Information
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Dock Hazard Awareness
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Employee name
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Terminal
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Conducted on
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Completed by:
Understands and demonstrates proper lifting techniques:
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Keeps back straight?
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Lifts with legs?
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Grabs from opposite corners?
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Keeps load close to body?
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Does not twist body?
Understands and demonstrates safe forklift practices:
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Wears seatbelt while operating lift?
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Uses 3 points of contact while climbing on and off forklift?
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Operates lift at a safe speed at all times?
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Looks direction of travel, does not let load obstruct view?
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Keeps blades at safe distance to ground?
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Keeps legs, arms and body inside forklift at all times?
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Parks forklift with blades on the ground, emergency brake set and forklift turned off?
Understands PPE requirements:
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Knows where PPE is located for propane tanks, demonstrates proper changing of tank.
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Understands requirements of steel toed shoes?
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Understands need for gloves when working with at risk freight?
Trailer Safety
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Understands and demonstrates how to properly operate the dock plate?
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Understands and demonstrates how to properly raise and lower kinedyne bars?
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Understands maximum weight allowed on kinedyne bars?
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Understand maximum nose weight before trailer will nose dive?
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Understands and demonstrates how to properly secure freight using straps?
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Understands and demonstrates how to properly check for trailer nose stands and when they are needed?
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Understand and can explain chock on dock procedure?
General Workplace Safety
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Understands purpose and need of a clean work environment?
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Understands benefit of pushing vs pulling freight?
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Understands injury reporting procedures?
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Knows where accident and injury information is posted?
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Understands earphones are cellphones are a distraction and are not permitted while working?
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Comments:
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I have reviewed the above information with the employee and have corrected any areas that were deficient
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I have reviewed and understand the above information and understand the expectations to perform my work in a safe manner at all times: