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Ladder Set Up and Usage Checklist

Start by recording the nature of work and identifying the type of ladder used to perform the task. Then evaluate the process of setting up and climbing up a ladder. Lastly, provide recommendations to improve safety.

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General Information
Nature of work
Describe the job task where ladder is used
List the names of the workers using the ladder
Take a photo of the ladder
Type of Ladder
Ladder Set Up
Take photo of the surrounding area
Location is safe with no uneven surfaces
Weather is good (Not windy or stormy)
No electrical hazards present
Has used a firm level footing
Base is 1 ft away from the wall for every 4 ft. in height setting up a 75 degree angle
Base of ladder is braced or tied up
Top ladder is secured
Area was clear from obstructions and hazards
Ladder Climbing
Prior to using of ladder, does the personnel undergo proper training?
Is the personnel wearing proper and quality protective equipment?
List the PPE used
Facing the ladder when climbing up or down and is on the center
Using 3-point contact
Carrying no loads
Observing "One person at a time" rule
Not doing unnecessary movements
Not sitting on top of ladder
Please write here
I confirm and acknowledge the recommendations and safety measures provided for better ladder safety. Full Name and Signature of Employee
Full Name and Signature of the Inspector
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.
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