Loading Dock Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Housekeeping

• Is housekeeping maintained?

  Yes

  No

  N/A

• Are the areas under scissor lifts cleaned periodically?

  Yes

  No

  N/A

• Is lockout/tagout used during cleaning?

  Yes

  No

  N/A

Condition of Equipment

• Are dock bumpers in good condition?

  Yes

  No

  N/A

• Are overhead doors functioning properly?

  Yes

  No

  N/A

• Are dock levelers working and in good condition?

  Yes

  No

  N/A

• Are electrical cords in good condition?

  Yes

  No

  N/A

• Are dock boards marked with their capacity?

  Yes

  No

  N/A

• Are material handling tools present (hand trucks, carts, moving dollies) and in good condition?

  Yes

  No

  N/A

Fire Safety

• Are employees familiar with evacuation procedures?

  Yes

  No

  N/A

• Are fire extinguishers in place and of the proper type?

  Yes

  No

  N/A

• Have fire extinguishers been inspected properly?

  Yes

  No

  N/A

• Are fire extinguishers unobstructed?

  Yes

  No

  N/A

• Are exit doors marked and clear of obstructions?

  Yes

  No

  N/A

General Environment

• Is lighting adequate and functioning?

  Yes

  No

  N/A

• Are dock boards and other materials made of non-slip surfacing?

  Yes

  No

  N/A

• Is contrasting tape used to mark changes in elevation?

  Yes

  No

  N/A

• Are tritium exit signs present?

  Yes

  No

  N/A

• Is emergency exit lighting operable?

  Yes

  No

  N/A

• Are railings in good condition?

  Yes

  No

  N/A

• Are docks equipped with chains where necessary?

  Yes

  No

  N/A

Hazardous Materials

• Are compressed gas cylinders secured properly?

  Yes

  No

  N/A

• Is inventory kept to a minimum?

  Yes

  No

  N/A

• Are safety data sheets accessible?

  Yes

  No

  N/A

• Are containers stored and labeled properly?

  Yes

  No

  N/A

• Is there a liquid nitrogen filling station present?

  Yes

  No

  N/A

• Is PPE present?

  Yes

  No

  N/A

• Is signage present indicating filling procedures?

  Yes

  No

  N/A

Training

• Have loading dock employees attended appropriate training?

  Yes

  No

  N/A

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