Title Page

  • Conducted on

  • Prepared by

  • Location

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?

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:

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