Dallas Gemba Walk - Warehouse and Quality - Zone A

• Zone A includes all of Warehouse and Quality

  Select

• Conducted on

  Date

• Prepared by

• Inspection Team

• Equipment is in good condition & properly guarded

  Yes

  No

  N/A

• PPE is available, in good condition and properly stored

  Yes

  No

  N/A

• Is the safety Cabinet fully stocked and organized so colleagues can easily obtain items which may be needed?

  Yes

  No

  N/A

• Employees are wearing proper PPE for the task they are performing

  Yes

  No

  N/A

• Any other unsafe conditions or behaviors?

  Safe

  At Risk

  N/A

• Reference document for Racking Inspection

• Adequate clearance (4 inches horizontally – 5 inches vertically) around stored materials is maintained

  Yes

  No

  N/A

• Items stored on racking above the second level are secured or shrunk wrapped to the pallet

  Yes

  No

  N/A

• Pallets/containers properly placed and level on racking

  Yes

  No

  N/A

• Racks and hardware free of damage or corrosion

  Yes

  No

  N/A

• Column posts free of damage properly anchored to floor

  Yes

  No

  N/A

• Column protection guards provided

  Yes

  No

  N/A

• Are Racks and beams level and square

  Yes

  No

  N/A

• All rack connections installed to snug-tight conditions

  Yes

  No

  N/A

• Capacity labels posted for each section

  Yes

  No

  N/A

• Sufficient clearance provided at ceiling level in flue spaces for automatic sprinklers and avoidance of contact with lighting fixtures

  Yes

  No

  N/A

• Sufficient illumination provided - light fixtures are lit and free of damage or defects <br>

  Yes

  No

  N/A

• Any other rack or storage issues noted

  No

  Yes

  N/A

• Exit doors and routes are free of obstruction

  Yes

  No

  N/A

• Emergency lights are functioning

  Yes

  No

  N/A

• Any other fire safety or emergency response issues noted

  No

  Yes

  N/A

Reference Instructions

• Reference document for fire extinguisher inspection.

Fire Extinguisher #06

• Scan Barcode for Fire Extinguisher #06

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #07

• Scan Barcode for Fire Extinguisher #07

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #08

• Scan Barcode for Fire Extinguisher #08

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #09

• Scan Barcode for Fire Extinguisher #09

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #10

• Scan Barcode for Fire Extinguisher #10

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #11

• Scan Barcode for Fire Extinguisher #11

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  No

  Yes

  N/A

Fire Extinguisher #12

• Scan Barcode for Fire Extinguisher #12

• Wrong QR code scanned. Are you inspecting the correct Fire Extinguisher?

  Yes

  No

  N/A

• Access to fire extinguisher is clear and free of obstacles.

  Yes

  No

  N/A

• Fire extinguisher is free of visible damage including handle.

  Yes

  No

  N/A

• Safety pin is in place and secured.

  Yes

  No

  N/A

• Hose is free of defects, clean and free of obstructions.

  Yes

  No

  N/A

• Gauge needle is in the "Green" zone.

  Yes

  No

  N/A

• Maintenance inspection tag (annual tag) is in place and valid for current year.

  Yes

  No

  N/A

• Fire extinguisher is securely mounted.

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

• Is the Battery Charger free of damage including electrical leads for battery connections?

  Yes

  No

  N/A

• Is Battery Charger area free of combustible or flammable materials including free space above and around charger?

  Yes

  No

  N/A

• Is Battery Charger area free of acids spills or other hazards?

  Yes

  No

  N/A

• Any other issues noted.

  Yes

  No

  N/A

• Area is clean and free of debris, standing water and leaks

  Yes

  No

  N/A

• Aisles are clear and free of debris or obstructions

  Yes

  No

  N/A

• Pallets are lying flat and not in aisles

  Yes

  No

  N/A

• Forklifts are properly parked in their designated areas

  Yes

  No

  N/A

• Any other housekeeping issues noted?

  No

  Yes

  N/A

• Chemicals are properly stored and all containers labeled

  Yes

  No

  N/A

• Any other chemical hazard or concern?

  No

  Yes

  N/A

• All electrical panels are closed, labeled and free of obstructions (located on dock)

  Yes

  No

  N/A

• Do electrical panels have at least 40" clearance from the front and side clearance is the width of the panel or 30" whichever is greater

  Yes

  No

  N/A

• Cords and other electrical components are free of damage

  Yes

  No

  N/A

• Any other electrical hazards or concerns

  No

  Yes

  N/A

• Area is free or trash including trash cans dumped daily to minimize fire risk

  Yes

  No

  N/A

• Any other Waste or Environmental issues or concerns?

  No

  Yes

  N/A

• Items handled by employees are stored below shoulder height?

  Yes

  No

  N/A

• Heavy items are kept at mid level and team lift or a mechanical aid is used?

  Yes

  No

  N/A

• Any other ergonomic risk or concern?

  No

  Yes

  N/A

• Add any additional needs, comments or actions that need escalated which were not noted already in this report.