Title Page

  • Site conducted

  • Conducted on

  • Service Center Manager Name

Inspection Items

Area: Office

  • The OSHA binder that contains Daylight’s OSHA Safety Programs is in the Service Center Manager’s office.

  • Is the electric days injury free board on?

  • Please write the number of days the Service Center/Facility has gone injury free.

  • Is there emergency information posted around the office? (Facility Evacuation Point)

  • Are stairwells & walkways kept clear from boxes & clutter? There must be 36 inches width kept in paths of egress.

  • Are the stairs and handrails in good condition?

  • Are doorways & exits kept clear from obstacles and clutter?

  • Are floors free of slip, trip and fall hazards?

  • Are stepladders available for easy access to high storage areas and overhead bins?

  • Are file cabinets kept closed when not in use to prevent contusions and/or trip/fall injuries?

  • Are coffee makers & water dispensers positioned securely to avoid scalds and/or slip/fall injuries?

  • Are all kitchen appliances positioned/stacked safely?

  • Are storage rooms and recycling areas neatly maintained?

  • Are kitchen/break room areas clean & free from slip/fall hazards?

  • Are all ceiling tiles in place and in good condition?

  • No hazardous materials are being stored in office spaces?

  • Are exit routes (means of egress) visibly marked and easily accessible?

  • Is there enough clearance beneath desks to duck, cover and hold in the event of an earthquake?

  • Are fire extinguishers mounted, inspected, and unobstructed ( have 36" clearance)?

  • Are materials stored at least 1½ feet below sprinkler heads or 2 feet below ceilings where no sprinkler system exists?

  • Are disinfecting supplies and hand sanitizer made available and easily accessible?

  • Is there adequate lighting throughout the office areas?

  • Are any light bulbs dim or burnt out?

  • Are plugs, cords, electrical panels & receptacles in good condition (no exposed conductors or broken insulation)?

  • Are extension cords & surge suppressors being used correctly and not posing safety hazards? • They must not run beneath carpet or across door entrances/walkways.<br>• They must not be linked together nor have additional<br>outlets installed.<br>• Extension cords are only used for temporary power. <br>

  • Are electrical panels easily accessible with a clearance of at least 36 inches on each side?

  • Are electrical panels kept closed when not in use?

  • Are lamps & light fixtures clear of drapes, papers and other combustible materials?

  • Are restrooms and lunch facilities clean?

  • Is the first aid kit stocked and in an area of accessibility?

Area: Dock

  • Is general housekeeping maintained?

  • Are general dock floors swept daily?

  • Are floors washed regularly?

  • Are trash bins/ containers emptied daily?

  • Are restrooms and lunch facilities clean?

  • Inspect one powered industrial truck. Does the truck have Lights? Horn? Emergency brakes? and is it in working conditions?

  • Are the pre-shift forklift/pallet jack inspection sheets being completed daily?

  • Are dock floors free from potholes or deteriorated concrete?

  • Are dock bumpers in good condition?

  • Are trailer positions marked with lines or lights for accurate trailer spotting/backing?

  • Are the dock levelers in proper working order?

  • Are there enough dock leveler poles available to engage and disengage the dock leveler?

  • Do all dock workers/vendors wear personal protective equipment (high visibility vests) in the dock and yard areas as required?

  • Are emergency exits clearly marked, lit, and unobstructed?

  • Is the first aid kit stocked and in an area of accessibility?

  • Are fire extinguishers mounted, inspected, and unobstructed ( have 36" clearance)?

  • Is there adequate lighting throughout the dock area?

  • Are the floors of trailers and box trucks always inspected and swept before forklifts/pallet jacks are driven onto them?

  • Are forklift operators observed following all traffic/safety rules and maintaining a safe distance between trucks?

  • If applicable, are pallet storage racks installed and properly braced per manufacturer's guidelines, with each post securely anchored to the floor?

  • Is each section of the pallet rack’s maximum load clearly posted to avoid overloading and prevent damage to the racks?

  • Are spill control supplies available and readily accessible?

Area: Yard

  • Are trailer wheel chocks used to block trailers/box trucks and prevent movement during loading and unloading operations?

  • Are trailer positions marked with lines or lights for accurate trailer spotting/backing?

  • Observe an empty dock door space in the yard. Does the dock bumper on either side of the door have at least one (1) wheel chock?

  • Are truck engines turned off during the loading or unloading operation?

  • Are outside pathways and parking lots adequately lit at night?

  • Are there any trip hazards present in the yard? (e.g., straps cords/cables, uneven flooring, trash, or debris)?

  • Are there enough trash bins accessible in the yard areas for proper trash disposal for the employees and IC’s?

  • Is the 10-mph speed limit high visibility sign posted at the yard area?

  • Are the pre-shift yard truck inspection sheets being completed daily?

  • If present, are smoking areas clean? Is an appropriate cigarette butt receptacle available?

  • Are storm drains properly maintained and unobstructed?

  • Does water drain away from the building properly?

  • Can the building be easily accessed by the fire department? Are fire lanes accessible?

  • Is fencing/walls/gates in good condition?

  • Are plants, trees and shrubs pruned to maintain good visibility?

  • If applicable, are pedestrian walkways clearly marked?

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.