MMA NE - Safety Assessment - Warehouse

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1.0 - Previous Assessment

• Is this an initial onsite hazard assessment?

  Yes

  No

  N/A

• Are there any outstanding corrective action items identified from the previous assessment report remaining?

  Yes

  No

  N/A

2.0 - General Work Place

• Are walkway working surfaces even, uncluttered and free from slip & trip hazards?

  Safe

  At Risk

  N/A

• Are all loading docks free of recognized hazards?

  Safe

  At Risk

  N/A

• Are workplace load/unload procedures being observed?

  Safe

  At Risk

  N/A

• Are trailer wheels secured with chocks or dock locks?

  Yes

  No

  N/A

• Are spill kits readily available for clearing spills?

  Safe

  At Risk

  N/A

• Are work stations organized that allows user to operate safely?

  Safe

  At Risk

  N/A

• Bins located at suitable points around site?

  Yes

  No

  N/A

• Are bins overflowing to the extent that slip risks are present?

  Safe

  At Risk

  N/A

3.0 - Fire & Emergency Provisions

• Bins emptied regularly?

  Yes

  No

  N/A

• Evacuation plan displayed and understood by all employees?

  Yes

  No

  N/A

• Evacuation procedures discussed regularly? (3 to 4 times a year)

  Yes

  No

  N/A

• Are fire exits clear of obstructions?

  Safe

  At Risk

  N/A

• Adequate direction notices for fire exits?

  Yes

  No

  N/A

• Are combustible materials properly stored?

  Safe

  At Risk

  N/A

• Are fire extinguishers kept clear of obstruction, in their correct storage location, undamaged, filled and inspections up to date?

  Safe

  At Risk

  N/A

• Are emergency spill kits present and suitably stocked for hazardous material clean up?

  Safe

  At Risk

  N/A

• Are fire alarm activation points easily identifiable and free from obstructions?

  Safe

  At Risk

  N/A

4.0 - PPE

• Are high visibility vests worn by employees when required?

  Safe

  At Risk

  N/A

• Is proper footwear being worn and in good condition?

  Safe

  At Risk

  N/A

• Are safety gloves being worn and in good condition, I.e. fingers not cut off?

  Safe

  At Risk

  N/A

• Are their mandatory hearing protection areas, if yes is hearing protection being worn?

  Safe

  At Risk

  N/A

5.0 - Manual & Mechanical Handling

• Are good manual handling techniques being observed?

  Safe

  At Risk

  N/A

• Are manual handling aids being used in a safe manner?

  Safe

  At Risk

  N/A

• Are wheels free from debris and free moving?

  Safe

  At Risk

  N/A

• Is there any lifting above shoulder height being observed?

  Safe

  At Risk

  N/A

6.0 - Equipment & Machinery

• Have all pre-start checks been completed?

  Safe

  At Risk

  N/A

• Is all equipment maintained and in good working condition?

  Safe

  At Risk

  N/A

• Is the area around machinery, clean, clear and in good order?

  Safe

  At Risk

  N/A

• Are all fixed guards secured with only approved means, such as, nuts & bolts, Allen nuts - there should be no screws?

  Safe

  At Risk

  N/A

• Are all interlocks system functioning and not tampered with as per manufactured specifications?

  Safe

  At Risk

  N/A

• Are all electrical sockets in good order?

  Safe

  At Risk

  N/A

• Cables or equipment power connections in good condition?

  Safe

  At Risk

  N/A

• Are there any unprotected sharp edges on equipment?

  Safe

  At Risk

  N/A

• All emergency stop buttons are working properly, in safe working order and clearly identifiable?

  Safe

  At Risk

  N/A

• Isolation switches are identified and in proper working order?

  Safe

  At Risk

  N/A

• Compressed air levels set for its intended use?

  Safe

  At Risk

  N/A

• Are there any ladders/step ladders inspected before use and ladder tags legible?

  Safe

  At Risk

  N/A

• All machinery isolated & locked out prior to performing any maintenance?

  Safe

  At Risk

  N/A

7.0 - Hazardous substances

• Are substances stored per manufacturer requirements?

  Safe

  At Risk

  N/A

• Are large quantity containers contents transferred to portable secondary containers displaying the same label as original container?

  Safe

  At Risk

  N/A

8.0 - Facilities

• All housekeeping standards being maintained?

  Safe

  At Risk

  N/A

• Is there good general illumination?

  Safe

  At Risk

  N/A

9.0 - Industrial Truck Operations

• Are daily shift checks performed before and after each work shift?

  Safe

  At Risk

  N/A

• Is damaged or defective equipment removed from service and properly labeled out of service?

  Safe

  At Risk

  N/A

• Is charging station area clean and well organized?

  Safe

  At Risk

  N/A

• Eye wash station within 25 feet of charging area?

  Yes

  No

  N/A

• Are eye protection, gloves and aprons provided in charging areas

  Safe

  At Risk

  N/A

• Are all operators trained and certified to operate equipment?

  Safe

  At Risk

  N/A

• Are all operaters using proper restraining devices?

  Safe

  At Risk

  N/A

10.0 - Designated Pathways

• Are designated pathways free of obstructions/debris?

  Safe

  At Risk

  N/A

• Are pedestrians observed walking in to designated industrial truck pathways?

  Safe

  At Risk

  N/A

• Are employees observed working in designated industrial truck pathways?

  Safe

  At Risk

  N/A

11.0 - Warehouse Storage Racks

• Warehouse rack weight capacity rating easily identifiable?

  Yes

  No

  N/A

• Racking system anchored securely to floor?

  Safe

  At Risk

  N/A

• Racking system support legging free of recognized damage?

  Safe

  At Risk

  N/A

• Loading signs in place and being observed?

  Safe

  At Risk

  N/A

• Pallets stable and secure?

  Safe

  At Risk

  N/A

• Empty pallets stacked securely and stable?

  Safe

  At Risk

  N/A

• Damaged racking identified and removed from service?<br>

  Safe

  At Risk

  N/A

12.0 - Additional Hazards/Concerns or Safe Behavior

Hazards/Concerns or Safe Behaviors

• Hazard/Concern or Safe Behavior:

  Safe

  At Risk

  N/A

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• Marsh & McLennan Representative

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