HTC OPERATIONS -- WAREHOUSE & TERMINAL DEPARTMENT

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

FOR TERMINAL & WAREHOUSE DEPARTMENT

• Observed Unsafe Conditions / Actions (Safety Incident report, reported & corrected)<br><br>

  Yes

  No

  N/A

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

  Yes

  No

  N/A

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

  Yes

  No

  N/A

• New Injury or Vehicle Accident Investigation Reports (turned in w/in 2 days).<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 Forklift Pre-use Inspection Sheets (accounted for daily).<br><br>

  Yes

  No

  N/A

• Forklift Safe Operating Practices (observed & enforced).<br><br>

  Yes

  No

  N/A

• HAZMAT Shipping Paperwork & Product Labeling (monitored for accuracy).<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

• Extra Propane Tanks, Gas/Diesel Storage Containers (properly stored).<br><br>

  Yes

  No

  N/A

• PPE (Personal Protective Equipment) - gloves, goggles, etc (provided & maintained).<br><br>

  Yes

  No

  N/A

• Safety Cage & Body Harness (Fall Arrest Equipment, used & maintained)<br><br>

  Yes

  No

  N/A

• Trailer Jackstands (Placed under containers worked in, used & maintained)<br><br>

  Yes

  No

  N/A

• Loading Dock & Warehouse Floors (kept clean of debris).<br><br>

  Yes

  No

  N/A

• All Lighting for Loading Dock & Warehouse (inspected & maintained).<br><br>

  Yes

  No

  N/A

• Storage Racks & Bollards for Loading Dock & Warehouse (repaired as necessary).<br><br>

  Yes

  No

  N/A

• All Walk-paths & Stairs for Loading Dock & Warehouse (kept clear of obstructions).<br><br>

  Yes

  No

  N/A

• Potholes in Container Yard (repaired as necessary)<br><br>

  Yes

  No

  N/A

• Circuit Breaker Panels, Fire Exits & Fire Extinguishers (kept clear of obstructions).<br><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<br>

  Safe

  At Risk

  N/A

• Always let falling objects fall<br>

  Safe

  At Risk

  N/A

• Used available lifting and carrying aides<br>

  Safe

  At Risk

  N/A

• Always cleaned loose debris prior to working over any floor<br>

  Safe

  At Risk

  N/A

• Always watched his / her hand placement<br>

  Yes

  No

  N/A

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

  Safe

  At Risk

  N/A

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

  Safe

  At Risk

  N/A

• Wore goggles and gloves as required<br>

  Safe

  At Risk

  N/A

• Abided by HOUSE RULES regarding safety<br>

  Safe

  At Risk

  N/A

OTHER OBSERVATIONS & PHOTOS

• Other observations noted

• Photos

  Media

• Name & Signature of Inspector

  Sign

• Date & Time of Inspection

  Date

• Safety Manager's Notes