Title Page

  • Conducted on

  • Prepared by

  • Location
  • Signage clear and readable, No hedge/ tree coverage on road, yard, loading/unloading areas?

  • Corrective action taken

  • Yard markings clear and being followed by personnel?

  • Corrective action taken

  • Roller doors and access routes being observed by staff?

  • Corrective action taken

  • Is high visibility clothing being worn by staff in designated areas?

  • Corrective action taken

  • Material handler drivers wearing seatbelts while operating?

  • Corrective action taken

  • Visibility mirrors in good order and undamaged

  • Corrective action taken

  • Materials Handler giving way to pedestrians or incoming/outgoing vehicles

  • Corrective action taken

  • Access to vehicle beds being carried out with working at height controls (internal staff and external contractors)

  • Corrective action taken

  • HGV parked in designated park and loading bays?

  • Corrective action taken

  • General floor conditions suitable for loading and unloading.

  • Corrective action taken

  • Housekeeping in the area suitable and not encroaching loading and unloading areas?

  • Corrective action taken

  • Lighting levels externally suitable for loading and unloading

  • Corrective action taken

  • Vehicle parking restricted to designated areas? (staff parking area)

  • Corrective action taken

  • Material handlers when parked up and unattended have no keys in, hand break applied?

  • Corrective action taken

  • Spill kits in place and checked for content

  • Corrective action taken

  • Loading gas and fuel carried out with no other vehicle movements

  • Corrective action taken

  • Material handlers traveling at 5 or less mph?

  • Corrective action taken

  • Additional findings
  • Other issues

  • Details

  • Corrective Action

Person responsible: -

  • Signature: -

  • Date: -

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