Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location
  • Mobile equipment observed operated at safe speeds

  • Accident investigation/reporting records maintained

  • State health and safety poster, emergency telephone numbers, OSHA 300 log and other required notices posted in conspicuous areas

  • Written safety rules/safe job procedures in place

  • Forklifts/Order Picker Operators are trained and qualified

  • Workers trained in proper lifting techniques/ergonomics

  • Personal Protective Equipment Program (PPE) in place

  • Material Safety Data Sheets (MSDS) available and accessible to all employees

Signature

  • Any other comments?

  • When completed please provide signature here:

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