Charnwood Warehouse Safety Project

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Person seen

• Position

• Contact no / Email

• Premises landlord

• Head Office Address
  Address

• Primary Authority

• Details

Organisation Structure

• Site Manager

• H&S Manager

• Staff rep

• Full Time

• Number

  Select 0-5 5-10 10-20 20-40 50+ 100+

  • 0-5
  • 5-10
  • 10-20
  • 20-40
  • 50+
  • 100+

• Part Time

• Number

  Select 0-5 5-10 10-20 20-40 50+ 100+

  • 0-5
  • 5-10
  • 10-20
  • 20-40
  • 50+
  • 100+

• Agency

• Number

  Select 0-5 5-10 10-20 20-40 50+ 100+

  • 0-5
  • 5-10
  • 10-20
  • 20-40
  • 50+
  • 100+

• Under 18

• Number

  Select 0-5 5-10 10-20 20-40 50+ 100+

  • 0-5
  • 5-10
  • 10-20
  • 20-40
  • 50+
  • 100+

Health and Safety Arrangements

• Are there written risk assessment

  Yes

  No

  N/A

• How are risks communicated

  Select Written risk assessment s Operating Procedures Informal Staff not aware

  • Written risk assessment s
  • Operating Procedures
  • Informal
  • Staff not aware

• Is there a good understanding of RIDDOR

  Yes

  No

  N/A

• Brief description of business activities

Fork Lift Trucks

• FLT

Fork Lift

• Photo

  Media

• Type

  Counterbalance

  Reach Truck

  Side Loader

  Other

• Ownership

  Owned

  Leased

• Fuel

  Electric

  LPG

  Diesel

  N/A

  Petrol

Type Pedestrian

• Pedestrian FLT

Lift Type

• Photo

  Media

• Type

  Pedestrian

  Powered Pallet Truck

  Pedestrian Pallet Truck

• Ownership

  Owned

  Leased

• Fuel

  Electric

  LPG

  Diesel

  N/A

  Petrol

• Any modified (cages, extra lift arms

Equipment Maintenance

• Truck

Truck / Item

• Inspection Frequency

  6 months

  12 months

  18 months

  None

• Inspection Certificate (LOLER)

• Is there a daily check

  Yes

  No

  N/A

• Visual observations

  Media

• Comments

Refuelling of transport

• Methods

  Select Electric LPG Diesel N/A Petrol

  • Electric
  • LPG
  • Diesel
  • N/A
  • Petrol

• Undertaken in safe area

  Yes

  No

  N/A

• Absence of ignition sources

  Yes

  No

  N/A

• PPE available

  Yes

  No

  N/A

• Fire extinguishers

  Yes

  No

  N/A

• Comments

Driver Training

• Number of drivers

• Authorisation

  Written

  Informal

• Specific to type of equipment

  Yes

  No

  N/A

• Is there a driver suitability assessment

  Yes

  No

  N/A

• Are training certificates available

  Yes

  No

  N/A

• Form of assessment

Supervision / Control on equipment access

• Are there trained supervisor

  Yes

  No

  N/A

• Is access to equipment controlled

  Yes

  No

  N/A

• Are FLT operating at time of visit

• Is driving style ok

  Yes

  No

  N/A

• Are they using horns

  Yes

  No

  N/A

• Keeping to speed limits

  Yes

  No

  N/A

• Is there safe lifting & transfers

  Yes

  No

  N/A

• Are keys absent from empty trucks

  Yes

  No

  N/A

• Is there adequate operating space

  Yes

  No

  N/A

Layout of warehouse

• Are pedestrians absent from traffic areas

  Yes

  No

  N/A

• Adequate space for vehicles and pedestrians

  Yes

  No

  N/A

• Are physical barriers provided

  Yes

  No

  N/A

• Are warning signs / fluorescent jackets available

  Yes

  No

  N/A

• Are there designated crossings

  Yes

  No

  N/A

• Describe informal system

Delivery / Despatch Area

• Is there control of access to delivery / dispatch

  Yes

  No

  N/A

• Are banksmen available for transport manoeuvres

  Yes

  No

  N/A

• Are banksmen used

  Yes

  No

  N/A

• Are banksmen trained formally

  Yes

  No

  N/A

• Are there written procedures

  Yes

  No

  N/A

• Are loading and despatch vehicles compatible

  Yes

  No

  N/A

• Are incoming loads assessed for security/stability

  Yes

  No

  N/A

• Are goods inward staff authorised to refuse loads

  Yes

  No

  N/A

• Are transport drivers involved in loading/unloading

  Yes

  No

  N/A

• What PPE are they expected to use/wear

  Select High vis Safety Shoes Hard hat Safety glasses

  • High vis
  • Safety Shoes
  • Hard hat
  • Safety glasses

• Are goods outwards secure and safe to move

  Yes

  No

  N/A

• Other Comments

Manual Handling

• Are there manual handing activities on site

  Yes

  No

  N/A

• Are staff trained in manual handling

  Yes

  No

  N/A

• Notes

• Are there written risk assessments

  Yes

  No

  N/A

• Are staff handling at time of visit

• Site observations

• Photos

  Media

Racking

• Does the site use storage racks/racking

• Written procedures for inspection/maintenance

  Yes

  No

  N/A

• Visual observations

• Safe loading signage

  Yes

  No

  N/A

• Bolted to floor

  Yes

  No

  N/A

• Uprights in alignment

  Yes

  No

  N/A

• Appropriate pallets bases being used

  Yes

  No

  N/A

• Cross beam locks in place

  Yes

  No

  N/A

• Appropriate loading of racking

  Yes

  No

  N/A

• Has installation been inspected reviewed in 12 mths

  Yes

  No

  N/A

• Are there racking upright protection

  Yes

  No

  N/A

• Are stored items safe to move by mechanical handling

  Yes

  No

  N/A

• Other

  Media

Additional information

• Photos

  Media