PIT Safety Assessment

Title Page

Client / Site
Conducted on
Prepared by

EQUIPMENT: Are PITs equipped with...

1. Presence warning lights (typically orange flashing or strobe light)?
2. Fire extinguishers (on LPG PITs)?
3. Overhead guard/roll-over protection which is free of obstructions?
4. Clearly legible nameplates and safe working load tags?
5. Lift attachments (fork extensions, etc.) that certified and marked with lift capacity, and are unmodified from their original, engineered condition?
6. Speed governors set at 5 mph?
7. Interlocked seatbelts?
8. Blue rear warning spotlights?
9. An impact sensing system (either with automatic shutoff or email notification to a manager upon impact)?
10. PIN code or swipe card access start-up (recommended in conjunction with impact sensing email notification system)?
11. A proximity badge alarm warning system?
12. Load stability sensors or weight scales (for high risk or highly varied loads)?

ENVIRONMENT: Has the physical environment been controlled such that...

13. All slopes & grades are within the limits of the PIT gradeability ratings? (Must measure all slopes/grades to verify this)
14. All access and crossing points are safely engineered (warning lights, 360/convex mirrors, and/or stop signs are required at any blind corners)?
15. Exclusion zones (where pedestrians and/or PIT not allowed) are clearly marked?
16. Safe unloading zones, including parking lot unloading zones, are clearly marked?
17. Designated charging/refueling areas clearly defined and protected? Battery charging stations have an eyewash and a safety shower within a 10 second walk?
18. Pedestrian walkways are clearly identified & marked? Marking must be bright, bold, and in accordance with 5S color coding.
19. Pedestrian walkways located at the site perimeter or thoughtfully placed to minimize potential for PIT interaction and overhead hazards?
20. Designated material storage and staging areas identified & marked (to keep aisleways clear)?
21. Pedestrian walkways protected against impact by suitably engineered barriers and guards wherever possible?
22. Docks are equipped with mechanical trailer restraint systems (e.g. Dok Loks)?
23. Docks are equipped with barriers strong enough to prevent a PIT from driving over the edge of the dock?

POLICIES/PROCEDURES: Are policies/procedures established and followed to ensure that...

24. Required PPE is worn at all times in production areas?
25. Pre-shift PIT inspections are complete & their findings are managed? Must complete a review of daily inspection documentation to verify.
26. PIT maintenance is performed by authorized personnel and in accordance with manufacturer's specifications?
27. PITs are red-tagged AND locked out when unsafe and during maintenance/servicing?
28. PITs are lifting no more than their load capacity? Must have a way of verifying that load capacities are not exceeded. Relying on the forklift sounds/struggle is not sufficient.
29. There is a responsible person identified for supervising dock operations & PIT operations on all shifts?
30. Trailer departure is controlled (i.e. wheel chocking, glad hand locks, and driver/key control)?
31. Loading/unloading only takes place at designated, approved locations?
32. Pedestrians only approach a PIT when it is in safe condition (power source idle, forks lowered, parking brake engaged, communication with driver)?
33. Pedestrians never use roller doors through when PIT travel, only designated pedestrian access points? Roller doors should be used for mixed vehicle/pedestrian traffic.
34. Non-critical pedestrians obtain authorization before entering PIT areas?
35. Critical pedestrians follow an access protocol when they need to enter PIT areas? (In other words, they follow a process rather than entering freely with no precautions)
36. The Division's PIT program is assessed against this standard every year? (leave blank if this is the first assessment)
37. Risk assessments/safe operating procedures/job hazard analyses for PIT operations are documented?
38. Manlift attachments are not used on PITs?
39. Safe PIT operation/operators are rewarded & recognized?

TRAINING: Does training ensure that forklift operators...

40. Are all certified by an authorized instructor? Must conduct a review of all forklift operator certifications and ensure 100% compliance to get full credit.
41. Always travel with the loads lowered and look in the direction of travel with a clear, unobstructed view?
42. Never carry suspended loads or lift their loads over other coworkers?
43. Always travel with the loads lowered?
44. Do not overload their PIT?
45. Carry their load centered on the forks?
46. Slow to a near-stop and honk their horn as they approach intersections?
47. Never leave PITs running unattended and do not leave keys in the ignition (when possible to remove keys)?