South Haven Monthly Safety Inspection

• Completed By:

• Inspection Date:

  Date

• Inspection Number:

• AREA(S) INSPECTED

  Select MAIN OFFICE WAREHOUSE OUTSIDE FACILITY

  • MAIN OFFICE
  • WAREHOUSE
  • OUTSIDE FACILITY

HOUSEKEEPING AND STORAGE

• Are walkways clear?

  Yes

  No

  N/A

• Are office floors clear?

  Yes

  No

  N/A

• Clear access to doorways and exits?

  Yes

  No

  N/A

• Are items properly stored?

  Yes

  No

  N/A

• Are items stored in a way to prevent them tipping/falling?

  Yes

  No

  N/A

LIGHTING

• Is lighting adequate in all work areas?

  Yes

  No

  N/A

• Is lighting turned off when not in use?

  Yes

  No

  N/A

ERGONOMIC

• Desks/Chairs properly positioned?

  Yes

  No

  N/A

• Lifting devices available for heavy packages?

  Yes

  No

  N/A

FIRE EXTINGUISHERS

• Fire extinguishers inspected and marked?

  Yes

  No

  N/A

• Fire extinguishers full?

  Yes

  No

  N/A

FIRST AID KIT

• First Aid kit inspection completed?

  Yes

  No

  N/A

• First Aid certificate present?

  Yes

  No

  N/A

ADMINISTRATION

• Health and Safety Board current and up to date?

  Yes

  No

  N/A

• SDS/Right to Know information available?

  Yes

  No

  N/A

• Visitor/Contractor Sign In filled out?

  Yes

  No

  N/A

AISLES

• Are aisles clear of obstructions?

  Yes

  No

  N/A

• Do you maintain cleanliness?

  Yes

  No

  N/A

• Is there adequate housekeeping?

  Yes

  No

  N/A

• Is there adequate drainage?

  Yes

  No

  N/A

• Are floors and surfaces clean, free of obstruction and slippery materials?

  Yes

  No

  N/A

RACKING

• Safe working limits

• Rack load signs posted

  Yes

  No

  N/A

• Uprights not damaged, i.e not twisted/no splits or cracks

  Yes

  No

  N/A

• Racks stable, i.e., on a flat, level foundation

  Yes

  No

  N/A

• Racking braces not damaged/bent

  Yes

  No

  N/A

• Floor anchors installed and not damaged

  Yes

  No

  N/A

• Footplate replaced if a floor anchor was replaced due to damage

  Yes

  No

  N/A

• Beams not overloaded

  Yes

  No

  N/A

• Beams show no sign of deflection

  Yes

  No

  N/A

• Beams not damaged

  Yes

  No

  N/A

• Beam connectors and safety clips are complete

  Yes

  No

  N/A

• Beam connectors and safety clips are undamaged

  Yes

  No

  N/A

• No beams pop out of their upright

  Yes

  No

  N/A

• Yes

  No

  N/A

• Welds are undamaged

  Yes

  No

  N/A

• Yes

  No

  N/A

LIFT TRUCKS

• Signage and stickers are legible/capacity plate present

  Yes

  No

  N/A

• Wheels and tires are not worn and good air pressure

  Yes

  No

  N/A

• Forks/backrest/mast/chains/rollers: no damage, good working condition

  Yes

  No

  N/A

• Battery: charge is good, connections not loose

  Yes

  No

  N/A

• Engine; not rough, no noise or leaks

  Yes

  No

  N/A

• Fluid levels good: oil, fuel and radiator

  Yes

  No

  N/A

• Lights: headlights and warning lights working

  Yes

  No

  N/A

• Horn: loud and working

  Yes

  No

  N/A

• Fluid leaks: no damp spots or drips on ground

  Yes

  No

  N/A

• Seatbelt: good working condition, no damage

  Yes

  No

  N/A

• Steering; good working condition

  Yes

  No

  N/A

• Tilt/sideshift: loose, no leaks, doesn’t stick

  Yes

  No

  N/A

• Propane tank: secured, connections tight, hose in good condition

  Yes

  No

  N/A

• Brakes: foot, parking in good working condition

  Yes

  No

  N/A

• Gauges working

  Yes

  No

  N/A

EXITS

• Are there signs posted on exits?

  Yes

  No

  N/A

• Are there power supplies for emergency use?

  Yes

  No

  N/A

• Are exit signs well lit?

  Yes

  No

  N/A

ROLLING STAIRS

• Are safety feet working?

  Yes

  No

  N/A

• Are stairs in good repair? (no major visible damage)

  Yes

  No

  N/A

WASTE DIVERSION

• Waste Reports from hauler present?

  Yes

  No

  N/A

• Is waste stream contaminated? (items in waste bin that do not belong)

  Yes

  No

  N/A

• Is Spill Kit full?

  Yes

  No

  N/A

WORK ENVIRONMENT

• Are hazardous chemicals properly stored?

  Yes

  No

  N/A

• Is eye wash station solution still current?

  Yes

  No

  N/A

• Are hand tools in proper working order?

  Yes

  No

  N/A

• Is lighting adequate in all work areas?

  Yes

  No

  N/A

• Are acceptable noise levels maintained?

  Yes

  No

  N/A

• Hydraulic Press pre-use checklist completed?

  Yes

  No

  N/A

MATERIAL HANDLING

• Are daily inspection maintained for mechanical equipment or vehicles?

  Yes

  No

  N/A

• Are vehicles inspected/turned on-off before and after use/loading?

  Yes

  No

  N/A

• Are materials stored securely?

  Yes

  No

  N/A

• Is dock leveler in good condition?

  Yes

  No

  N/A

• Ensure that movement of trucks and trailers are secured during operations

  Yes

  No

  N/A

FIRE PROTECTION

• Are fire extinguishers accessible?

  Yes

  No

  N/A

• Are fire extinguishers in good condition and inspected regularly?

  Yes

  No

  N/A

• Are emergency numbers posted?

  Yes

  No

  N/A

• Are there adequate containers for flammable materials?

  Yes

  No

  N/A

• Is sprinkler heads clearance adequate?

  Yes

  No

  N/A

PERSONAL PROTECTIVE EQUIPMENT

• Proper PPE available?

  Yes

  No

  N/A

• PPE in good condition?

  Yes

  No

  N/A

• Is foot protection worn?

  Yes

  No

  N/A

PARKING LOT

• Is muster point well identified?

  Yes

  No

  N/A

• Parking lot clear of leaks/spills?

  Yes

  No

  N/A

SIDES OF BUILDING

• Is outside perimeter of the building clear of debris/garbage?

  Yes

  No

  N/A

• Bay doors for receiving clear?

  Yes

  No

  N/A

• Access to delivery doors clear?

  Yes

  No

  N/A

• Propane cylinders properly stored/chained?

  Yes

  No

  N/A

ADDITONAL COMMENTS

• undefined

OPPORTUNITIES FOR IMPROVEMENTS

• undefined

Completion

• Person completing the inspection

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• Operations Manager (if not completing the inspection)

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