Extension Ladder Inspection Form

Extension Ladder Inspection

Date of Inspection

Ladder Number:

Extension Ladder

Extension Ladder Size:

in feet

Type of Ladder?

Fiberglass

Aluminum

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

Yes

No

N/A

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

Yes

No

N/A

3) LABELS: Missing or not readable?

Yes

No

N/A

4) RUNG LOCKS: Loose, bent, missing or broken?

Yes

No

N/A

5) HARDWARE: Missing, loose or broken?

Yes

No

N/A

6) SHOES: Worn, broken or missing?

Yes

No

N/A

7) ROPE/PULLEY: Loose, bent or broken?

Yes

No

N/A

8) OTHER: Bracing, rivets?

Yes

No

N/A

9) GENERAL: Rust, corrosion or loose?

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.