Title Page
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Conducted on
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Prepared by
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Location
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Department/Areas Reviewed:
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Completed by:
AREA
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* If issues cannot be imediately corrected, move item to tier board for escalation
AWP
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ITEM TO ASSESS
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Do Team Members who operate have a valid AWP license?
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if No, list corrective actions
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Do Team Members perform pre-use inspections per the operators manual prior to use?
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if No, list corrective actions
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Have your Team Members who operate AWP's been trained using formal training, such as Liftpro?
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if No, list corrective actions
PIT
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Are Team Member's PIT's licenses up to date?
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if No, list corrective actions
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Are pre-use inspections preformed completely and correctly by Team Members?
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if No, list corrective actions
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Are issues identified on the pre-use inspections being escalated and fixed?
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if No, list corrective actions
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Through your own inspection, are the PIT's in good working condition as noted on the pre-use inspection sheet?
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if No, list corrective actions
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In battery charging areas, are SOP's posted to ensure the proper steps are known to safely charge batteries?
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if No, list corrective actions
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Are safety showers and/or eye washes within 20 feet of charging areas? Is the pathway to them free and clear of obstructions?
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if No, list corrective actions
MTV
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Do carts have a unique number and/or letter identifier?
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if No, list corrective actions
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Have carts with loads over 250 lbs gone through MTV? Is documentation available to support this review?
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if No, list corrective actions
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Are carts using creform in good condition and free from cracks and/or sagging?
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if No, list corrective actions
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Are carts in good condition and if not, are they being pulled from service until repairs are completed? (Look at welds and casters
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if No, list corrective actions