Title Page
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Conducted on
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Prepared by
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Prepared by
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Member of Management
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Member of Management
Maintenance
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Clear path of travel to doors and emergency exits
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Clear path of travel to eye wash station
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Eye wash station has been inspected and is clean
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MHE parked safely
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Tools and Equipment stored safely
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Items stored in racking stored safely
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Check one fire extinguisher is in good condition and inspected - record the location of unit inspected in notes
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Free of slip, trip or fall hazards
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First aid kit in good order
Battery Bull Area
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Clear path of travel to doors and emergency exits
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Clear path of travel to eye wash station
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Eye wash station has been inspected and is clean
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Check one fire extinguisher is in good condition and inspected - record the location of unit inspected in notes
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Free of slip, trip or fall hazards
MHE Parking Area
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Oil leaks on the floor
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MHE parked on walkway
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Clear path of travel to AED unit
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MHE parked with forks lowered
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MHE powered off when unattended
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MHE parked in no parking zones
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Clear path of travel to eye wash station
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Eye wash station has been inspected and is clean
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Free of slip, trip or fall hazards
SSI Area
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South gate has clear path of travel
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Staged pallets are safely stacked and wrapped
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Emergency exit gates are clear of obstructions
A Frame Upstairs
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Clear path of travel to stairs
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Aisles are clear of obstructions
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Check 2 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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First aid kit in good order
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Free of slip trip and fall hazards
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TMs conveyor safety (clothing, jewelry, hair)
A Frame Downstairs
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Clear path of travel to exits
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Aisles are clear of obstructions
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Free of slip trip and fall hazards
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TMs conveyor safety (clothing, jewelry, hair)
Pick by Light
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Clear path of travel to exits
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Aisles are clear of obstructions
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Free of slip trip and fall hazards
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TMs conveyor safety (clothing, jewelry, hair)
Receiving
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Check 2 random hoist pre-trip inspections -- record the station pre-trip inspected in notes
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First aid kit in good order
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Knife safety - Proper equipment and PPE
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Free of slip trip and fall hazards
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TMs conveyor safety (clothing, jewelry, hair)
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Clear path of travel to exits
Carousel
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Free of slip trip and fall hazards
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TMs conveyor safety (clothing, jewelry, hair)
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Clear path of travel to exits
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Check 4 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Totes and bins are safely stacked
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Clear path of travel from South to North end of SSI
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Free of slip, trip or fall hazards
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First aid kit in good order
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Emergency exit gates are clear of obstructions
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North Gate has clear path of travel
Dunnage Area
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Clear path of travel through doorway
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Dock doors and plates in good order
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Dock Pits clean and clear of debris
First Dunnage storage room
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Dunnage stacked safely
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Clear path of travel to both pedestrian doors (36in walk path)
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Free of slip trip or fall hazards
Second Dunnage storage room
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Dunnage stacked safely
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Clear path of travel to both pedestrian doors (36in walk path)
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Free of slip trip or fall hazards
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Clear path of travel to emergency exit
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Free of slip, trip or fall hazards
Cross dock Stage lanes - GK
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Staged pallets are safely stacked and wrapped
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Free of slip, trip or fall hazards
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Obstructions on the pedestrian walkway
Cross dock/SSI Dock
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First aid kit in good order
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Obstructions on the pedestrian walkway
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Staged pallets are safely stacked and wrapped
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Dock Safety - TMs operating slow over dock plates, stopping and honking before exiting trailers, trailers doors open completely for full clearance.
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Check 2 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Check 2 dock doors and plates are in good order - record the location of units inspected in notes
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Check 2 dock pits are clean and clear of debris - record the location of units inspected in notes
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Clear path of travel to emergency exits - record in notes all blocked emergency exits
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Free of slip, trip or fall hazards
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Aisles in racking are not obstructed- (GK - GT)
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Pallets stored in racking safely
South Tunnle
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Free of slip, trip or fall hazards
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Check 2 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Obstructions on the MHE drive path or pedestrian walkway
Inbound Dock
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Obstructions on the pedestrian walkway
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Staged pallets are safely stacked and wrapped
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Dock Safety - TMs operating slow over dock plates, stopping and honking before exiting trailers, trailers doors open completely for full clearance.
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TMs following safe operating procedures
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Pallets staged on the MHE drive path
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TM parking equipment in designated areas
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Check 4 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Check 4 dock doors and plates are in good order - record the location of units inspected in notes
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Check 4 dock pits are clean and clear of debris - record the location of units inspected in notes
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Free of slip, trip or fall hazards
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First aid kits in good order
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Restroom free of slip, trip or fall hazards - clean and sanitary
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Clear path of travel to emergency exits - record in notes all blocked emergency exits
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Eye wash station has been inspected and is clean
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Clear path of travel to eye wash station
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MHE equipment parked in designated areas
Dock Office
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Clean, orderly and sanitary conditions
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Free of slip, trip and fall hazards
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Check fire extinguishers are in good condition and inspected
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Filing and desk drawers closed
Lunch room
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Clean, orderly and sanitary conditions
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Free of slip, trip and fall hazards
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Check fire extinguishers are in good condition and inspected
North Tunnel
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Free of slip, trip or fall hazards
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Check 2 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Obstructions on the MHE drive path or pedestrian walkway
Outbound Dock
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Obstructions on the pedestrian walkway
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Staged pallets are safely stacked and wrapped
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Dock Safety - TMs operating slow over dock plates, stopping and honking before exiting trailers, trailers doors open completely for full clearance.
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TMs following safe operating procedures
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Pallets staged on the MHE drive path
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MHE equipment parked in designated areas
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Check 4 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
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Check 4 dock doors and plates are in good order - record the location of units inspected in notes
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Check 4 dock pits are clean and clear of debris - record the location of units inspected in notes
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Free of slip, trip or fall hazards
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First aid kits in good order
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Restroom free of slip, trip or fall hazards - clean and sanitary
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Clear path of travel to emergency exits - record in notes all blocked emergency exits
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Aisles in racking are not obstructed- (GK - GT)
Dock Office
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Clean, orderly and sanitary conditions
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Free of slip, trip and fall hazards
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Check fire extinguishers are in good condition and inspected
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Filing and desk drawers closed
CPS Aisles
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Free of slip, trip or fall hazards
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Proper slip sheet, wrap and damage disposal locations used
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Empty pallets in the aisles
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TMs following safe operating procedures
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First aid kit in good order
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Check 2 fire extinguishers are in good condition and inspected - record the location of units inspected in notes
Area between SSI and Dunnage
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Free of slip, trip or fall hazards
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Obstructions on the pedestrian walkway
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Staged pallets are safely stacked and wrapped
Security and Front Office
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Clean, orderly and sanitary conditions
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Free of slip, trip and fall hazards
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Check fire extinguishers are in good condition and inspected
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Filing and desk drawers closed
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JHSC minutes posted
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OHSA Manual available
Lunch room, Locker rooms and Lounge
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Clean, orderly and sanitary conditions
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Free of slip, trip and fall hazards
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Check fire extinguishers are in good condition and inspected
