DSP-FPP-5-02 (3) Rev 1

Inspection Form for Step Ladders

Inspection / Visual Check
Date of Inspection: 02/01/2024 Name & Signature of Inspector:
Subramaniyan
Department/Team: Ladder Identification Number(If any):
Pugal team 1
Construction of Ladder: ( ) Aluminium ( ) Fiberglass ( ) Others

Step ladder Yes No NA

Steps: Loose, Cracked,
Bent or Missing
Front Side Rails:
Cracked, Bent, Split or
Frayed Rail Shields
Rear Side Rails:
Cracked, Bent, Split or
Frayed Rail Shields
Labels: Missing or Not
Readable
Top two step: Covered,
blank off
Top Cap: Cracked, Loose
or Missing
Spreader: Loose, Bent or
Broken
General: Rust, Corrosion
or Loose
Other: Bracing, Anti-slip
safety shoes/feet, Rivets
Circle Areas
of Damage

Actions Ladder tagged as damaged & removed from use

Ladder is in good condition

Note: Inspection Sticker to be pasted on the ladder