November 5, 2025

Ensuring Hospital Compliance with OSHA 1910.23(b)(2)(ii) for Fixed Ladders on Telecommunication Towers

In hospitals where telecommunication towers are part of the infrastructure, ensuring compliance with OSHA standard 1910.23(b)(2)(ii) is not just a regulatory requirement; it's a commitment to safety. This standard mandates that fixed ladder rungs and steps must be spaced no more than 18 inches apart, measured between the centerlines. Let's dive into a checklist to help hospitals achieve and maintain this compliance.

Checklist for OSHA 1910.23(b)(2)(ii) Compliance

1. Initial Assessment:

  • Conduct a thorough inspection of all telecommunication towers within the hospital premises.
  • Measure the distance between the centerlines of the rungs or steps on each fixed ladder.

2. Documentation:

  • Record the measurements taken during the initial assessment.
  • Document any ladders that do not meet the 18-inch spacing requirement.

3. Remediation Plan:

  • Develop a plan to adjust or replace non-compliant ladder rungs or steps.
  • Schedule the remediation work, ensuring minimal disruption to hospital operations.

4. Implementation:

  • Execute the remediation plan, adjusting or replacing ladder components as necessary.
  • Ensure that all work is performed by qualified personnel following safety protocols.

5. Post-Implementation Verification:

  • Re-measure the ladder rungs or steps to confirm compliance with the 18-inch spacing requirement.
  • Update documentation to reflect the changes and compliance status.

6. Ongoing Maintenance and Training:

  • Establish a regular inspection schedule to ensure ongoing compliance.
  • Train staff on the importance of ladder safety and the specific requirements of OSHA 1910.23(b)(2)(ii).

By following this checklist, hospitals can ensure that their telecommunication towers' fixed ladders meet OSHA standards, reducing the risk of accidents and maintaining a safe environment for both staff and patients. Remember, safety is an ongoing process, and staying compliant requires diligence and commitment.

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