Title Page
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Site conducted
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Conducted on
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Location
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Can The Site Safety Observation Be Performed? Crew present/work being performed?
General Safety
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Loacation
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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.
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Emergency exits are free and clear of any obstructions and are easily accessible?
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The warehouse is well ventilated.
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There are appropriately marked and sufficiently safe clearances for aisles and at loading docks or passageways where mechanical handling equipment is used.
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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.
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Storage areas are kept free from accumulation of materials that could lead to tripping, fire, explosion or pest infestations.
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Personnel use proper lifting techniques.
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All chemicals are stored according to the manufacturer’s recommendations and local or national fire codes.
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Yard is clear of major obstructions and has clear passageways for vehicle traffic.
Forklift Safety
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Nameplates and markings are in place and maintained in a legible condition.
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Battery charging is conducted only in designated areas.
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Forklifts are properly positioned, fully lowered, with controls neutralized, power shut off and brakes set when left unattended.
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Forklift operators are competent to operate a vehicle safely as demonstrated by successful completion of training and evaluation.
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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.
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Operators maintain a safe distance from the edge of ramps or platforms while using forklifts on any elevated dock, platform or freight car.
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There is sufficient headroom for the forklift and operator under overhead installations, lights, pipes, sprinkler systems, etc.
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Dock boards (bridge plates) are properly secured when loading or unloading from dock to truck.
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All loads are stable, safely arranged and fit within the rated capacity of the truck.
Signature
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Inspector