Jacobson & Company PTP - Delivery: Loading/Unloading

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Unloading Area

Is the unloading area clear of:

• Debris

  Yes

  No

  N/A

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• Tripping Hazards

  Yes

  No

  N/A

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• Overhead Hazards

  Yes

  No

  N/A

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• Is there a clear path to the material destination?

  Yes

  No

  N/A

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• Is there a gap between the truck and loading dock?

  No

  Yes

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• Are there pedestrians and/or cars to be mindful of?

  No

  Yes

• Does the area have to be coned off?

  No

  Yes

• Is a flag person required?

  No

  Yes

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• Is there floor and/or wall protection required?

  No

  Yes

• Is the appropriate equipment being used for the task (ex. A-frames)?

  Yes

  No

  N/A

• Has the foreman made the unloading/loading team aware of all possible hazards?

  Yes

  No

  N/A

Trucking

• Is the material properly stacked on the truck?

  Yes

  No

  N/A

• Correct dunnage?

  Yes

  No

  N/A

• Straps in place?

  Yes

  No

  N/A

• Is a spider/boom being used?

  No

  Yes

• Is a qualified person operating the machinery?

  Yes

  No

  N/A

• Is a THA/JHA required for the task?

  Yes

  No

  N/A

Safety

• Are all Jacobson & Company employees wearing the correct PPE for the assigned task?<br>

  Yes

  No

  N/A

• Is the trucking vendor wearing the correct PPE for the task

  Yes

  No

  N/A

• Will weather conditions be a factor in the task process (ex. rain, snow, slippery surfaces)?

  No

  Yes

• Are the correct people assigned for the task to be completed safely and efficiently?

  Yes

  No

  N/A

• Has the Foreman reminded the team about proper/safe lifting technique?

  Yes

  No

  N/A

Additional Notes

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