Title Page
-
Site conducted
-
Department
-
New Hire Name
-
Manager Name
-
Did your manager complete a Job Safety Observation and review it with you?
-
Have you reviewed and signed off on the Winona DC policy Packet?
-
Have you completed the Safe Lifting Training (ST0081) on FSB? Do you understand how to prevent strains and sprains?
-
What equipment is available to you to help move product through the distribution center or around your workstation?
-
Do you understand the knife safety program and the approved safety knives?
-
Does your department have all necessary PPE to complete your job tasks?
-
Where is PPE located in your department?
-
Are you able to address safety hazards/concerns in your department to help reduce risks?
-
Have you reported a near miss/hazard identification form at your location? If not, are you aware of the near-miss program?
-
Does your facility maintain good housekeeping practices to prevent incidents such as slips, trips, falls, and loose product?
-
Do you perform LOTO or work at heights? Are you properly trained on LOTO and/or Fall Protection? *
-
*Can you demonstrate how to perform LOTO?
-
*Can you demonstrate how to maintain 100% tie-off with fall protection equipment?
-
Do you enter trailers while performing your job tasks?
- Yes
- No
- N/A
-
Do you understand how to properly make sure trailer is lined up?
-
Do you understand how to ensure dock locks are working properly?
-
Do you understand how to look for and check mechanical issues with the dock door?
Please sign:
-
New Hire Signature
-
Manager Signature
