OKLAHOMA STATE UNIVERSITY ENVIRONMENTAL HEALTH & SAFETY

UNIVERSITY HEALTH SERVICES SUITE 002

STILLWATER, OK, 74074 (405)744-7241

CONDITION OF THE LADDER: USING THE KEY BELOW, APPLY THE LETTER IN THE TABLE ABOVE THAT BEST DESCRIBES THE CONDITION OF THE LADDER.

Key Comments M – Missing G – Good condition D – Damaged B – Broken R – Repair/Replacements needed

LADDER INSPECTION CHECKLIST

*1917.119(e)(2)- LADDERS SHALL BE INSPECTED FOR DEFECTS PRIOR TO EACH DAY’S USE, AND AFTER ANY OCCURRENCE, SUCH AS A FALL, WHICH COULD DAMAGE THE LADDER.

PRINT NAME_________________________________

SIGNATURE________________________________________ DATE____________________

LADDER SUBSTANCE: WOOD ALUMINIUM STEEL FIBERGLASS

LADDER STYLE: EXTENSION STEP PLATFORM OTHER:

OVERALL CONDTION: EXCELLENT GOOD FAIR POOR

LADDER ID:

RUNGS OF STEPS:

SIDE RAILS:

SLIDE GUIDES:

RUNG LOCKS:

SAFETY SHOES:

SPREADER BRACES:

TRUSS RODS AND BLOCKS:

OTHER: