COP Fork Lift Safety Audit HSE 08

• The purpose of this audit is to review the understanding and implementation of the Visy Code of Practice for Forklift Safety.

• Site

• Conducted on

  Date

• Audit conducted by:

• Manager / Supervisor in charge at the time of the audit:

• INSTRUCTIONS
  1. Evidence should be sighted for each question . Use text spaces to comment on the evidence available or to comment on site practices.
  2. Communicate gaps and opportunities for improvement to to the site manager after completing the audit .
  3. Ensure significant items are entered in Vault to ensure that action follows.

1. HAVE THE CODE RESPONSIBILITIES BEEN COMMUNICATED TO THE FOLLOWING ROLES

• Operations / site Manager?

  Yes

  No

  N/A

• Warehouse/ Operations Manager?

  Yes

  No

  N/A

• Leading Hand / Supervisor?

  Yes

  No

  N/A

• Forklift Operators?

  Yes

  No

  N/A

• Employees?

  Yes

  No

  N/A

2. FORKLIFT SAFETY TECHNOLOGY

• A process exists for the selection of forklift equipment before purchase or hire?

  Yes

  No

  N/A

• Was a formal process undertaken to establish the suitability of site forklifts for the specific site tasks , Does a assessment document exist?

  Yes

  No

  N/A

• Were HSE Reps and relevant employees consulted in establishing the suitability of site forklifts for the needs of the site?

  Yes

  No

  N/A

• Has the current forklift fleet been assessed to ensure it meets the requirements of the Code of Practice?

  Yes

  No

  N/A

• Are records available which verify the assessment of actions taken to comply with the Code of Practice?

  Yes

  No

  N/A

• Forklifts have not been modified in any way or if modifications have been made evidence is available to show these modifications meet AS/ NZS 2359 , including extended tines and attachments?

  Yes

  No

  N/A

• The forklift compliance plate contains all necessary information including MODEL OF THE FORKLIFT, ATTACHMENT TYPE and RATED CAPACITY.

  Yes

  No

  N/A

• Drivers and supervisors are aware of tolerances and rated capacities? Ask at least 3 staff to explain safe loads.

  Yes

  No

  N/A

3. COMPETENCY AND TRAINING

• Do all drivers carry their forklift licences ? <br>Ask at least three drivers .

  Yes

  No

  N/A

• Site has a current forklift licence register and has a record of all authorised drivers which is frequently reviewed ?

  Yes

  No

  N/A

• Training records are available for forklift drivers including training after any site or equipment changes?

  Yes

  No

  N/A

• TRAINING
  Has appropriate training been conducted for each forklift driver and records retained showing that all training has been refreshed in the past 2 years.q

• 1.Completing a pre-start checklist?

  Yes

  No

  N/A

• 2.Understanding risks and hazards of the work place when using a forklift?

  Yes

  No

  N/A

• 3.Handling hazardous materials?

  Yes

  No

  N/A

• 4. Understanding the forklift safety Code of Practice?

  Yes

  No

  N/A

• 5.Understanding site policies and procedures?

  Yes

  No

  N/A

• 6. Does the site have a plan to address any training gaps which are identified?

  Yes

  No

  N/A

4. SEPARATION OF PEOPLE AND FORKLIFTS

• Does the site have a traffic management plan?

  Yes

  No

  N/A

• Does the site have colour marked walkways and exclusions zones which comply with the minimum standards ?

  Yes

  No

  N/A

• Are all blind spots marked and adequately controlled with mirrors, alarms or by other means ?

  Yes

  No

  N/A

• Are there barriers and gates installed to ensure separation in all high risk areas?

  Yes

  No

  N/A

• Are the site's traffic management rules displayed and are speed limits and clear. Are warning devices and speed limiters installed and maintained ?

  Yes

  No

  N/A

• Are pedestrians and forklift drivers following the site rules?

  Yes

  No

  N/A

5. SAFE SYSTEMS OF WORK

• Are all forklift warning devices operating ?

  Yes

  No

  N/A

• Have all forklifts been assessed for compliance with the Forklift Code of Practice and Minimum Standards?

  Yes

  No

  N/A

• If any of the Minimum Standards are excluded these have documented reasons?

  Yes

  No

  N/A

• Are all employees aware of prohibited practices relating to forklifts?

  Yes

  No

  N/A

• If incidents have occurred involving forklifts on site , review Vault and have appropriate actions been implemented to prevent a reoccurrence ?

  Yes

  No

  N/A

• Are forklifts being reversed when carrying obstructing loads ?

  Yes

  No

  N/A

• All drivers are using safety belts ?

  Yes

  No

  N/A

6. RISK ASSESSMENT

• Have risk assessments been conducted for each type of forklifts used on site?

  Yes

  No

  N/A

• Have risk assessments considered the activities the forklifts are used for, the operating environment and operator requirements ?

  Yes

  No

  N/A

• Were risk assessments conducted by suitably trained individuals?

  Yes

  No

  N/A

• Are records of risk assessments readily available ?

  Yes

  No

  N/A

• If any forklift has been modified from its original design has this been included in the risk assessment adequately?

  Yes

  No

  N/A

7. EQUIPMENT MAINTENANCE AND INSPECTION

• Does the site keep maintenance records for each forklift?

  Yes

  No

  N/A

• Are recorded maintenance periods in accordance with manufacturers specifications?

  Yes

  No

  N/A

• Does the site have records of the completion of pre-start inspections or uses systems such as Forktrac or similar?

  Yes

  No

  N/A

• Are pre-start inspections being conducted as required by the Code of Practice?

  Yes

  No

  N/A

• Are forklifts kept in good order , clean and free of defects?

  Yes

  No

  N/A

• Does the site have a process in place for reporting any defects, faults or breakdowns and to put forklifts out of service due to mechanical faults?

  Yes

  No

  N/A

8. AUDIT

• Has the site conducted an internal CODE OF PRACTICE audit in the past 12 months?

  Yes

  No

  N/A

• Is this audit being conducted within two years of the previous Code of Practice Audit?

  Yes

  No

  N/A

• Has the site manager reviewed and signed off on previous audit results?

  Yes

  No

  N/A

• ACTIONS AND AREAS OF CONCERN

• OPPORTUNITIES FOR IMPROVEMENT

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