Terminal Safety Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Add location
  Address

• Select date

  Date

• Has previous audit been reviewed?

  Yes

  No

  N/A

• Have all outstanding issues been corrected?

  Yes

  No

  N/A

Terminal Grounds

• Is the yard surface smooth and even?

  Yes

  No

  N/A

• Are traffic patterns observed?

  Yes

  No

  N/A

• Is the yard free of trash accumulation?

  Yes

  No

  N/A

• Are speed limit signs posted and observed on the yard?

  Yes

  No

  N/A

• Are switchers operating safely?

  Yes

  No

  N/A

• Are switchers/drivers parking perpendicular to pups when raising/lowering anti-nosedive bars?

  Yes

  No

  N/A

Dock Exterior

• Are dock bumpers in good repair?

  Yes

  No

  N/A

• Are fixed dock ladders in good repair?

  Yes

  No

  N/A

• Are dock aprons in good repair?

  Yes

  No

  N/A

Terminal Utilities Area

• Is the area free of trash and debris?

  Yes

  No

  N/A

• Are power panels free of sparking?

  Yes

  No

  N/A

• Are power panels marked?

  Yes

  No

  N/A

• Are high voltage signs posted?

  Yes

  No

  N/A

• Are adequate guards installed? (Latches and doors secured)

  Yes

  No

  N/A

• Are openings covered with blanks?

  Yes

  No

  N/A

• Is there 3' clearance around all panels?

  Yes

  No

  N/A

Bunk Rooms

• Are rules posted?

  Yes

  No

  N/A

• Are smoke alarms in place and functional?

  Yes

  No

  N/A

• Is the bedding adequate?

  Yes

  No

  N/A

• Is the housekeeping satisfactory?

  Yes

  No

  N/A

• Are exit signs at each exit?

  Yes

  No

  N/A

• Adequately illuminated?

  Yes

  No

  N/A

• Lettering 6" or more in height?

  Yes

  No

  N/A

Office Facilities

• Is lighting functional and adequate?

  Yes

  No

  N/A

• Floors clear and unobstructed?

  Yes

  No

  N/A

• Stairways clear of obstructions?

  Yes

  No

  N/A

• Equipped with handrails?

  Yes

  No

  N/A

• Electrical outlets grounded/unexposed?

  Yes

  No

  N/A

• Exits and Hallways clear?

  Yes

  No

  N/A

• Exit signs posted at each exit?

  Yes

  No

  N/A

• Adequately illuminated?

  Yes

  No

  N/A

• Lettering 6" or more in height?

  Yes

  No

  N/A

• Lunch/Break room, Restroom neat and sanitary?

  Yes

  No

  N/A

• Emergency contingency plan posted at all outside entrances?

  Yes

  No

  N/A

• First aid supplies readily available?

  Yes

  No

  N/A

• Are appliance and machines plugged directly into wall outlets?

  Yes

  No

  N/A

• Is the area free of tripping hazards?

  Yes

  No

  N/A

Dock Interior

• housekeeping in good order?

  Yes

  No

  N/A

• Aisles and pathways clear?

  Yes

  No

  N/A

• Lighting functional and adequate?

  Yes

  No

  N/A

• Are outlets grounded and unexposed?

  Yes

  No

  N/A

• Exit signs at each door?

  Yes

  No

  N/A

• Fixed ladders and stairs in good repair?

  Yes

  No

  N/A

• Are eyewash stations accessible, mounted, clean, and not expired?

  Yes

  No

  N/A

Loading Doors

• Loading lights in good repair?

  Yes

  No

  N/A

• Are forklifts not being used to load/unload straight trucks?

  Yes

  No

  N/A

• Are dock levelers in good repair?

  Yes

  No

  N/A

Storage Area

• Is Haz-Mat in designated area and marked with a sign?

  Yes

  No

  N/A

• Are spill kits accessible and readily available?

  Yes

  No

  N/A

Sanitation

• Are restrooms and meal/break areas neat and sanitary?

  Yes

  No

  N/A

• Are refrigerators cleaned out weekly?

  Yes

  No

  N/A

Forklifts

• Horns functional?

  Yes

  No

  N/A

• Hand brake functional?

  Yes

  No

  N/A

• Parking brakes functional?

  Yes

  No

  N/A

• Seatbelts functional and being worn?

  Yes

  No

  N/A

• Parked with brake set, forks lowered and in neutral?

  Yes

  No

  N/A

• Are operators adequately trained?

  Yes

  No

  N/A

• Certificate on file within 2 years?

  Yes

  No

  N/A

• Last terminal wide certification date?

  Yes

  No

  N/A

• Operated in a safe manner?

  Yes

  No

  N/A

• PM's performed in a timely manner?

  Yes

  No

  N/A

• Free of leaking fluid, oil, and water?

  Yes

  No

  N/A

• Propane stored properly?

  Yes

  No

  N/A

• Are vehicle inspection reports completed by each shift?

  Yes

  No

  N/A

• Reports maintained for 3 months?

  Yes

  No

  N/A

• Are tires free of excessive wear?

  Yes

  No

  N/A

• Is the unit/dock free of any evidence of spinning tires?

  Yes

  No

  N/A

• Are operators coming to a complete stop prior to shifting gears?

  Yes

  No

  N/A

• Are units shut off while unattended?

  Yes

  No

  N/A

Fueling Facilities

• Housekeeping, dispenser, and hoses in good order? (Free of leaks)

  Yes

  No

  N/A

• Fuel area free of spills?

  Yes

  No

  N/A

• Clean up materials covered and available? (Peat moss and spill kit)

  Yes

  No

  N/A

• No smoking signs posted?

  Yes

  No

  N/A

• Fire extinguisher ready and accessible?

  Yes

  No

  N/A

• Mounting secure and visible?

  Yes

  No

  N/A

• Marked for intended use?

  Yes

  No

  N/A

• Tagged with inspection date and charged?

  Yes

  No

  N/A

• Spill bucket/fill port properly secured and free of liquid?

  Yes

  No

  N/A

• Drummed material stored undercover and on containment pallet?

  Yes

  No

  N/A

• Are all cracks in the fueling pad sealed if any?

  Yes

  No

  N/A

• Are locking clips removed from the nozzle levers?

  Yes

  No

  N/A

Hazmat

• Hazmat segregation and placard chart posted?

  Yes

  No

  N/A

• Are placards, orange panels, and labels available?

  Yes

  No

  N/A

• Is a stamp/stencil kit available?

  Yes

  No

  N/A

• Is Haz Mat loaded properly on units?

  Yes

  No

  N/A

• Are units properly placarded?

  Yes

  No

  N/A

• Does each driver have an ERG?

  Yes

  No

  N/A

• Are damaged Hazmat shipments on site being packaged, labeled, stored and handled properly?

  Yes

  No

  N/A

• Are employees adequately trained?

  Yes

  No

  N/A

• Current certificate on file? (Within 3 years for each employee)

  Yes

  No

  N/A

• Is the HTE Enforcer being completed for all hazmat shipments and saved in the system by manifest number?

  Yes

  No

  N/A

• Are spill reports completed as required?

  Yes

  No

  N/A

• Are all HM bills being sent to Central Billing?

  Yes

  No

  N/A

• Is the HM security plan up to date? (HM 232)

  Yes

  No

  N/A

Fire Extinguishers

• Are extinguishers readily accessible?

  Yes

  No

  N/A

• Mounting secure?

  Yes

  No

  N/A

• Visible?

  Yes

  No

  N/A

• Marked for intended use?

  Yes

  No

  N/A

• Tagged with inspection date and charged? (monthly and annually)

  Yes

  No

  N/A

• Employee fire extinguisher training on file/updated annually?

  Yes

  No

  N/A

Peoplenet

• Audited daily?

  Yes

  No

  N/A

• Are PAS scores posted weekly?

  Yes

  No

  N/A

OSHA

• OSHA 300a posted?

  Yes

  No

  N/A

• Previous 5 years of 300 and 300a on file?

  Yes

  No

  N/A

• Regional Safety Manager

  Sign

• Terminal Manager

  Sign