Questionnaire

Name:_________________badge:________________company:______________date___________ 1. Is it necessary to inspect the ladder before climbing onto it? (a) Yes (b) No

2. What are the hazards generally found in stairway or ladder? (a) Broken steps (c) Oil is spread on it 3. Can ladder be used on slippery or uneven surfaces? (a) Yes (b) No (b) No handrail

4. While going up and coming down you always face the ladder. (a) Yes (b) No

5. How much a ladder shall be extended from support point? (a) 5 feet (c) 6 feet 6. Worker shall be ensured three point body contacts when climbing up or coming down from ladder. (a) Yes 7. Can a worker climb fastly on ladder? (a) Yes (b) No (b) No (b) 3 feet

8. A stairway or ladder shall be provided where there is the elevation of _______ (a) 24 inch (c) 12 inch 9. There shall be equal distance between steps of stairways or ladders. (a) Yes (b) No (b) 19 inch

10. Can one shift or walk the ladder in the presence of worker? (a) Yes (b) No

11. Working or walking surfaces shall be free from following conditions (a) Slippage (c) Poor clearing 12. Holes or open surfaces shall be covered or barricaded with guard rails. (a) Yes (b) No (b) hole

13. Place the ladder base at a ______ratio from vertical (horizontal/vertical) (a) 2:5 (c) 1:3 14. Permanent walkways shall be appropriately marked (a) Yes 15. A ladder is used in following works (a) Paint work (b) electricity work (b) No (b) 1:4