missing, rust, corrosion or loose for scaffolding?

Yes

No

N/A

9) GENERAL: Rust, corrosion or loose?

Yes

No

N/A

10) HINGES: Loose, bent or missing?

Yes

No

N/A

11) LOCKS: Loose, bent, broken or missing?

Yes

No

N/A

12) BRACING FRONT, REAR: Loose, bent, broken or missing?

Yes

No

N/A

13) RIVETS: Rust, corrosion, loose or missing?

Yes

No

N/A

13) SHOES: Worn, broken or missing?

Yes

No

N/A

14) PLATFORM: Loose, bent, broken or missing?

Yes

No

N/A

15) RAIL SHIELD: Missing or loose?

Yes

No

N/A

16) SHOULDER BOLT: Rust, corrosion or loose?

Yes

No

N/A

17) CASTERS: Rust, corrosion or loose for scaffolding?

Yes

No

N/A

Actions Taken

Ladder tagged as damaged and removed from use?

Yes

No

N/A

Ladder is in good condition?

Yes

No

N/A

NOTES

Inspected by (Name)

Should you note any discrepancies or deficiencies please note and forward required repairs or modifications to maintenance via FreshDesk.