Title Page

  • Site conducted

  • Date of Inspection

  • Prepared by

  • Location
  • INSTRUCTIONS:
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    1. Answer the applicable questions.
    2. Add photos and notes by clicking on the paperclip icon.
    3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date.
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

Shipping/Receiving

  • 5 Dock Door Windows

  • 2 Overhead Lights

  • 1 Personnel Door Light

  • 2 Fork Truck Back Up Lights

  • 2 Fork Truck Front Lights

  • 2 Fork Truck Rearview Mirrors

  • 2 Fork Truck Front Lights

  • 1 Traffic Mirror End of Ramp

  • 1 Window to Warehouse

  • 1 Dial Cover on Pallet Wrapper

  • 1 Light on Pallet Wrapper

Warehouse

  • 23 Ceiling Lights

  • 1 Clock

  • 1 Forklift Window

  • 2 Flood Lights

  • 1 Fire Alarm Light

Bar Room

  • 2 Dark Chocolate Covers

  • 1 Milk Chocolate Cover

  • 1 Day Tank Dial Cover

  • 4 Tempering Temperature Screen

  • 1 Electrical Panel Light

  • 35 Line Covers

  • 1Bottom Depositor Dial

  • 1 Bottom Depositor Light

  • 1 Shell Depositor Dial

  • 1 Shell Depositor Light

  • 1 Cooling Tower Side Window

  • 1 Cooling Tower Side Dial

  • 1 Cooling Tower Side Light

  • 2 Shell Cooling Tunnel Window

  • 2 Shell Cooling Tunnel Dial

  • 1 PB Depositor Dial

  • 2 PB Depositor Windows

  • 1 Filling Depositor Dial

  • 2 Filling Depositor Window

  • 1 Empty Depositor Dial

  • 2 Empty Depositor Window

  • 2 Bottom Cooling Tunnel Window

  • 1 Bottom Cooling Tunnel Dial

  • 1 Picture Frame on Desk

  • 1 Computer/Printer/ other items on desk

  • 2 Shell Flipper Window

  • 3 Permanent Plastic Covers

  • 11 Ceiling Lights

Wrapping

  • 1 Clock

  • 6 Ceiling Lights

  • 1 Flood Lights

  • 1 Fire Light

  • 1 White Sapal Window

  • 1 Brown Sapal Window

  • 1 Exit Light

Hot Room

  • 3 Ceiling Lights

  • 4 Tank Dials

  • 1 Exit Lights

  • 9 Windows to Bar Line

Upper Warehouse

  • 12 Ceiling Lights

  • 1 Insect Lights

  • 1 Exit Light

Upper Packing

  • 1 Weigh Bagger 1 Up Window

  • 1 Weigh Bagger 1 up Dial Cover

  • 3 Doboy Plastic Covers

  • 1 Exit Light

  • 20 Ceiling Lights

Room Before Kitchen

  • 5 Ceiling Lights

  • 1 Exit Light

Kitchen

  • Exterior Windows - All 4 Sides, Ext and Int.

  • 3 Lights Above Mixers

  • 23 Ceiling Lights

  • 2 Enrober 1 Dials

  • 1 Enrober 1 Light

  • 1 Enrober 2 Dial

  • 1 Enrober 2 Light

  • 2 Cooling Tunnel Dial

  • 2 Dials at End of Cooling Tunnel

  • 1 Milk Tank Dial

  • 3 Dial on Each Mixer

  • 1 Exit Light

  • 1 Insect Lights

Cream Kitchen

  • 5 Ceiling Lights

  • Exterior Windows - all panels

  • 1 Clock

  • 1 Dial on Kettle

Completion

  • Inspected By

  • Verified By

  • 2 Fork Truck Back Up Lights

  • 2 Fork Truck Front Lights

  • 2 Fork Truck Rearview Mirrors

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.