Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Green Energy Check

  • Any dock doors open without a trailer in position?

  • Any light visible around closed exterior man doors and/or dock doors?

  • Are freezer doors closed if freezer not in use?

  • Dock pads in good condition?

  • Trailer spotlights left on when door not in use?

  • Lights left on when area not in use?

  • Exit doors propped open?

  • TV’s left on?

  • Space heaters left on when office is empty?

  • Exterior lights left on during the daytime?

  • Dripping faucets or leaking toilets?

  • Water heaters set at efficiency temperature?

  • HVAC set at an efficient temperature?

  • Notes:

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.