All Sites - Dock Safety Audit

• Conducted on

  Date

• Prepared by

• Trailer Number

• Dock Number

• Is the dock itself in good condition? Rain guard, bumpers, plates all within safe working order?

  Yes

  No

  N/A

• Is glad hand properly installed on trailer prior to entry?

  Yes

  No

  N/A

• Is chock properly installed on the trailer prior to entry?

  Yes

  No

  N/A

• If dock has dock lock, is dock lock engaged prior to entry?

  Yes

  No

  N/A

• Is dock door fully raised so that it will not be damaged upon entry/exit of forklift?

  Yes

  No

  N/A

• Has key to Glad hand lock been properly contained to keep from others unlocking?

  Yes

  No

  N/A

Signature

• Audited by

  Sign