Title Page

  • Department conducted

  • Work Area conducted

  • Conducted on

  • Prepared by

  • Racking Aisle Location

  • Draw on this image any damage observed. Then add a photo in the action raised to rectify the issue

Base Plates

  • What is the status of the front floor fixings - Uprights to base plate fixed twisted/loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Floor Fixings - Upright to base plate fixing - Twisted, loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the front Levelling Plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Levelling plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • Are the base plates bolted into the floor (Front and Rear)

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place?

  • It is required that an action is raised to rectify the issue

Beams

  • What is the status of the Front Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • What is the status of the Rear Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place? (Front and Rear)

  • It is required that an action is raised to rectify the issue

Frame Braces

  • Is there any horizontal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Is there any diagonal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Are the column Guards Damaged or fixings loose/missing?

  • It is required that an action is raised to rectify the issue

  • Has the direction the diagonal braces been installed correctly as to provide additional strength to the upright?

    Brace.jpg
  • Have the braces been fitted in the correct direction?

  • It is required that an action is raised to rectify the issue

Uprights

  • Is there any vertical damage to the upright, e.g twisted or dented?

  • Are the uprights bent into the racks?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

  • Are the uprights bent parallel to the beam?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

Shelves

  • Are shelves fitted?

  • Are baseboards/metal shelves in good condition and suitable?

  • It is required that an action is raised to rectify the issue

Stored Pallets

  • Are loads and pallets placed correctly and safely?

  • It is required that an action is raised to rectify the issue

Additional Remarks

  • ADDITIONAL REMARKS

  • Draw on this image any damage observed. Then add a photo in the action raised to rectify the issue

Base Plates

  • What is the status of the front floor fixings - Uprights to base plate fixed twisted/loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Floor Fixings - Upright to base plate fixing - Twisted, loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the front Levelling Plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Levelling plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • Are the base plates bolted into the floor (Front and Rear)

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place?

  • It is required that an action is raised to rectify the issue

Beams

  • What is the status of the Front Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • What is the status of the Rear Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place? (Front and Rear)

  • It is required that an action is raised to rectify the issue

Frame Braces

  • Is there any horizontal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Is there any diagonal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Are the column Guards Damaged or fixings loose/missing?

  • It is required that an action is raised to rectify the issue

  • Has the direction the diagonal braces been installed correctly as to provide additional strength to the upright?

    Brace.jpg
  • Have the braces been fitted in the correct direction?

  • It is required that an action is raised to rectify the issue

Uprights

  • Is there any vertical damage to the upright, e.g twisted or dented?

  • Are the uprights bent into the racks?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

  • Are the uprights bent parallel to the beam?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

Shelves

  • Are shelves fitted?

  • Are baseboards/metal shelves in good condition and suitable?

  • It is required that an action is raised to rectify the issue

Stored Pallets

  • Are loads and pallets placed correctly and safely?

  • It is required that an action is raised to rectify the issue

  • Draw on this image any damage observed. Then add a photo in the action raised to rectify the issue

Base Plates

  • What is the status of the front floor fixings - Uprights to base plate fixed twisted/loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Floor Fixings - Upright to base plate fixing - Twisted, loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the front Levelling Plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Levelling plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • Are the base plates bolted into the floor (Front and Rear)

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place?

  • It is required that an action is raised to rectify the issue

Beams

  • What is the status of the Front Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • What is the status of the Rear Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place? (Front and Rear)

  • It is required that an action is raised to rectify the issue

Frame Braces

  • Is there any horizontal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Is there any diagonal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Are the column Guards Damaged or fixings loose/missing?

  • It is required that an action is raised to rectify the issue

  • Has the direction the diagonal braces been installed correctly as to provide additional strength to the upright?

    Brace.jpg
  • Have the braces been fitted in the correct direction?

  • It is required that an action is raised to rectify the issue

Uprights

  • Is there any vertical damage to the upright, e.g twisted or dented?

  • Are the uprights bent into the racks?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

  • Are the uprights bent parallel to the beam?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

Shelves

  • Are shelves fitted?

  • Are baseboards/metal shelves in good condition and suitable?

  • It is required that an action is raised to rectify the issue

Stored Pallets

  • Are loads and pallets placed correctly and safely?

  • It is required that an action is raised to rectify the issue

  • Draw on this image any damage observed. Then add a photo in the action raised to rectify the issue

Base Plates

  • What is the status of the front floor fixings - Uprights to base plate fixed twisted/loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Floor Fixings - Upright to base plate fixing - Twisted, loose?

  • It is required that an action is raised to rectify the issue

  • What is the status of the front Levelling Plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • What is the status of the rear Levelling plate - Shims damaged or twisted?

  • It is required that an action is raised to rectify the issue

  • Are the base plates bolted into the floor (Front and Rear)

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place?

  • It is required that an action is raised to rectify the issue

Beams

  • What is the status of the Front Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • What is the status of the Rear Beams - Dislodged, damaged or missing

  • It is required that an action is raised to rectify the issue

  • Are all Safety Locks in place? (Front and Rear)

  • It is required that an action is raised to rectify the issue

Frame Braces

  • Is there any horizontal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Is there any diagonal Damage to the front braces?

  • Extent of issue

  • It is required that an action is raised to rectify the issue

  • Are the column Guards Damaged or fixings loose/missing?

  • It is required that an action is raised to rectify the issue

  • Has the direction the diagonal braces been installed correctly as to provide additional strength to the upright?

    Brace.jpg
  • Have the braces been fitted in the correct direction?

  • It is required that an action is raised to rectify the issue

Uprights

  • Is there any vertical damage to the upright, e.g twisted or dented?

  • Are the uprights bent into the racks?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

  • Are the uprights bent parallel to the beam?

  • What is the extent of deflection?

  • It is required that an action is raised to rectify the issue

Shelves

  • Are shelves fitted?

  • Are baseboards/metal shelves in good condition and suitable?

  • It is required that an action is raised to rectify the issue

Stored Pallets

  • Are loads and pallets placed correctly and safely?

  • It is required that an action is raised to rectify the issue

Sign Off

  • Summary and Signoff

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.