Title Page
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Document No.
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Select your location
- Atlanta
- Chicago
- Dallas
- Louisville
- Louisville Returns
- Albany (Northeast)
- Reno
- Toronto
- Virginia
- Vancouver
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Conducted on
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Prepared by
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Location
Fire Protection
Fire Protection
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Are sprinkler heads unobstructed and free of debris?
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Are Fire Pull stations unobstructed?
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Are all walls and ceilings maintained and intact without holes in the walls or ceilings that would allow fire to travel from one area to another?
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Are unused pallets stored in a designated area and stacked no more than 5ft?
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Are fire extinguishers marked, mounted, readily accessible and checked monthly?
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Are all exits clearly marked?
Chemical Storage
Chemical Storage
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Is there adequate secondary containment for all liquid hazardous chemical containers?
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Does the secondary containment system have holes or is rusted?
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A spill containment kit is readily accessible and easy to open?
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Are chemical containers properly and clearly labeled?
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Is there eyewash stations in close proximately and working properly.
Racking
Racking
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All safeguards, clip locks and load locks are in place?
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All materials and or equipment are placed or located in such a manner that they are stable, fixed or firm and are safe from unexpected movement?
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Are all racks secured to the floor with bolts?
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Are the racks free of visible signs of impact damage?
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Product is stacked neatly and is not sticking out more than 6 inches into the aisle?
Contractor
Contractor Safety
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Do you have any contractors on-site? (Temporary workers under your supervision do not apply to this section)
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Has the contractor signed the safety declaration and is his/her certificate of insurance current and on file?
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Is there a current certificate of insurance on file?
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Are barricades used during hazardous work performed by a contractor? (i.e. caution tape, cones, guard rail, etc.)
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Is the contractor using their own equipment to perform their task? (i.e. ladders, powered equipment, tools, etc.) The use of ADI equipment is not permitted?
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If applicable have the contractor demonstrate how to lockout the equipment they are working on?
HSE / HOS Integration
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Are HSE Metrics current on all tier boards? (i.e. Behavior Observations, First Aid / Injury information. TCIR)
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Are Weekly HSE messages posted and current at the tier board?
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Are Safety visuals adequate? (i.e. Two person lift locations, safe walking lanes, gloves required where applicable, glasses at foam station, etc)
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Did you observe employees properly using a sharp?