Florida Gold Coast Warehouse Safety Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Select date

  Date

• Associate Name

• Shift

  Select first second third

  • first
  • second
  • third

Pre-shift

• On time for start of shift

  Yes

  No

  N/A

• Forklift Certification

  Yes

  No

  N/A

• Has the operator completed an inspection and signed the inspection tag

  Yes

  No

  N/A

• Stretches before start of work

  Yes

  No

  N/A

• Has necessary equipment ( gloves, shrink wrap)

  Yes

  No

  N/A

Associate appearance

• Proper uniform - shirt and pants/shorts

  Yes

  No

  N/A

• Wearing steel toe shoes ( serviceable)

  Yes

  No

  N/A

Equipment Use

• Operator Is Not Using phone/texting/radio ear buds

  Yes

  No

  N/A

• Correct direction when carrying loads

  Yes

  No

  N/A

• Operator avoids distractions while operating equipment ( eating, drinking)

  Yes

  No

  N/A

• Courteous to other forklift drivers

  Yes

  No

  N/A

• Operates equipment safely ( uses horn, walks to the side)

  Yes

  No

  N/A

• Operates battery changing station in safe manner

  Yes

  No

  N/A

• Ensures trailers are choked before entering

  Yes

  No

  N/A

Product movement

• Safely maneuvers pallets without damaging product

  Yes

  No

  N/A

• Stacks to safe limits

  Yes

  No

  N/A

• Rotation tags properly filled out and attached to product

  Yes

  No

  N/A

• Uses proper documentation to check in product

  Yes

  No

  N/A

• Segregates damaged product

  Yes

  No

  N/A

• Uses safe lifting techniques Save A Back

  Yes

  No

  N/A

Housekeeping

• Keeps warehouse floor clean of debris or trash

  Yes

  No

  N/A

• Stacks empty pallets safely and correctly

  Yes

  No

  N/A

Forklift appearance

• Lift is clean and debris/trash free

  Yes

  No

  N/A

• Is the PIT equipment free of damage

  Yes

  No

  N/A

Miscellaneous

• Comments

• Associate

  Sign

• Person performing the audit

  Sign