English
Español
Si necesitas completar
en espanol pulsa aqui
TURNER LADDER SAFETY INSPECTION CHECKLIST/PERMIT
User Inspector:
*
Date/Time:
*
Subcontractor:
*
Jobsite:
*
All Jobsites
BNYM - 6th Floor
NJEDA - Department of Health Building
Verizon Wall Expansion
Jobsite Area:
Select Area
Competent Person:
*
Instructions:
1. Complete permit/ladder inspection (No wood/aluminum)
2. Note deficiencies/corrective actions in comment section
3. Obtain Turner authorization
4. Tag defective ladders "Out of Service" and discard if beyond repair
5. Affix completed inspection tag on ladder passing inspection
Checklist
YES
NO
1.Broken, bent or missing steps, rungs, cleats, or rails?
2.Steps & rungs free for water, grease, oil or other slippery substaince?
3.Free of splits,cracks,rust corrosion and dry rot?
4.Free of sharp edges, cuts, burrs, etc,?
5.loose or bent hinges that can't be fully opened or locked in place?
6.Stable & completely balanced (not shaking or swaying) with all legs resting firmly on the floor?
7.Loose, broken or missing extension locks to ensure safe overlap of extension ladder sections?
8.Damaged or worn no-slip bases, safety feet, wheels or casters?
9.Cross-over ladders have railing and non-slip steps?
10.Weight capacity labels attached and ledgible? Type lA (300lbs)
11.Other structural defects or operating problems?
12.Are extension ladders secured at the base and at it resting point?
Consider how work may be accomplished at or from the ground-level to minimize elevated work. Ladders are to be
ONLY
used where no safer means exists to access elevated areas. Consider the use of scaffolds, aerial and scissor lifts, rolling stairs, etc as safer alternatives,
Note: if three points of contact cannot be maintained, 100% fall protection is required.
Reason ladder is only option (Note: This must be agreed to and approved by the Turner Superintendent and Safety Manager):
Activity / Task (s) to be performed from ladder:
Type of ladder (check one):
Platform-ladder
A-frame
Extension
Fixed
Trestle
Other
Ladder weight capacity:
Ladder Height:
Will you be 6'or more above a working surface?
If YES, what specific Fall-Arrest System will you use and what will be your anchor point? (Retractable Device is the only appropriate method of fall protection)
Worker's Name?
Orientation Sticker#
PFAS Trng Date
Turner Reviewer Name (Print)
Signature:
Clear signature
Date
Cancel
