Information

  • Document No.

  • Conducted on:

  • Prepared by:

  • Personnel:

Behaviours

  • Forklift driver name:

  • Company:

  • Seatbelt worn while forklift is in use?

  • Horn being used at corners, oncoming traffic and blind spots?

  • Forklift driver and pedestrians following 3 metre rule?

  • Forklift driver has stopped and lowered forks prior to pedestrians approaching?

  • Is the driver carrying their fork hoist licence?

  • Dates on Competency card are all valid?

  • Required PPE is being worn?

  • Machine is clean and free of rubbish?

  • Is the fork hoist free of any noticeable faults or have any faults been raised by driver for machine?

  • Is the team member in charge for the day MPI certified?

Observation

  • Are the MAF/MPI bins beside containers whilst unloading containers?

  • Correct manual handling technique being performed?

  • Is the cleaning kit up to date?

  • Waste bins free of damage?

  • Waste/Aluminium/PET & yellow bins emptied?

  • Area is clear of rubbish?

  • Area clear of damages?

  • Emergency exits are clear of obstructions?

  • Spills are isolated?

  • Safety gloves being worn whilst unloading containers?

  • Correct Safety signage is in place?

  • Are empty containers clean?

  • Empty Pallets stacked safely in designated areas?

  • Is the assembly point clear of obstruction?

Discussion

  • Name:

  • Company:

  • What items are you allowed to stop and grab before proceeding to assembly point?

  • What should you do when the evacuation alarm sounds while you are working?

  • What is the minimum distant required between moving MHE and pedestrians.

  • What should you do if you see water, oil or liquid on the floor?

  • How many fork hoists are allowed to load/unload a vehicle at any one time?

  • Who's responsible for reporting a hazard/near miss/injury/property damage?

  • What must you carry with you at all times when you are using the MHE equipment.

  • What should you do if you see something being done that is unsafe?

  • Where are the first aid kits located in the AKL DC?

  • Name a First Aider in your department?<br>

  • Name a Fire Warden in your department

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.