Schneider Electric Pre-Entry Trailer Safety Checklist - duplicate

• Inspected By:

• Select date

  Date

• Dock Number:

• Trailer Number:

Section I: BEFORE ENTERING THE TRAILER

• Are wheel chocks available and in good condition?

  Yes

  No

• Is at least one wheel chocked?

  Yes

  No

• Does the restrain system secure the trailer?

  Yes

  No

• Is the fault validated by a supervisor and safety representative?

  Yes

  No

• Are two wheels chocked?

  Yes

  No

• Is the dock green light signal on and working properly?

  Yes

  No

• Is the dock trailer light working properly and sufficiently?

  Yes

  No

• Is the control panel working properly?

  Yes

  No

• Is the air brake lock installed and the key secured by SE employee?

  Yes

  No

• Is the truck turned off?

  Yes

  No

• Are truck keys secured by SE employees?

  Yes

  No

• Is the trailer greater than 48 ft. in length?

  Yes

  No

• Are trailer jack stands in place?

  Yes

  No

• Is the trailer is free of cracks, breaks, and other signs of weakness?

  Yes

  No

• Is the trailer safe to enter?

  Yes

  No

Section II: TRAILER READY FOR PICK UP

• Is the dock door closed and secured (no access to the trailer)?

  Yes

  No

• The bridge/trailer restrain system is disengaged.

• Is the signal light red and working properly?

  Yes

  No

• Are all safety controls removed from the trailer (e.g. chocks, jack stands, air brake locks)?

  Yes

  No

• The safety controls are returned to the proper location.

• Is it safe to move the trailer?

  Yes

  No

• Truck driver has been notified that he/she may move their trailer.

If "NO" is answered to any question, STOP WORK and contact Supervisor and Safety for review.

• Action:

• Responsible Party:

• Completion Date:

  Date