Title Page
-
Site conducted
-
Conducted on
-
Prepared by
-
Location
Floors & Aisles
-
Floor and aisles are free of slip & trip hazards?
-
Designated walkways are plainly marked & free of stored or staged material?
-
Are non exit doors labeled?
-
Is fire equipment accessible and not blocked?
-
Are fire exit signs properly lighted?
-
Are evacuation maps posted?
-
Storage locations are identified and the proper items are being stored there?
-
Portable equipment such as fans, heater, etc., and cords operating these devices installed to not cause a trip hazard ?
Machinery & Equipment
-
Are all safety devices in place and functioning properly (interlocks, fences, light curtains, guards, etc.)?
-
The danger zones on or around machinery properly marked & identified?
-
Have all machines been properly maintenanced according to manufacturers requirements?
-
Does the machinery have its lockout tagout procedure posted?
-
Are Work Instructions posted for all jobs?
-
Have all of the daily inspection checklists been completed for mobile equipment?
-
Is the machinery and equipment maintained in a neat & clean condition?
Material Handling & Storage
-
Are items stacked & stored in such a way to prevent them from falling over?
-
Are hazardous chemicals stored away from high traffic areas & in designated locations?
-
When lifting devices are used (slings, chains, forklift attachments) are they inspected & documented beforehand?
-
Are the handles on handcarts properly labeled with PUSH ONLY?
-
Is the weight limit on shelving posted?
Shipping Docks
-
Trailers are properly chocked?
-
Jackstands in place under front center of live load trailers?
-
Glad Hands Locks/Salvo system/Dock Locks operate properly according to SOP?
-
Docks are painted according to Dock Standard?
-
Dock cones and Lane Cones are in proper place and in good condition?
-
Dock chains or Dock gate are in place?
Maintenance Shop/Parts Room
-
Is flammable liquids cabinet orderly and door closed?
-
Is the floor area in front of electrical panels clear and assessable?
-
Are gas cylinders properly chained to the wall (if not in use)?
-
Is floor of main shop area neat and orderly?
-
Are fire extinguishers present in main shop and maintained?
-
Are guards in place on all hand tools being used?
-
Are TM's assigned specific areas to 5S after their shift?
Management
-
Is management visible on the floor? Who and how much?
-
Are TM's provided with adequate cleaning supplies?
-
Are cleaning supplies located and identified to their proper storage location?
-
Are hand tools and equipment stored in their proper locations? Is location identified?
-
Are TM's assigned specific areas to 5S after their shift?
Employee Observation
-
Are employees wearing all required personal protective equipment properly?
-
Is employee conducting work according to standard work instructions (WIS) or Standard Operating Procedure (SOP)?
-
Do you observe any employee doing an unsafe behavior?
-
Are employees using proper tool for the job?
-
Can employees identify the key safety hazard and protective procedure for the task they are conducting?
-
Are employees utilizing safe ergonomic practices?