Hitch Lock

• Conducted on

  Date

• Prepared by

• Location
  Address

Reviewed Department

• Which department are you reviewing?

  Select Frame Floor Wall Top Electrical Exterior Front Door Moulding Final Finish Shipping/Receiving Cabinet

  • Frame
  • Floor
  • Wall
  • Top
  • Electrical
  • Exterior
  • Front Door
  • Moulding
  • Final Finish
  • Shipping/Receiving
  • Cabinet

Housekeeping

• Are two people used when moving a home with a tractor?

  Safe

  At Risk

  N/A

• Is spotter positioned between the home and dock?

  Safe

  At Risk

  N/A

• Have spotters been trained and designated by AC?

  Safe

  At Risk

  N/A

• Is tractor operator trained and certified to operate the tractor?

  Safe

  At Risk

  N/A

• Are hitch locks affixed to all homes in a position to be towed?

  Safe

  At Risk

  N/A

• Does the authorized team member have the key to the lock (tractor operators must never have the key)?

  Safe

  At Risk

  N/A

• Do the hitch locks identify the authorized team member?

  Safe

  At Risk

  N/A

• Have all team members in the home stopped working while home is in motion?

  Safe

  At Risk

  N/A

• Are team members on top of or below the home working without a hitch lock in place?

  Safe

  At Risk

  N/A

• Do all homes on the yard have a hitch lock when team members are working on, in, or under home?

  Safe

  At Risk

  N/A

Signature

• Supervisor's Signature

  Sign