Title Page

  • Conducted on

  • Manager completing risk focus verification

  • Manager has completed Leading Safely at Target training course

  • Verification must be led by member of management team up to date with Leading Safely at Target

  • Team members supporting manager
  • Add name of team member

Electrical exposure

Electrical work permit

  • Is a Electrical / Gas High Risk Permit being issued for all electrical work

  • Have all relevant sections of the Electrical / Gas High Risk Permit been completed. Note: Check last 3 available completed permits and determine if all required fields have been completed

  • Are you a Supply Chain site

  • Is RCD circuit (safety switch) protection installed for all applicable electrical circuits

  • Are RCD’s tested, inspected and repaired in accordance with the preventative maintenance schedule

Mobile Plant

  • Are you a Target Store

  • Have team members consistently complied with access restrictions in receiving bays and external waste disposal areas. Note: Are TMs complying with receiving area traffic rules

  • Are you a Target store with a walkie stacker

  • Where required, are temporary traffic barriers (e.g. cones, mobile barricade, signage) in place to physically separate walkie stacker and pedestrian movements. Note: Note applicable for stores who do not have walkie stackers in store

  • Are pre-start checks carried out and documented correctly

  • Are you a Supply Chain Site

MHE asset register and maintenance

  • Is MHE (Material Handling Equipment) listed on asset register with a corresponding preventative maintenance schedule

  • Are MHE serviced in a timely manner in accordance with the preventative maintenance schedule. Note: Check 5 items of MHE and MHE is up to date with maintenance

Pedestrians

  • Are pedestrians aware of 3 metre clearance from mobile plant whilst stacking, loading or removing pallets

  • Are pedestrians complying with 3 metre clearance from mobile plant whilst stacking, loading or removing pallets

MHE backrest / overhead protection

  • Does all MHE have a backrest fitted and/or overhead protection to provide fall protection to MHE users

  • Is the backrest and/or overhead protection installed of a height to provide fall protection to MHE users

Questions to check operator / visitor / contractor Traffic Management knowledge

  • Are MHE operators familiar with traffic hazards and how to safely drive to conditions. Note: Ask 3 MHE operators if they can state 2 traffic hazards on site

  • Are MHE operators familiar with pedestrian interaction hazards in their workplace and how to manage them? Ask 3 MHE operators and are they able to outline key pedestrian hazards and rules

  • Are team members aware of site traffic rules applied onsite. Note: Ask 3 TMs if they can recall 3 traffic management rules

  • Are team members aware of site traffic rules applied onsite. Note: Ask 1 visitor and 1 contractor if they can recall 3 traffic management rules

  • Are team members aware of speed rules. Note: Ask 3 TMs if they are aware of speed limits on site

Training

  • Are all authorised Material Handling Equipment (MHE) operators trained and assessed as competent by an authorised competent MHE trainer

Pre-start checks

  • Are pre-start checks carried out and documented correctly

  • Are all equipment operators trained to carry out pre-start checks in accordance with procedures and pre-start checklists

  • Where a piece of equipment is identified as having one or more defects, is that equipment correctly tagged out and repaired prior to returning to service

Seatbelt use

  • Are seatbelts installed and functioning on MHE equipment

  • Are seatbelts being used at all times prior to MHE use. Note: Observe 2 TM's using MHE fitted with seatbelts

Traffic Management Plan

  • Have site traffic management measures been established to safely manage mobile plant and pedestrian traffic movements. Note: Has site have access to up to date Traffic Management Plan that addresses mobile plant and pedestrian traffic movements.

  • Does the site traffic management plan define communication protocols when temporary exclusion zones are setup

  • Does the site traffic management plan describe how temporary exclusion zones are to be setup

Traffic Management Plan compliance

  • Are the site traffic rules effective and complied with.

  • Do MHE operators demonstrate safe driving behaviours? Note: Observe 5 MHE operators

  • The speed limits are applied onsite as per procedure. Note: Observe 3 vehicles on site and are complying with speed limit requirements

  • Mobile phone use is in line with mobile use policy

Traffic Barriers

  • Are permanent traffic barriers (e.g. barricading, bollards, fencing) installed on site to physically separate mobile plant and pedestrian movements where practicable

  • Where required, are temporary traffic barriers (e.g. cones, mobile barricade, signage) in place to physically separate MHE and pedestrian movements

  • Has site procured dedicated signage, delineators (e.g. witches hats) and physical barriers for establishing exclusion zones

Objects falling from height

  • Are designated areas established for storage of empty pallets

  • Are pallet stack restrictions adhered to by team members (stores max 8) (Supply Chain max 15 internal / 20 external)

  • Do team members consistently place empty pallets in designated areas

  • Are any pallets in use onsite damaged or deteriorated beyond organisation pallet standard. Note: Check 10 pallets and ensure they are not damaged and are safe for use

  • Are you a Supply Chain site OR Target Store that stores pallets in pallet racking

  • Are all pallets used on site suitable for racking and shelving units used i.e. 'Lock in' type

  • Are pedestrians aware of maintaining 3m clearance from mobile plant when stacking, loading or removing pallets

  • Is stock consistently evenly distributed across the pallets when stored at height

  • Is stock consistently shrink wrapped onto pallet prior to storing over 2m from ground

  • Are pallets regularly inspected by team members for damage or deterioration

  • Are you a Supply Chain site

  • Is pallet racking listed on asset register with a corresponding preventative maintenance schedule

  • Is pallet racking serviced in a timely manner in accordance with the preventative maintenance schedule. Note: Check 3 bays of racking have been serviced

  • Is there any evidence of damaged or missing elements of racking structure. Note: Inspect racking structure to see if any damaged or missing elements of racking structure<br>

Person falling from height

  • Is a Roof and Ceiling Space Work Permit being completed for roof and ceiling work

  • Have team members consistently completely filled all relevant sections of the Roof and Ceiling Space Work Permit. Note: Check last 3 available completed permits and determine if all required fields have been completed

  • Are you a Target store

  • Are ladders in use are observed to be in good serviceable condition. Note: Check ladders onsite and ensure in good operating condition

  • Are 3 points of contact maintained when climbing ladder. Note: Observe 3 team members using ladder and determine if using 3 points of contact.

Violence / aggression  

  • Are you a Target store

  • Have all store team members completed personal safety training. Note: Ensure 90% or more have completed initial personal safety training

  • Can team members outline warning signs of aggression. Note: Ask 3 TMs and if they can provide 2 examples of signs of aggression

  • Can the team member outline a de-escalation technique for managing angry or aggressive customer. Ask 3 TMs and if they can provide an example of technique to de-escalate a aggressive customer

Large freight

  • Are you a Supply Chain site

  • Have all High Risk Supply Chain approved contractors on site up to date with Cm3 pre-qualification (e.g. Primary freight operators, building contractors, labour hire contractors)

  • Is the CoR Declaration Form being completed for all freight activity

  • Is the CoR Declaration Form being completed for all freight activity. Note: Check 5 forms and all forms have fields completed

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.