Title Page

  • Site conducted

  • Moly Shipping Truck Loadout Check Sheet

  • Conducted on

  • Name

Area Safety Inspection

  • Housekeeping/Walkways (free of hazards, obstacles, etc.)

  • Electrical Issues (exposed wires, missing covers, etc.)

  • Emergency Facilities (emergency lighting, etc.)

  • Fire Extinguishers (current month and annual punched, not used nor damaged)

  • Maintenance Notifications / Comments:

  • Operator Signature

  • Supervisor Signature

Delivery Truck Loadout

  • Are trucks being loaded this shift?

  • Has the pre-operation inspection for the forklift been completed and is all neccessary equipment available and ready for use?

  • Are road conditions adequate for vehicle?

  • Have the truck and lot numbers been verified?

  • Has proper cribbing been prepared for trucks for the day?

  • Are all 3 loading docks available?

  • Are the barricade arms down for the moly storage area?

  • Are all pedestrian entrances barricaded appropriately for vehicle/ person segregation?

  • Has a single point lockout been completed for the delivery truck?

  • Are the loading signal lights on and operational for load out?

  • Is the loading ramp down and secured?

  • Is the trailer bed in good repair (no physical damage / holes)?

  • Maintenance Notifications / Comments:

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