Demo – Ladder – Permit Requested – Docusafe

Demo - Ladder - Permit Requested

To be completed by all Demo Personnel

"*" indicates required fields

Form Completed by*
Ladder inspected by competent person*
No broken, bent, or missing steps, rungs or rails*
Floor, steps and rungs free of water, oil, ice or other slippery substance*
No sharp edges, cuts or burrs*
Spreaders and locks are functional and in good condition*
Damaged ladders tagged and removed from service*
Ladder level, stable and on solid ground*
Trained in ladder safety*
Second worker providing assistance to stabilize ladder, hand up tools, etc*
Nonslip bases and/or safety feet in good condition*
Fall protection provided in accordance with company policy*
Stepladder is fully open and locked*
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