Title Page
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Site conducted
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Moly Shipping Truck Loadout Check Sheet
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Conducted on
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Name
Area Safety Inspection
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Housekeeping/Walkways (free of hazards, obstacles, etc.)
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Electrical Issues (exposed wires, missing covers, etc.)
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Emergency Facilities (emergency lighting, etc.)
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Fire Extinguishers (current month and annual punched, not used nor damaged)
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Maintenance Notifications / Comments:
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Operator Signature
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Supervisor Signature
Delivery Truck Loadout
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Are trucks being loaded this shift?
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Has the pre-operation inspection for the forklift been completed and is all neccessary equipment available and ready for use?
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Are road conditions adequate for vehicle?
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Have the truck and lot numbers been verified?
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Has proper cribbing been prepared for trucks for the day?
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Are all 3 loading docks available?
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Are the barricade arms down for the moly storage area?
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Are all pedestrian entrances barricaded appropriately for vehicle/ person segregation?
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Has a single point lockout been completed for the delivery truck?
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Are the loading signal lights on and operational for load out?
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Is the loading ramp down and secured?
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Is the trailer bed in good repair (no physical damage / holes)?
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Maintenance Notifications / Comments: