Information
Facility / Audit Information
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Facility Name: AMC GOULDSBORO
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General Manager: DAN ALBERT
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Auditor Name:
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Date / Time of Audit started:
Audit Criteria
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Grade audit elements using the following standard:
Green - Excellent condition during inspection
Yellow - Minor discrepancies exist
Red - Significant issues observed
Auditor is encouraged to take pictures in support of RED assessment grades. -
1. Dock is clean and in good condition for receiving process?
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Enter reason for grade.
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2. Product received is in good condition and stacked properly?
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Enter reason for grade.
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3. Received pallets are in good condition and do not need to be switched?
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Enter reason for grade.
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4. All breakdowns are stacked properly and wrapped completely from top to bottom?
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Enter reason for grade.
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5. Pallets needing to be clamped/fixed are being addressed in a timely manner?
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Enter reason for grade.
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6. Product staging areas are neat and pallets are stored in an orderly manner?
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Enter reason for grade.
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7. Received product on dock shows no signs of temperature abuse,and put away times are prioritized?
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Enter reason for grade.
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8. All Checker/Unloaders are visibly taking temperatures and inspecting product?
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Enter reason for grade.
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9. Checkers/Unloaders are in high visibility vest and following dock safety procedures?
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Enter reason for grade.
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10. All put away pallets are securely stretch wrapped before stored in reserves?
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Enter reason for grade.
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11. Dock pits clean and no safety hazards present?
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Enter reason for grade.
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12. All dock plates not in use have safety pins in place?
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Enter reason for grade.
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13. Pedestrians observed using guarded walkway?
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Enter reason for grade.
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Date / Time Safety Assessment completed:
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Take note of the number of points scored, before proceeding to next section.
Acknowledgement
Overall Safety Assessment
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Grading Overall Assessment (Maximum points attainable from Audit Section - 28)
Overall GREEN - 25 to 28 points (90-100%)
Overall YELLOW - 21 to 24 points (75-89%)
Overall RED - 20 points or less (< 75%) -
Overall Assessment based on Safety Element grades:
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Justification for RED assessment.
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Signature of Auditor:
Acknowledgement
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Reviewed and concur with assessment.
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Reviewed and do not concur with assessment.
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Reason for not concurring:
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Signature of General Manager:
