Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Parking Lot/Dock Area
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Are dock doors down if no trailer present?
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If trailer present, is glad hand and chock in place?
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Are propane tanks present outside and if so are they in proper storage container?
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Is parking lot clean and free from debris on the ground?
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Are there designated smoking areas away from the main entrances?
Entrance to facility
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Are visible walkways present at entrance to facility?
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Is there anything that speaks "Safety" as you walk into the facility?
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Is there a visitor log present at the entrance to the facility?
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Are you greeted by anyone to help you navigate the area?
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Are PPE requirements posted in the area to allow you to know what is required in the facility either just outside the door or just inside the door?
Dock operations
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Are dock logs filled out properly on the doors that are in use?
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Are operators on the forklifts in area wearing PPE and Safety Belts?
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Can operators provide pre-use inspection proof that forklift was inspected prior to use?
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Are glad hand lock procedures being followed by those loading/unloading trucks?
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Is dock office area organized and free from clutter?
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Are dock doors marked in such a way to ensure door is raised properly before entry to trailer?
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Are pedestrians present in loading/unloading area with forklift operations?
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Do semi truck drivers have a defined waiting area to help keep them from roaming the warehouse?
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Are all in area wearing proper PPE?
General warehouse operations
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Are forklift operators following safe lifting/lowering practices of not being in motion while lifting/lowering?
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Are there defined drive isles in the warehouse?
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Are people cutting through rows to get to their destination and not properly using the drive isles?
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Are fire extinguishers up to date and signed off for the month?
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Are riser inspections up to date for the year?
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If inspectors are in warehouse are they all wearing the proper PPE?
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Are all stacks of material nested properly?
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Are rows of material straight in their designated area?
Break/Common areas
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Are OSHA posters posted in conspicuous area?
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If between Feb 1 - April 30 are OSHA 300 logs for facility posted in conspicuous area?
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Are number of toilets sufficient for number of team members working? 1-15=1, 16-35=2, 36-55=3, 56-80=4, 81-110=5, 111-150=6, 1 additional for every 40 employees over 150.
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Are first aid station(s) filled with proper contents and adequate for facility operation?
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Is eye wash station available if required in facility?
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Are facility team members up to date on Pure Safety training requirements?
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General Observations of Facility
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Site Representative Signature
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Auditor Signature