Monthly Portable Ladder Checklist

Year of inspection:
Inspected by:
Name or number of ladder:
Type of ladder: Wood Aluminum Other

1 – Good condition, 2 – Damaged, 3 – Broken, 4 – Missing, 5 – Dangerous, 0 – Not Applicable.

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
General
Loose rungs (move by hand).
Loose nails, screws, bolts, etc.
Loose mounting brackets. etc.
Cracked, broken, split or bent stays/rungs.
Splinters on stays or rungs
Damaged/worn non-slip devices
Unstable
Loose or defective hinge spreaders/hinges
Defective centre guide for extension
Defective extension locks.
Defective rope pulley.
Deterioration of rope.
Painting of wooden ladders needed.
No identification number.
Manufactures safety signage clearly visible
Storage place not acceptable.
Other – specify.
Reporting of a defect submitted? Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N
Ladder safe for use? Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N Y N

Date of inspection:

Signature

Supervisor signature

• All problems identified will be reported immediately to the supervisor.

• Any ladder that is damaged, broken or has parts missing will not be used until repaired and checked.
• Report all problems on the “Reporting of a Defect” form and give to the supervisor ASAP.
• Once checked it then goes be filed for inspection by the Department of Labour.

Top Compliance (Pty) Ltd – OHS-CT 017 – Portable Ladder Checklist – 2016-02-01 Revision 3