ADI UK Rochdale HSE Gemba - Shunt / Aisle 16-24 / Despatch / Changing Room

• Conducted on

  Date

• Prepared by

• Location
  Address

Shunt & Aisle 16-24

• Loading Bay door opened/closed fully?<br>Water cleaned immediately & hazard signage utilised?

  Safe

  At Risk

  N/A

• Security barrier down & alarmed?

  Safe

  At Risk

  N/A

• Pallet wrapper pre-start checklist completed?

  Safe

  At Risk

  N/A

• Lighting adequate?

  Safe

  At Risk

  N/A

• Used batteries stored safely in Battery Bin (contacts taped up) / safety posters present?

  Safe

  At Risk

  N/A

• Powered device pre-start checklist completed?

  Safe

  At Risk

  N/A

• Dangerous Goods on Shunts: batteries contacts taped & aerosols secured?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Kick stools / safety steps in good condition?

  Safe

  At Risk

  N/A

• Damaged equipment labelled & in designated area?

  Safe

  At Risk

  N/A

• Employees using handrail on stairs?

  Safe

  At Risk

  N/A

• Both stairwells clean & free from obstruction?

  Safe

  At Risk

  N/A

• Safety Mirror offers maximum coverage of area?

  Safe

  At Risk

  N/A

• Eye wash station stocked & clean?

  Yes

  No

  N/A

• Aerosols cabinet tidy and closed?

  Yes

  No

  N/A

Despatch

• Lighting adequate?

  Safe

  At Risk

  N/A

• Any damaged trollies or Interlink cages?

  Safe

  At Risk

  N/A

• Anti-fatigue mats used and in good condition?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• ACM walk in good condition?

  Safe

  At Risk

  N/A

• Emergency exits clear of obstruction?

  Safe

  At Risk

  N/A

• Pallets & loads thoroughly secured?

  Safe

  At Risk

  N/A

• Broken pallets in use?

  Safe

  At Risk

  N/A

• Dangerous Goods on Packing Benches: batteries contacts taped & aerosols secured?

  Safe

  At Risk

  N/A

Despatch Office

• Any trip hazards from office equipment?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Changing Room

• Lighting adequate?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Evidence of food and drinks on floor.

  Safe

  At Risk

  N/A

Employee Behaviours

Powered Device Operator Behavioural Observation Checks

• Powered device pre-start checklist completed?

  Safe

  At Risk

  N/A

• Device operator looking in the direction of travel?

  Safe

  At Risk

  N/A

• Device operator using horn / warning devices where required?

  Safe

  At Risk

  N/A

• Device operator wearing a seat belt?

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

Employee Behaviour Observation Checks

• 

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Is the employee over-stretching / twisting?

  Safe

  At Risk

  N/A

• Is the employee holding the load close to trunk?

  Safe

  At Risk

  N/A

• Discuss unsafe observation programme with employee.

  Safe

  At Risk

  N/A

• Discuss unsafe observation programme with employee.

• Discuss evacuation procedure with employee.

• Discuss accident reporting with employee.

• Any recognition: