Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Personnel

Dry Receiving

Dry Receiving

Doors

  • Door Latch is functional

  • Seal is in good repair

Dock Utility Lights

  • Lights in working condition

Safety Lights

  • Red/Green lights in working condition

Dock Plate

  • Dock plate is operational, safe, brush seals in place

Cleaning

  • Area free of congestion and safety hazards

Emergency Exits

  • Clear access, lights in working condition

Netting

  • Netting in good repair, free of debris and product, proper height for PIV traffic

Module 3

Module 3

Level 1

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Level 2

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 3

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 4

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Fire protection

Module 4

Module 4

Level 1

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 2

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 3

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 4

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Module 5

Module 5

Level 1

Floorboards

  • Floorboards in good repair

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 2

Floorboards

  • Floorboards in good repair

Fans

  • Fans in working condition

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Reserve Aisles

Reserve Aisles

  • Aisles are free of debris

  • Lighting in aisle is all working and bright enough

  • Rack legs are in good condition

  • Rack load beams are in good condition

  • Flow roller bays are in good condition and rollers working properly

Repack

Repack

  • Aisles are free of debris

  • Lighting in aisle is all working and bright enough

  • Rack legs are in good condition

  • Rack load beams are in good condition

  • Flow roller bays are in good condition and rollers working properly

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Cooler/Freezer Dock

Cooler/Freezer Dock

Doors

  • Door Latch is functional

  • Seal is in good repair

Dock Utility Lights

  • Lights in working condition

Safety Lights

  • Red/Green lights in working condition

Dock Plate

  • Dock plate is operational, safe, brush seals in place

Cleaning

  • Area free of congestion and safety hazards

Emergency Exits

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

  • Clear access, lights in working condition

Netting

  • Netting in good repair, free of debris and product, proper height for PIV traffic

Dock Temperature

  • Below 45

Cooler Module

Cooler Module

Level 1

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 2

Floorboards

  • Floorboards in good repair

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 3

Floorboards

  • Floorboards in good repair

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Freezer Module

Freezer Module

Level 1

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 2

Floorboards

  • Floorboards in good repair

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 3

Floorboards

  • Floorboards in good repair

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 4

Floorboards

  • Floorboards in good repair

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Meat Cooler

Meat Cooler

Level 1

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

Pallets Stops

  • Pallet stops in place

Pick Bay Rollers

  • Pallet rollers in good repair

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 2

Floorboards

  • Floorboards in good repair

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Level 3

Floorboards

  • Floorboards in good repair

Pick Bay Rollers

  • Pallet rollers in good repair

Pallets Stops

  • Pallet stops in place

Machine Guarding

  • Machine guards in place, secured properly, pop out rollers in place

E-Stops

  • Pull cords, red lenses, mushroom stops in place and, in working condition

Housekeeping

  • Level free of damages, loose cases, wrap, pallet boards, cardboard, debris

Fire protection

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Ice Cream Freezer

Ice Cream Freezer

  • Aisles are free of debris

  • Lighting in aisle is all working and bright enough

  • Rack legs are in good condition

  • Rack load beams are in good condition

  • Flow roller bays are in good condition and rollers working properly

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Credit Returns

Credit Returns

Doors

  • Door Latch is functional

  • Seal is in good repair

Dock Utility Lights

  • Lights in working condition

Safety Lights

  • Red/Green lights in working condition

Dock Plate

  • Dock plate is operational, safe, brush seals in place

Cleaning

  • Area free of congestion and safety hazards

Emergency Exits

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

  • Clear access, lights in working condition

Netting

  • Netting in good repair, free of debris and product, proper height for PIV traffic

Dock Temperature

  • Below 45

Dock 7

Dock 7

Dock 7

Doors

  • Door Latch is functional

  • Seal is in good repair

Dock Utility Lights

  • Lights in working condition

Safety Lights

  • Red/Green lights in working condition

Dock Plate

  • Dock plate is operational, safe, brush seals in place

Cleaning

  • Area free of congestion and safety hazards

Emergency Exits

  • Clear access, lights in working condition

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

Netting

  • Netting in good repair, free of debris and product, proper height for PIV traffic

Dock Temperature

  • Below 45

Shipping

Shipping

Shipping

Doors

  • Door Latch is functional

  • Seal is in good repair

Dock Utility Lights

  • Lights in working condition

Safety Lights

  • Red/Green lights in working condition

Dock Plate

  • Dock plate is operational, safe, brush seals in place

Cleaning

  • Area free of congestion and safety hazards

Emergency Exits

  • Strobes, pull station are in good repair, extinguishers are in place with inspection tags

  • Clear access, lights in working condition

Netting

  • Netting in good repair, free of debris and product, proper height for PIV traffic

Dock Temperature

  • Below 45

Exterior

Exterior

  • Propane cylinders are stored in a cage

  • Oxy / acetylene cylinders secured properly

  • Safety barriers are in good condition around fire hydrants and PIV's where necessary

  • Exterior doors are in good condition and secure, strip curtains in place at dry dock delivery door

  • Adequate quantity of wheel chocks are available

  • Security cameras are all functional

  • Wheel chocks are being used as intended

  • Egress doors are not obstructed

  • Security fencing is in good condition

  • Security gates are in good condition

  • PIV ramp to shipping door 31 is in good repair, ramp surface, railing, strip curtains

  • Exterior lighting is all working properly

  • Traffic signs are in good condition and in proper locations

  • Dock door Red / Green safety lights are working properly

  • Fire hydrants, PIV's are protected, fire department hook up is labeled, accessible, pavement is clearly painted and marked

  • Generators appear to be in good condition with no visible leaks of fuel

Roof

Roof

  • Doors and hatches operate properly

  • Hand rails along condenser area is in place and secure

  • Ladders and ladder cage in place and secure on condensers

  • Ventilation exhaust fans secure

  • No storage of supplies on roof unless in secure cabinet

  • No debris on roof

  • Piping appears to be in good condition

  • Piping appears to be well supported

  • No signs of ammonia leaks are noticed

  • Roof drainage is unrestricted

Building Maintenance

Building Maintenance

  • Hot work permits are accessible, audit process is in place and is being utilized

  • Fire protection panel is free from alarms, fire protection system is in "ready" mode and operational. Weekly / monthly inspections are on file and up to date.

  • All combustibles stored properly

  • Housekeeping completed in a manner that doesn't create any safety hazards

  • No loose propane tanks in or around shop

  • No loose oxy / acetylene tanks in or around shop

  • Grinder guards in place and adjusted properly

  • Electrical extension cords in good condition. Verify cord and plug ends

  • Shop hand tools in good condition and all guards in place

  • Safety glasses available at shop entrance

  • Safe days posted

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.