C.S.07 Monthly Warehouse Glass and Shatterable Plastic Check, Rev: 02, Issued: 05/07/2022

• Conducted on

  Date

• Completed by

WAREHOUSE FORKLIFT (EFB29A00165):

• 1 x Beacon (orange)

• 2 x Front Lights (white)

• 1 x Back Light (orange)

• Control Panel & Frame

WAREHOUSE REACH TRUCK (ULS206619101):

• 1 x Beacon (orange)

• Control Panel & Frame

WAREHOUSE OTHER:

• Doors / Frames

• 2 x EFKs

• 22 x Ceiling Lights

COLD WAREHOUSE FORKLIFT (EFB23A50041):

• 1 x Beacon on Top (orange)

• 2 X Front Lights (white)

• 1 x Back Light (orange)

• Control Panel & Frame

COLD WAREHOUSE PALLET TRUCKS

• 2 x Manual Pallet Trucks

• 2 x Electric Pallet Trucks

COLD WAREHOUSE OTHER:

• Doors / Frames

• 1 x EFK

• 5 x Ceiling Lights

• 2 x Roller Door Lights (red)

• Control Panels

• 2 x Fire Exit Signs

• 2 x Emergency Exit Signs

CORRECTIVE ACTION (if applicable)

• Is there a Non-Conformance?

  Yes

  No

• Action Register Number

• Corrective Action Assigned To

• Corrective Action Closed Out By

• Date Closed Out

  Date

SIGN OFF

• Inspection Completed By

  Sign