Information

  • Month/Year

  • Prepared by

  • Conducted on

  • Hazard Classification:
    Class (A) - Major - To be corrected Immediately
    A condition or practice likely to cause permanent disability, loss of life or body and/or extensive loss of structure, equipment or material

  • Class (B) - Serious - To be corrected within 24 hours
    A condition or practice likely to cause injury or illness, resulting in temporary disability or property damage that is disruptive but not excessive

  • Class (C) - Minor - To be placed on action plan
    A condition or practice likely to cause minor, non-disabling injury or illness or non-disruptive property damage

  • Fire Extinguisher Map

    no label

Shipping/Receiving

  • Housekeeping (5S)

  • Hazard Class

  • Lighting

  • Hazard Class

  • Trailer Jacks (proper position)

  • Hazard Class

  • Eye Wash Station (1)

  • Hazard Class

  • Racking

  • Hazard Class

  • Signs

  • Hazard Class

  • Forklift Inspection Sheets

  • Hazard Class

  • 1

  • 2

  • 3

Exterior

  • Roadways

  • Hazard Class

  • Parking Lot

  • Hazard Class

  • Patio

  • Hazard Class

  • Walkways

  • Hazard Class

  • Entrance Hand Rails

  • Hazard Class

  • Shipping Pad (clean/free of oil)

  • Hazard Class

  • Transformers (have locks & no fluid)

  • Hazard Class

  • Housekeeping (5S)

  • Hazard Class

  • Storm Drain (dock 78, 126 & generator pad)

  • Hazard Class

  • Generator (no leaks or liquid, accessible)

  • Hazard Class

Service

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

  • 4

  • 5

  • 8

  • 9

  • 10

Maintenance Crib

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

  • Gas Cylinders (capped & chained)

  • Hazard Class

  • Machinery/Grinder (less than 1/8" gap, shields in use)

  • Hazard Class

  • Chemicals in Approved Containers

  • Hazard Class

  • 16

  • 28 (on portable welding machine)

  • 29 (on portable welding machine)

Maintenance Office

  • Housekeeping (5S)

  • Hazard Class

  • Lights

  • Hazard Class

Comments

  • Addition Comments

  • Name & Initials

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