5 Safety Steps - Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Truck Entrance Checking

• Apakah tersedia Standard Security Checklist?

  OK

  Not OK

• Apakah tersedia standard Load Supervisor Checklist?

  OK

  Not OK

• Apakah tiket parkir terstandar sudah tersedia?

  OK

  Not OK

• Apakah tersedia Safety Induction Card untuk Driver?

  OK

  Not OK

• Apakah tersedia On the Spot Induction Form?

  OK

  Not OK

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

  OK

  Not OK

• Evidence

  Media

• Note tambahan

2. Parking Area

• Apakah tersedia Area Parkir khusus?

  OK

  Not OK

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

  OK

  Not OK

• Evidence

  Media

• Note tambahan

3. Loading Bay

• Apakah tersedia Red Safety Zone in Loading Bay?

  OK

  Not OK

• Apakah ditunjukkan dengan Bright Demarcation Color?

  OK

  Not OK

• Apakah tersedia Safety Pole?

  OK

  Not OK

• Apakah tersedia Safety Pole holder?

  OK

  Not OK

• Apakah tersedia Key Hanger di Safety Pole?

  OK

  Not OK

• Apakah tersedia Safety Flag pada Safety Pole?

  OK

  Not OK

• Evidence

  Media

• Note tambahan

4. Driver Seat

• Apakah tersedia Driver Seat Area khusus?

  OK

  Not OK

• No Driver in Cabin During Loading?

  OK

  Not OK

• Evidence

  Media

• Note Tambahan

5. Truck Departure

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

  OK

  Not OK

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

  OK

  Not OK

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

  Yes

  No

  N/A

• Apakah Security mengisi logbook sesuai format standard?

  OK

  Not OK

• Driver Wear Safety Shoes?

  OK

  Not OK

• Driver Wear Safety Vest?

  OK

  Not OK

• Load Supervisor Check the Vehicle?

  OK

  Not OK

• Load Supervisor Put Key on Hanger?

  OK

  Not OK

• Evidence

  Media

• Note Tambahan

• Auditor

  Sign

• RLM/OLM

  Sign