Title Page

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Person seen

  • Position

  • Contact no / Email

Premises Information

  • Premises landlord

  • Head Office Address
  • Primary Authority

  • Details

Organisation Structure

  • Site Manager

  • H&S Manager

  • Staff rep

  • Full Time

  • Number

  • Part Time

  • Number

  • Agency

  • Number

  • Under 18

  • Number

Health and Safety Arrangements

  • Are there written risk assessment

  • How are risks communicated

  • Is there a good understanding of RIDDOR

  • Brief description of business activities

Workplace Transport

Fork Lift Trucks

  • FLT

  • Fork Lift
  • Photo

  • Type

  • Ownership

  • Fuel

Type Pedestrian

  • Pedestrian FLT

  • Lift Type
  • Photo

  • Type

  • Ownership

  • Fuel

  • Any modified (cages, extra lift arms

Equipment Maintenance

  • Truck

  • Truck / Item
  • Inspection Frequency

  • Inspection Certificate (LOLER)

  • Is there a daily check

  • Visual observations

  • Comments

Workplace Transport (cont)

Refuelling of transport

  • Methods

  • Undertaken in safe area

  • Absence of ignition sources

  • PPE available

  • Fire extinguishers

  • Comments

Driver Training

  • Number of drivers

  • Authorisation

  • Specific to type of equipment

  • Is there a driver suitability assessment

  • Are training certificates available

  • Form of assessment

Supervision / Control on equipment access

  • Are there trained supervisor

  • Is access to equipment controlled

  • Are FLT operating at time of visit

  • Is driving style ok

  • Are they using horns

  • Keeping to speed limits

  • Is there safe lifting & transfers

  • Are keys absent from empty trucks

  • Is there adequate operating space

Layout of warehouse

  • Are pedestrians absent from traffic areas

  • Adequate space for vehicles and pedestrians

  • Are physical barriers provided

  • Are warning signs / fluorescent jackets available

  • Are there designated crossings

  • Describe informal system

Delivery Goods Inward

Delivery / Despatch Area

  • Is there control of access to delivery / dispatch

  • Are banksmen available for transport manoeuvres

  • Are banksmen used

  • Are banksmen trained formally

  • Are there written procedures

  • Are loading and despatch vehicles compatible

  • Are incoming loads assessed for security/stability

  • Are goods inward staff authorised to refuse loads

  • Are transport drivers involved in loading/unloading

  • What PPE are they expected to use/wear

  • Are goods outwards secure and safe to move

  • Other Comments

Manual Handling

Manual Handling

  • Are there manual handing activities on site

  • Are staff trained in manual handling

  • Notes

  • Are there written risk assessments

  • Are staff handling at time of visit

  • Site observations

  • Photos

Storage Racking


  • Does the site use storage racks/racking

  • Written procedures for inspection/maintenance

  • Visual observations

  • Safe loading signage

  • Bolted to floor

  • Uprights in alignment

  • Appropriate pallets bases being used

  • Cross beam locks in place

  • Appropriate loading of racking

  • Has installation been inspected reviewed in 12 mths

  • Are there racking upright protection

  • Are stored items safe to move by mechanical handling

  • Other

Additional notes

Additional information

  • Photos

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.