Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 Pre Start-Up Checks

  • 1.1 Are employees wearing the proper PPE? (e.g. safety glasses, wearing seat belts on PMHV)

  • 1.2 Are all materials stored above the second shelf properly banded and secured?

  • 1.3 Are aisles and pedestrian walkways clear of debris and stock?

  • 1.4 Are floors clean, dry and free of trip hazards (e.g. hoses, cords, pallets, etc.)

  • 1.5 Do all vehicles have PIT card (PMHV pre-use checklist) completed?

  • 1.6 Do all vehicle drivers have a license to operate the equipment?

  • 1.7 Are all dock lights functioning properly?

2.0 Before Lunch Checks

  • 2.1 Is all ventilation and fans working properly?

  • 2.2 Is all emergency response equipment (e.g. fire hoses, etc.) unconstructed?

  • 2.3 Flammable liquids labeled, in proper container and bonded & grounded where required?

  • 2.4 Are corrective actions from "Daily Safety Checklist" matrix completed?

  • 2.5 Are all secondary containers properly labelled?

  • 2.6 is lighting adequate and working properly?

  • 2.7 Are electrical cabinets closed rand uninstructed? (36 inch clearance for door)

  • 2.8 Drivers are operating equipment in appropriate and safe manner?

  • 2.9 All PMHV traffic and pedestrian visual controls in place and adhered to? (e.g. mirrors, signs, etc.)

  • 2.10 Any blind corners created by stock higher than 4 feet within 8 feet of intersections?

  • 2.11 Drivers using horns at intersections and when approaching pedestrians?

  • 2.12 Is the 2-Foot Rule being observed and stickers on the vehicles?

  • 2.13 Drivers carrying loads appropriately?

  • 2.14 Only single riders on Pack Mules?

  • 2.15 No storage in unauthorized areas?

  • 2.16 No stock protruding out of racks?

  • 2.17 Line unloads are being conducted properly?

  • 2.18 Dock procedures are posted and being followed? Chocks provided for uncoupled trailers? Are jack stands snug against the trailer?

  • 2.19 Do all static racks have locking safety clips installed?

3.0 Before End of Shift

  • 3.1 Are phones in working order and have emergency numbers posted?

  • 3.2 Are fore extinguishers in correct location?

  • 3.3 Are emergency exits clear?

  • 3.4 Are eye wash stations working properly?

  • Signature of Auditor

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.