Title Page

  • Conducted on

  • Prepared by

  • Location

Aisle 1

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Emergency exits clear of obstruction?

  • ACM wall in good condition?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Baler pre-start checklist completed & PPE stocked?

Aisle 2

  • Lighting adequate?

  • Cleaning station stocked?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 3

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 4

  • Lighting adequate?

  • Cleaning station stocked?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 5

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Emergency exits clear of obstruction?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 6

  • Lighting adequate?

  • Cleaning station stocked?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 7

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Aisle 8

  • Lighting adequate?

  • Cleaning station stocked?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

  • Pallet stack - secured / within the height limit?

Aisle 9

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

  • Pallet stack - secured / within the height limit?

Aisle 10

  • Lighting adequate?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Battery locations - no excess combustibles, contacts secured?

  • Pallet stack - secured / within the height limit?

Aisle 11

  • Lighting adequate?

  • Cleaning station stocked?

  • Aisle & floors clean, pallets in line, no protruding carton flaps?

  • Emergency exits clear of obstruction?

  • Pallets & loads thoroughly secured - no excess wrap / banding?

  • Broken pallets in use?

  • Battery locations - no excess combustibles, contacts secured?

Goods In Office

  • Any trip hazards from office equipment?

  • Floors clean, dry and free of obstructions & trip / slip hazards?

  • Tier 1 board up to date - review Cell Level Risk Assessment?

Admin Office

  • Any trip hazards from office equipment?

  • Floors clean, dry and free of obstructions & trip / slip hazards?

  • Tier 1 board up to date - review Cell Level Risk Assessment?

Canteen

  • Walkways & floors clean, dry and free of obstructions & trip / slip hazards?<br>(check for personal belongings, waste bins overflowing)

  • Walkways & floors clean, dry and free of obstructions & trip / slip hazards?<br>(check for personal belongings, waste bins overflowing)

  • Emergency exits clear of obstruction?

  • Fridges and drink machines clean?

Employee Behaviours

Powered Device Operator Behavioural Observations Checks

  • Powered device pre-start checklist completed?

  • Device operator looking in the direction of travel?

  • Device operator using horn / warning devices where required?

  • Device operator wearing a seat belt?

  • Device operator traveling at a speed suitable depending on amount of traffic, etc?

  • Device operator adhering to “only Room for One” policy?

  • Device operator vision impaired - clear view over the load?

Employee Behaviour Observation Checks

  • Manual Handling Observations

    Behavioural.png
  • Evidence of heft test / is the employee aware of load contents?

  • Is the employee adhering to a Good Posture / Loads suitable for manual handling?

  • Is the employee over-stretching / twisting?

  • Is the employee holding the load close to trunk?

  • Is the employee wearing hi-visibility clothing, safety shoes (check condition)?

  • Is the employee adhering to Cardinal Rules?

  • Ceramic safety knives used, good working order?

  • Is the employee wearing hand protection when handing pallets?

  • Discuss unsafe observation programme with employee.

  • Discuss evacuation procedure with employee.

  • Discuss accident reporting with employee.

  • Recognition - details below:

  • Any recognition:

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.