HTC OPERATIONS -- TRANSPORTATION DEPARTMENTS

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FOR TRANSPORTATION OPERATIONS DEPTS.

• Observed Unsafe Conditions / Actions (Safety Incident report).<br>

  Yes

  No

  N/A

• Dept Safety meeting with quiz completed for the month.<br>

  Yes

  No

  N/A

• New Injury or Vehicle Accidents to report (called in w/in 24 hours).<br><br>

  Yes

  No

  N/A

• New Injury or Vehicle Accident Investigation Reports (turned in w/in 2 days).<br><br>

  Yes

  No

  N/A

• New Injury or Vehicle Accident Followup Corrective Reports.<br>

  Yes

  No

  N/A

• Emergency Preparedness Plan and Employee Call Roster.<br>

  Yes

  No

  N/A

• Daily Driver Pre / Post Trip Vehicle Inspection Sheets Completed.<br>

  Yes

  No

  N/A

• Part Time Driving Hours Reported by Driver (monitored & enforced).<br><br>

  Yes

  No

  N/A

• 14 Hr Driver "Total On-Duty" Time Restriction (monitored & enforced).<br><br>

  Yes

  No

  N/A

• 60 Hr Driver "On-Duty" limit in any Consecutive 7 Days (monitored & enforced).<br><br>

  Yes

  No

  N/A

• 70 Hr Driver "On-Duty" limit in any Consecutive 8 Days (CIP, monitored & enforced).<br><br>

  Yes

  No

  N/A

• PPE (Personal Protective Equipment) - gloves, etc.<br>

  Yes

  No

  N/A

• Delivery Tools & Supplies - pallet jacks, dollies, ropes, etc.<br>

  Yes

  No

  N/A

• Container Yard (kept clean of debris).<br><br>

  Yes

  No

  N/A

• Interior of Truck Cab (and floor of box van / container, kept clean of debris).<br><br>

  Yes

  No

  N/A

• HAZMAT Shipping Paperwork, Labeling & Placarding (monitored for accuracy).<br><br>

  Yes

  No

  N/A

• HAZMAT Emergency Response Guidebook (understood & maint'd).<br><br>

  Yes

  No

  N/A

• HAZMAT Response Team & Spill Containment Kit (available & maintained).<br><br>

  Yes

  No

  N/A

• MSDS (Material Safety Data Sheet) Binders (understood & maint'd)<br><br>

  Yes

  No

  N/A

OBSERVED WORK BEHAVIOR

• Used proper lifting and carrying techniques<br>

  Safe

  At Risk

  N/A

• Used the 3-points of contact method to climb up or down<br>

  Safe

  At Risk

  N/A

• Always avoided jumping off or on anything<br>

  Safe

  At Risk

  N/A

• Always avoided kicking anything

  Safe

  At Risk

  N/A

• Always let falling objects fall<br>

  Safe

  At Risk

  N/A

• Always used leg muscles when using a pallet jack<br>

  Safe

  At Risk

  N/A

• Used available lifting and carrying aides<br>

  Safe

  At Risk

  N/A

• Asked for help when item exceeded limitations - "too heavy"<br>

  Safe

  At Risk

  N/A

• Always checked for obstacles prior to backing his / her vehicle<br>

  Safe

  At Risk

  N/A

• Checked overhead clearances prior to moving his her vehicle<br>

  Safe

  At Risk

  N/A

• Watched for & was prepared for loose freight to fall<br>

  Safe

  At Risk

  N/A

• When working over wet surfaces, conscious of balance<br>

  Safe

  At Risk

  N/A

• Wore goggles and gloves as required<br>

  Safe

  At Risk

  N/A

• Abided by HOUSE RULES regarding safety

  Safe

  At Risk

  N/A

OTHER OBSERVATIONS & PHOTOS

• Other observations

• Photos

  Media

• Name & Signature of Inspector

  Sign

• Date & Time of Inspection

  Date

• Safety Manager's Notes