R3 Field Office Inspection

• Site office

• Location address
  Address

• Conducted on (Date and Time)

  Date

• Inspected by

General Information

• General Manager

• R3 Associate on site during inspection

• Consumables/Materials/Equipment Stored

General Warehouse Areas

• Are aisles clear and open for material transfers? <br>• No product shall be stored in aisles where it blocks equipment maneuvering.

  Yes

  No

  N/A

• Are rack uprights and beams in good condition? <br>• Bent racks and beams must be repaired or replaced. <br>• All racks should be bolted to the floor

  Yes

  No

  N/A

• Are items stored on tops of shelves have 18" of clearance from fire sprinklers?

  Yes

  No

  N/A

• Are designated open areas clear of blockage?

  Yes

  No

  N/A

• Do all electrical panels have 36" clearance in front?

  Yes

  No

  N/A

• Are fire extinguishers and overhead fire sprinklers up to date for inspections and in good condition?<br>• Verify employees have received appropriate training and education.

  Yes

  No

  N/A

• Are all emergency exits clear of blockage and are the exit signs in good condition? <br>• Inspect both inside and outside for blockage of the exits. <br>• All exit signs should be lit & all emergency lights tested.

  Yes

  No

  N/A

• Are all pallets in good condition? <br>• Empty pallets must be stored properly. <br>• No broken or protruding wood or nails. <br>• No pallets on edge. <br>• Avoid storing empty pallets in quantities or densities in excess of O.H. fire sprinkler combustible load ratings.

  Yes

  No

  N/A

• Are overhead lighting, skylights, and roofs in good condition? <br>• Check for leaks, broken panels/light bulbs, and missing bulb shields.

  Yes

  No

  N/A

• Are loose/unboxed materials stacked properly?<br>• Properly stored by blocking, interlocking or limiting the height of the pile.<br>• Insure product stack heights are inforced to prevent container crushing and falling materials.

  Yes

  No

  N/A

• Are unsecured stacks on floors exceed 72" in height?

  Yes

  No

  N/A

• Are all bags, containers, bundles, etc. stored in tiers that are stacked, blocked, interlocked and limited in height? <br>• Stable and secure to prevent sliding or collapse.

  Yes

  No

  N/A

• Are all employees use proper personal protective equipment when handling chemicals?

  Yes

  No

  N/A

• Are guardrails and/or covers provided to protect personnel from the hazards of open sides of stairs, platforms, floor openings, floor holes, mezzanines, equipment pits, and other possible fall hazards?

  Yes

  No

  N/A

• Are elevators and hoists for lifting items properly used?<br>• Have adequate/safe clearances, no obstructions, appropriate signals and directional warning signs. <br>• Documented annual inspections by licensed inspector are posted on the equipment and on file.

  Yes

  No

  N/A

• All hazardous materials' containers are properly labeled?<br>• Indicated chemical’s identity, the manufacturer’s name and address, and appropriate hazard warnings.

  Yes

  No

  N/A

• Are all chemicals stored according to the manufacturer’s recommendations and local or national fire codes. (i.e. flammable cabinets, cans, etc.)?

  Yes

  No

  N/A

• Are all employees use the proper lifting technique for the materials being handled?

  Yes

  No

  N/A

• Products and containers that are most frequently moved by hand are stored at rack heights that minimize bending / stooping or excess reach to pick up or place?

  Yes

  No

  N/A

• Are all Sortly (consumable items) up to date and accurate?

  Yes

  No

  N/A

• Are all Assets up to date and accurate on Asset list?

  Yes

  No

  N/A

• Are all Assets labeled or marked with R3 sticker, tag or stencil?

  Yes

  No

  N/A

Dock Areas (Exterior)

• Are approach roads and staging areas (yard) clear for maneuvering, well drained, free of potholes and are all signs in place and legible?

  Yes

  No

  N/A

• Is the approach to the dock well drained and free from potholes or other obstructions? <br>• Pay particular attention to snow, ice, storm water and debris build up.

  Yes

  No

  N/A

• Are dock positions clearly marked with painted lines that the drivers can see to help them spot their trailer accurately?

  Yes

  No

  N/A

• Are all exterior lights working properly? <br>• This item will need to be inspected during the evening when lights are functioning.

  Yes

  No

  N/A

• Are wheel chocks and/or trailer restraint systems working properly? <br>• If trailer restraint systems are in use remember to inspect for proper locking and indicator light function both inside and outside. <br>• Ensure tractors are disconnected from trailer.

  Yes

  No

  N/A

• Are "attractive nuisances" controlled or removed from around the facility? <br>• An attractive nuisance is any feature that might attract children, vandals, vagrants or other undesirable activities (i.e. concrete culverts, stacks of pallets, etc.).

  Yes

  No

  N/A

Dock Areas (Interior)

• Are visitors and drivers remaining in designated safe areas and walkways?

  Yes

  No

  N/A

• Are all interior overhead lights and trailer lights in the dock area operating properly? <br>• Test all lights that might be off at time of inspection to be sure they work properly

  Yes

  No

  N/A

• Do dock doors work properly and close completely? <br>• Ensure that all doors in use open and close smoothly. <br>• Inspect automatic stops and auto-reversing functions on powered doors

  Yes

  No

  N/A

• Are dock doors closed when not in use? <br>• Closed doors should seal well with the floor and dock leveling plate.

  Yes

  No

  N/A

• Is there sufficient room to maneuver materials? <br>• Dock area floors should be clean and free of trash, debris, or stored items that block the safe passage of loaded equipment

  Yes

  No

  N/A

• Are there sufficient waste cans for the area and are those cans properly labeled and emptied on a regular basis? <br>• In general, floors, ceilings, and exhaust fans are clean and free of cobwebs and dust buildup.

