Title Page

  • Conducted on

  • Prepared by

  • Location
  • Department/Areas Reviewed:

  • Completed by:

AREA

  • * If issues cannot be imediately corrected, move item to tier board for escalation

AWP

  • ITEM TO ASSESS

  • Do Team Members who operate have a valid AWP license?

  • if No, list corrective actions

  • Do Team Members perform pre-use inspections per the operators manual prior to use?

  • if No, list corrective actions

  • Have your Team Members who operate AWP's been trained using formal training, such as Liftpro?

  • if No, list corrective actions

PIT

  • Are Team Member's PIT's licenses up to date?

  • if No, list corrective actions

  • Are pre-use inspections preformed completely and correctly by Team Members?

  • if No, list corrective actions

  • Are issues identified on the pre-use inspections being escalated and fixed?

  • if No, list corrective actions

  • Through your own inspection, are the PIT's in good working condition as noted on the pre-use inspection sheet?

  • if No, list corrective actions

  • In battery charging areas, are SOP's posted to ensure the proper steps are known to safely charge batteries?

  • if No, list corrective actions

  • Are safety showers and/or eye washes within 20 feet of charging areas? Is the pathway to them free and clear of obstructions?

  • if No, list corrective actions

MTV

  • Do carts have a unique number and/or letter identifier?

  • if No, list corrective actions

  • Have carts with loads over 250 lbs gone through MTV? Is documentation available to support this review?

  • if No, list corrective actions

  • Are carts using creform in good condition and free from cracks and/or sagging?

  • if No, list corrective actions

  • Are carts in good condition and if not, are they being pulled from service until repairs are completed? (Look at welds and casters

  • if No, list corrective actions

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.