Title Page

  • Conducted on

  • Location
  • Can The Site Safety Observation Be Performed? Crew present/work being performed?

General Safety

  • Exposed or open loading dock doors and other areas that employees could fall 4 feet or more or walk off should be chained off, roped off or otherwise blocked.

  • Emergency exits are free and clear of any obstructions and are easily accessible?

  • The warehouse is well ventilated.

  • There are appropriately marked and sufficiently safe clearances for aisles and at loading docks or passageways where mechanical handling equipment is used.

  • Loose/unboxed materials which might fall from a pile are properly stacked by blocking, interlocking or limiting the height of the pile to prevent falling hazards.

  • Storage areas are kept free from accumulation of materials that could lead to tripping, fire, explosion or pest infestations.

  • Personnel use proper lifting techniques.

  • All chemicals are stored according to the manufacturer’s recommendations and local or national fire codes.

  • Yard is clear of major obstructions and has clear passageways for vehicle traffic.

Forklift Safety

  • Nameplates and markings are in place and maintained in a legible condition.

  • Battery charging is conducted only in designated areas.

  • Forklifts are properly positioned, fully lowered, with controls neutralized, power shut off and brakes set when left unattended.

  • Forklift operators are competent to operate a vehicle safely as demonstrated by successful completion of training and evaluation.

  • Refresher training and evaluation is conducted whenever an operator has been observed operating the vehicle in an unsafe manner or has been involved in an accident or a near-miss incident.

  • Operators maintain a safe distance from the edge of ramps or platforms while using forklifts on any elevated dock, platform or freight car.

  • There is sufficient headroom for the forklift and operator under overhead installations, lights, pipes, sprinkler systems, etc.

  • Dock boards (bridge plates) are properly secured when loading or unloading from dock to truck.

  • All loads are stable, safely arranged and fit within the rated capacity of the truck.

Signature

  • Inspector

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