Information
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
1.0 - Previous inspection
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1.1 - Are floors and aisles free of clutter, electrical cords, hoses, spills and other hazards that could cause employees to slip, trip or fall?
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1.2 - Are safe clearances for aisles and loading docks or passageways where mechanical handling equipment is used appropriately marked?
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1.3 - Are materials properly stack on shelves?
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1.4 - Are PIT operators trained to operate the equipment safely?
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1.5 - Are loads stable, safely arranged and fit within the rated capacity of the truck?
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1.6 - Are employees using appropriate personal protective equipment?
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1.7 - Are surge protectors used to protected equipment and GFCI used to protect employees?
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1.8 - Does emergency lighting work?
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1.9 - Does emergency lighting work?
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1.10 - Has fire extinguishers been inspected for the month?
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1.11 - Do personnel use proper lifting techniques?
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1.12 - Are MSDS of authorized chemicals available? If not, are employees aware of MSDS locations?
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1.13 - Are workers aware of which JHA's cover the task the are performing?
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1.14 - Are eye wash units available, clean, access unobstructed and inspection monthly?
Sign Off
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Auditor's signature
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