10080-1-HSEF-CHK-CN-032

RelianceProjectManagementSystem 100801HSEFCHKCN032
LadderInspectionRegister Date:01/05/2013,Rev.0

RECORDOFREVISIONS

Date RevisionDetails Revision

Number
01.05.2013 IssuedforApproval 0

RelianceProjectManagementSystem 100801HSEFCHKCN032
LadderInspectionRegister Date:01/05/2013,Rev.0

ProjectNo./ContractNo.
Date

ProperHardware(Braces,Rivets,
Spreaders,Nuts,Bolts,andFeet)
Inspecteachladderwhenitisputintoservice,

CorrosionofHardwareorMetal

ConditionofExtensionRopes
CracksinMetal,orFiberglass
beforeeachuse,andquarterly.

Certificationorequivalent

toallStraight,Extension,
Usethesymbolforyesorokay.

Rungs(Interior/Exterior)

TieoffRopesAttached
UsetheXsymbolfornoorreplace.

ConditionofSteps

andStepladders
Location SerialNo. Date

DentsorBends
ofLadder Inspectedand

andPulleys

SafetyFeet
colourcode

Splinters
ANSI/IS

Rigidity
Rot

100801HSEFCHKCN032(LadderInspectionRegister) Page3of4
2013RelianceIndustriesLtd.

RelianceProjectManagementSystem 100801HSEFCHKCN032
LadderInspectionRegister Date:01/05/2013,Rev.0

Note:Thisformisreferencedinprocedure100801HSEFDWPCN082

100801HSEFCHKCN032(LadderInspectionRegister) Page4of4
2013RelianceIndustriesLtd.