  Yes

  No

  N/A

• Is there adequate natural or mechanical ventilation to control any potential atmospheric hazards? <br>• Where propane-powered equipment is in use, the ventilation must be tested to rule out excess carbon dioxide/monoxide. An Industrial Hygienist may need to do testing.

  Yes

  No

  N/A

Equipment Checks

• Are all ladders and hand tools are in good condition? <br>• Remove any unsafe equipment from service while awaiting repair.

  Yes

  No

  N/A

• Are guards in place for any hazard points on moving equipment such as belt guards on compressors or conveyors? <br>• Inspect all powered work tools as well (i.e. cords, insulation, shrouds, casing, guards, etc.).

  Yes

  No

  N/A

• Are propane tanks stored correctly and are the tank exchange and/or tank filling areas properly maintained? <br>• Appropriate signs are in place and area is free of trash.

  Yes

  No

  N/A

• Are all fire sprinkler control valves in their open position? <br>• Do a visual check to insure the valves are fully open.

  Yes

  No

  N/A

• Are the original capacity, operation and maintenance instruction plates, tags or decals on powered industrial trucks in place and legible?<br>• All authorized equipment and accessory modifications are also identified on those labels/tags/decals.

  Yes

  No

  N/A

• Forklifts are used in hazardous locations (i.e. around flammable materials) are properly marked / labeled / tagged for the specific hazardous location?

  Yes

  No

  N/A

• Are equipment and tools in good working order; place defective equipment out of service? ( including Rental Equipment)

  Yes

  No

  N/A

Sanitation Inspection

• Are rodent and other pest control devices in place and in proper working condition? <br>• Look for missing or damaged traps and check fly zappers as well.

  Yes

  No

  N/A

• Are aisles, wall perimeters, exterior areas near the building, trash cans and dumpsters free of loose trash and debris?

  Yes

  No

  N/A

• Are stored products in good condition and free of spillage / breakage?

  Yes

  No

  N/A

• Are stocks properly dated and documented for best rotation control? <br>• First In First Out.

  Yes

  No

  N/A

• Are products which are broken, damaged or otherwise removed from distribution properly labeled, segregated (if required), disposed of or recouped?

  Yes

  No

  N/A

• Are the storage areas free of pests? <br>• Look for signs of pests such as dead insects, container damage caused by feeding, droppings, feathers, etc.

  Yes

  No

  N/A

Training and General Safety

• Are all employees properly trained and is training and certification up to date? <br>• Inspect records to verify training is documented and up to date.

  Yes

  No

  N/A

• Are emergency evacuation routes and guidelines posted?

  Yes

  No

  N/A

• Are the appropriate posters posted in a conspicuous place?

  Yes

  No

  N/A

• Are your employees actively and meaningfully involved in workplace safety programs? (i.e. participate in accident investigations, self inspection, committees, etc.)

  Yes

  No

  N/A

• Are accidents, near misses and injuries being investigated and are unsafe conditions being corrected, reported/documented in a timely manner?

  Yes

  No

  N/A

• Are MSDS available to employees and are they up to date and complete? <br> • Manditory that all vehicles, trailers and offices have an MSDS binder.

  Yes

  No

  N/A

• Are location security process and equipment in place and operating well? <br>• Inspect identification badges, uniforms, and intrusion alarms. <br>• Verify monitoring services and equipment tests.

  Yes

  No

  N/A

• Are proper and safe work practices factored in when determining the appropriate time requirements to perform tasks?

  Yes

  No

  N/A

• Are all employees properly trained and outfitted for weather/temperature extremes? (i.e. heat stress, cold weather, refrigerated storage areas, etc.)

  Yes

  No

  N/A

• Are newly-hired employees receive documented general material handling and task-specific ergonomics training? <br>• Verify through observations that employees practice safe lifting techniques on the job.

  Yes

  No

  N/A

• Are all employees trained in the requirements of the hazard communication standard?<br>• Including a review of each MSDS and the specifics of existing and potential hazards of chemicals in the work place, precautions and safe work practices.

  Yes

  No

  N/A

• Is employee training documented?

  Yes

  No

  N/A

• Is a documented pre-work program for review of all outside contractor activities in place to ensure the work they will perform and the materials they will use are compatible with the activities and materials in use in the area of their work?

  Yes

  No

  N/A

• Is refresher training and evaluation conducted and documented whenever a powered industrial truck operator has been observed operating a vehicle in an unsafe manner or has been involved in an accident or a near-miss incident?

  Yes

  No

  N/A

• Is refresher training and evaluation conducted and documented whenever a powered industrial truck operator is assigned to drive a different piece of equipment, attachment, or the nature of the employee's duties change in any way that might impact safety?

  Yes

  No

  N/A

• Are evaluations of each powered industrial truck operator's performance conducted at least once every three years to verify they are working in accordance with established safety practices? <br>• Records are on file to document the evaluations.

  Yes

  No

  N/A

• Are Vehicles up to date with Maintenance Services and regularly maintained?

  Yes

  No

  N/A

• Are all Vehicles up to date in the Verizon Revel Maintenance Program?

  Yes

  No

  N/A

• Are all Vehicles interior clean and well maintained, free of garbage and debris?

  Yes

  No

  N/A

• Do the Vehicles smell of smoke?<br>• Smoking in Vehicles is not permitted. If found, the office in violation will be responsible to have smell removed from vehicle interior.

  Yes

  No

  N/A

Recommendation

• Write recommendations here

Completion

• Full Name and Signature of R3 Associate

  Sign

• Full Name and Signature of Inspector

  Sign