Information

Personnel Section

  • Employee

  • RF Number

  • Prepared by

  • Location

  • Conducted on

Reason for Observation

  • Job Performance Review

  • New Job Assignment

  • New Employee

  • Other

  • Specify

Skill in Methods

  • Not Observed (NOB) = Activity not observed
    Below (B) = Somewhat clumsy, fumbles, hesitations (loses time)
    Meet (M) = Steady, average (neither gains or loses time)
    Exceed (E) = Safely reduces motion, quick (gains time)

  • Select task. (Add notes by touching questions.)

  • 1. Receiving assignment from Supervisor / Ops desk

  • 2. Prepare trailer for unloading

  • 3. Open door and apply dock plate

  • 4. Unload pallets and placing like product in same row.

  • 5. Check product condition

  • 6. Check product temperature (nose, middle, tail)

  • 7. Enter product information into VMU

  • 8. Apply pallet tags in correct spot not covering other labels.

  • 9. When unloading complete, retract dock plate and close dock door

  • 10. Complete inbound paperwork

  • 11. Report directly to supervisor / Ops desk for next task without delay

  • 1. Confirm assignment on the VMU without delay

  • 2. Travel to staging location in most direct route

  • 3. Scans the pallet(s) and reviews storage location

  • 4. Verifies pallet is in good condition for storage

  • 5. Operator travels to storage location in most direct route with forks at proper travel height

  • 6. Confirms location is correct

  • 7. Raises forks to needed height without undue hesitation

  • 8. Places pallet correctly in location. Pallet is placed straight in location and at proper depth in bay

  • 9. Lowers forks to travel height without undue delay

  • 10. Scans location to complete putaway task

  • 11. Proceeds to next assignment as directed in an efficient manner

  • 1. Receiving assignment from Supervisor / Ops desk

  • 2. Travels to selected location in most direct route possible

  • 3. Confirms location is correct and raisins forks to needed height without undue hesitation

  • 4. Obtains pallet and scans label confirming pallet selected is correct

  • 5. Operator does a visual check of pallet to verify pallet is in good condition

  • 6. Travels to deposit location in most direct route possible

  • 7. If inventory issues exist, follow appropriate warehouse procedures to resolve

  • 9. Places pallet correctly in location, rotating it to the back position if necessary

  • 10. Pallet it is placed straight in location at proper depth in bay without undue hesitation

  • 11. Scans pallet label and location

  • 12. Proceeds to next assignment as directed in efficient manner

  • 1. Confirms assignment on the VMU without undue delay

  • 2. Operator fills out outbound tag

  • 3. Travels to empty pallet area to obtain correct asset type, using the most direct route possible

  • 4. Travels to selected pick location in most direct route possible

  • 5. Operator scans to verify location and pallet are correct before picking cases

  • 6. Parks lift next to pick location, aligns pallet with pick bay to reduce walking distance

  • 7. Cut and remove plastic wrap as necessary to start pick

  • 8. Operator selects and confirms correct amount of cases in smooth and continuous motion

  • 9. Operator places cases on pallet without multiple touches or movements

  • 10. Builds shippable ready pallet with one piece of wood

  • 11. Selects all cases within two bays without moving equipment

  • 12. Enters in picked quantity on VMU and proceeds in direct route to next pick location

  • 13. If count back, operator accurately counts remaining quantity and enters in correct quantities

  • 14. If inventory issues exist, follow appropriate warehouse procedures to resolve

  • 16. Wraps pallet in a tight pattern from bottom to top

  • 17. Places Outbound label on top right corner of completed pallet

  • 18. Proceeds to designated staging area in direct route depositing pallet in the correct location requested on VMU

  • 19. Scans the correct stage location to complete the pick and proceeds to next assignment in an efficient manner

  • 1. Receive assignment from Supervisor / Ops desk

  • 2. Prepare trailer for loading making sure the dock lock is locked

  • 3. Open dock door and applied dock plate

  • 4. Enter pre-loading info as directed by VMU

  • 5. Verify product is in good condition and address damages

  • 6. Obtain and scan pallet for loading

  • 7. Travel directly to loading door and scan door

  • 8. Place product on truck

  • 9. Return directly to staging location to obtain next pallet

  • 10. When loading is complete, retract dock plate and close dock door

  • Task title

  • 1. Obtains all necessary materials efficiently without delay

  • 2. Uses most direct route to task

  • 3. Completes all necessary steps efficiently

  • 4. Accurately complete all documentation / entries for task

  • 5. Efficiently acquire and log into next task

Performance

Performance Estimate

  • Scoring Performance Estimate
    Below = Less than 0
    Meet = Greater than 0 but less than +10
    Exceed = Greater than +10

    Enter notes on why, by touching category.

  • Skill in Methods

  • Skill characteristics:
    Below = Somewhat clumsy, adds motion, fumbles, hesitation, errors.
    Meet = Follows methods, proficient, consistent, steady, average.
    Exceed = Precise and smooth, quick ensure, reduces motions

  • Effort Level

  • Effort characteristics:
    Below = Slow, not best effort, slow motion
    Meet = Steady, average
    Exceed = Fast, enthusiastic, focused

  • Time Utilization

  • Utilization characteristics:
    Below = Does not try to avoid delay, exceeds delay allowances, stops working to talk
    Meet = Minimizes delay by following the methods. Stays on task.
    Exceed = Eliminates delay by eliminating motion. Always successful at avoiding delay

  • Was this an on standard task?

Safety

Safety

  • Were there any safety concerns observed during this audit?

  • Remember to always be watching for situations that could potentially become safety concerns. Be proactive and make sure we are providing all our employees with the knowledge and equipment to ALWAYS be safe. Safety first!

  • Address safety issues immediately.

  • Select categories that apply.

  • Describe concern

Coachable Moment

Coachable Moment

  • Review Coachable Behavior with associate

    5-Step Coaching Model
    1. Convey positive intent
    2. Describe behavior and actions observed
    3. State impact of desired coachable behavior(s)
    4. Ask associate to respond
    5. Focused discussion on solution

  • Was a Coachable moment observed?

  • Coachable category:

  • Coachable Behavior (Additional notes about employees performance during the observation)

  • Follow-Up required:

  • Planned date for Follow-Up:

  • Associate Signature:

  • Supervisor Signature:

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.