Information

  • EMT Observation Checklist

  • Client / Site

  • Site Address
  • Conducted on

  • Prepared by

  • Personnel contacted during observation walk

  • Its not required to observe all activities only the ones that are OBSERVED at the time of site walk around

  • 1.0 BEHAVIOUR

  • 1.1 Pedestrians keeping to designated walkways

  • 1.2 Operators driving within 3 metres of employees

  • 1.3 Using proper lifting techniques

  • 1.4 Wearing the necessary PPE for a task

  • 1.5 Uniform is clean and presentable

  • 1.6 Traffic management plans are in place

  • 1.7 Emergency exit lights are in working order with clear egress

  • 1.8 Spill kits are in good order and free of rubbish

  • 2.0 DRIVING SAFELY

  • 2.1 Keys removed from forklift when not in use

  • 2.2 Forklift parked in designated area

  • 2.3 All body parts within the operational area of forklift/pallet rider

  • 2.4 Operators slow down on corners or blind spots

  • 2.5 Operator uses horn (as required)

  • 2.6 Operators are wearing fitted seat belts

  • 2.7 MHE is maintained in good condition

  • 3.0 HOUSEKEEPING

  • 3.1 Aisle Floors are clear of Debris

  • 3.2 There is no visible trailing plastic hanging from high-bay storage

  • 3.3 Recycling and general waste bins are not overflowing

  • 3.4 Electrical cables are stored off the floor and are compliance tagged

  • 3.5 Lunch rooms are clean and hygienic

  • 3.6 Smoking area is clean and free of waste on the floors

  • 4.0 TRANSPORT

  • 4.1 All parking-bays are clearly marked

  • 4.1 All parking-bays are clearly marked

  • 4.3 Company and contract drivers uniforms are clean and presentable

  • 5.0 WAREHOUSE EXTERIORS

  • 5.1 Egress around the buildings is free from obstruction

  • 5.1 Egress around the buildings is free from obstruction

  • 5.3 Electrically powered MHE is not used outside the confines of the building

  • Enter date observation was conducted

  • Site Manager Signature

  • Observer Signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.