Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1. Truck Entrance Checking

  • Apakah tersedia Standard Security Checklist?

  • Apakah tersedia standard Load Supervisor Checklist?

  • Apakah tiket parkir terstandar sudah tersedia?

  • Apakah tersedia Safety Induction Card untuk Driver?

  • Apakah tersedia On the Spot Induction Form?

  • Apakah tersedia area parkir khusus untuk induction on the spot?

  • Evidence

  • Note tambahan

2. Parking Area

  • Apakah tersedia Area Parkir khusus?

  • Apakah tersedia loading bay area yang ditandai (Marked Loading Bay)?

  • Evidence

  • Note tambahan

3. Loading Bay

  • Apakah tersedia Red Safety Zone in Loading Bay?

  • Apakah ditunjukkan dengan Bright Demarcation Color?

  • Apakah tersedia Safety Pole?

  • Apakah tersedia Safety Pole holder?

  • Apakah tersedia Key Hanger di Safety Pole?

  • Apakah tersedia Safety Flag pada Safety Pole?

  • Evidence

  • Note tambahan

4. Driver Seat

  • Apakah tersedia Driver Seat Area khusus?

  • No Driver in Cabin During Loading?

  • Evidence

  • Note Tambahan

5. Truck Departure

  • Apakah driver memastikan dengan berjalan mengitari truk bahwa kondisi aman sebelum berangkat?

  • Apakah load supervisor mengambil kembali pole sebagai tanda truk aman untuk berangkat?

  • Apakah driver mengembalikan tiket parkir pada security saat di exit gate?

  • Apakah Security mengisi logbook sesuai format standard?

  • Evidence

  • Note Tambahan


  • Auditor


The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.