SAFETY BEHAVIOR AUDIT

• Conducted on

  Date

• Prepared by

• Instructions: For each Target Behavior observe Associates. if Associate are engaged in safe behavior score them as "Safe". if the Associate observed behavior is incorrect which puts the associate at risk of an injury or illness mark them as "At Risk". If you observe unsafe behavior that requires immediate attention, please speak to the associate and then speak to the associate Supervisor immediately.

• Select date

  Date

• Department

  Select Full Case Geek Squad Home Delivery Loss Prevention Maintenance PRC Receiving Repack Shipping Transportation

  • Full Case
  • Geek Squad
  • Home Delivery
  • Loss Prevention
  • Maintenance
  • PRC
  • Receiving
  • Repack
  • Shipping
  • Transportation

Safe Lifting Procedures

• Are associates Lifting properly from the floor? <br>(Feet shoulder width apart, firm grip on the load, load close to the body, lift with the legs not the back in one smooth movement)

  Safe

  At Risk

  N/A

• Are associates moving properly when depalitizing onto the conveyor? <br>(firm grip on load, load close to the body, lift with the legs, load at reasonable height for clear visibility, pivot with the feet- don't twist your back)

  Safe

  At Risk

  N/A

• Are associates Lifting properly while making dynamic pics on an OP? <br>(elevate op so load is at chest height, firm grip on load, load close to the body, pivot with the feet, lower with the legs, bending at the knees with back straight)

  Safe

  At Risk

  N/A

• Are associates lifting properly in the pick towers?<br>(firm grip on load, lower the load to chest, pivot with the feet, lower with the legs bending at the knees with back straight)

  Safe

  At Risk

  N/A

Knife Safety

• Are associates using any knifes other than ones provided to open boxes, or cut shrink-wrap & strapping ( I.e.: Using a hunting knife to open Boxes) <br>

  Safe

  At Risk

  N/A

• Are associates cutting away from themselves and keeping their hands away of the direction they are cutting? <br>

  Safe

  At Risk

  N/A

• Are associates holding down the blade while cutting - disengaging the spring back safety feature?

  Safe

  At Risk

  N/A

MHE Operating Procedures

• Are associates travelling in designated areas (Not on Pedestrian pathways? <br>

  Safe

  At Risk

  N/A

• Are associates travelling with there load behind them giving them clear visibility.

  Safe

  At Risk

  N/A

• Are associates stopping and honking at the ends of isles and in the corridors? <br>

  Safe

  At Risk

  N/A

• Are associates honking while travelling to alert pedestrians that there is a machine coming? <br>( I.e.: walkies exiting trailers onto the dock) <br>

  Safe

  At Risk

  N/A

• Are associates travelling at appropriate speeds for the loads they are transporting? <br>

  Safe

  At Risk

  N/A

• Are Order picker operators wearing their fall arrest harness properly, and tethered at all times? <br>

  Safe

  At Risk

  N/A

• Are Order picker operators Looking and honking while coming down from an elevated height to ensure no other associates are around or under their machine? <br>

  Safe

  At Risk

  N/A

• Are Reach operators travelling with their loads at the proper elevation? <br>

  Safe

  At Risk

  N/A

• Are circle checks being completed prior to operation of a piece of MHE equipment? ( complete and accurately) <br>

  Safe

  At Risk

  N/A

Loading Docks

• Are the Dock Locks being used properly to secure trailers from Pulling away?

  Safe

  At Risk

  N/A

• Are the dock lock indicator lights functioning properly or have they been overridden?

  Yes

  No

  N/A

• Are dock plates being utilized properly to access the trailer using a pump truck or a piece of MHE equipment?

  Safe

  At Risk

  N/A

• are the loading docks areas clean and free of debris?

  Yes

  No

  N/A

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