Title Page

  • Conducted on

  • Prepared by

  • Associate Name

  • Observer Name

  • Task Number

  • Area

  • Shift

  • Route Number

  • Stop Number

  • Units

  • Average Pace

  • Readiness - Gathers equipment and proceeds directly to pick slot

  • Slot location - Verifies number/item in slot; Matches item to Vocollect direction

  • Rehandling - Limits number of times item is handled on pallet

  • Pallet construction - Places light items on top; Heavy on bottom; No overhang

  • Methods - Follows all preferred selection methods

  • Safe work methods - Practices SWP methods at all times

  • Lifting - Lifts with legs; Pivots feet; Does not twist; Holds close

  • Breaks - Proper amount of time allowed was taken. Breaks during specified periods

  • Housekeeping - Followed correct procedures; Supported CAYGO

  • Check Digit Confirmation

  • Selector

  • Observer

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.