W6 MHE Safety Audit

• Site conducted

  Select

• Auditors are to observe the behaviors of the MHE operators while performing there assigned tasks. This is to ensure they are adhering to the Rules of operation and are doing so in a safe manner.

• Conducted on

  Date

• Auditor

Plant Vehicle

• Type of MHE equipment being used?

  Select Reach Clamp Couterbalance Order Picker Walkie

  • Reach
  • Clamp
  • Couterbalance
  • Order Picker
  • Walkie

Operator Details

• Name of MHE Operator

• Machine Number

• Operators Department

  Full Case

  PRC Logistics

  Shipping

  Recieving

  Repack

• Does the operator have a valid certificate of training on them for the machine being operated?

  Yes

  No

  N/A

• If an MHE operator is unable to produce their certification for the machine being used at time of audit, they must be removed from the machine immediately. There Supervisor is to be notified.

• Has the Operator completed a daily Machine inspection?

  Yes

  No

  N/A

• If an MHE operator has not completed a Daily equipment Inspection for the machine being used at time of audit, they must be removed from the machine immediately. There Supervisor is to be notified.

Steering & Operating Controls

• Starts and stops smoothly?

  Yes

  No

  N/A

• Are they able to steer the machine properly?

  Yes

  No

  N/A

• Travels intentionally in the wrong direction? ( Load forward)

  Safe

  At Risk

  N/A

• Do they Brake or Plug harshly / erratically?

  Safe

  At Risk

  N/A

• Operates the hydraulic controls when the lift truck is in motion? (lifts or lowers loads while traveling )

  Safe

  At Risk

  N/A

• Do they elevate / lower loads smoothly?

  Safe

  At Risk

  N/A

• Operates and understands the controls?

  Safe

  At Risk

  N/A

• Does the operator use the horn when traveling and stopping?

  Yes

  No

  N/A

Load Stability

• Operator checks the condition of Load Pallet prior to moving?

  Safe

  At Risk

  N/A

• Operator checks to ensure that the load is stable before travelling?

  Yes

  No

  N/A

Manoeuvring & Transportation

• Operator ensures that their body remains within the confines of the Fork truck when in operation

  Safe

  At Risk

  N/A

• Order picker operators must wear full fall arrest at all times when operating their machine.

  Safe

  At Risk

  N/A

• Are Forks to high when traveling?

  Safe

  At Risk

  N/A

• Are the Forks to low when traveling?

  Safe

  At Risk

  N/A

• Operates the machine at a speed consistent with the type of load and working conditions?

  Safe

  At Risk

  N/A

• Operator maintains a safe distance between other Machines when travelling thorough the facility? ( 3 Truck lengths minimum)

  Yes

  No

  N/A

• Operator is looking in the direction of travel?

  Safe

  At Risk

  N/A

• Operator performs safe manoeuvring with the lift truck and load!

  Yes

  No

  N/A

• Operator is aware of Pedestrians and effectively communicates and makes eye contact to ensure they are at a safe distance.

  Yes

  No

  N/A

Stacking & de-stacking

• Operator lines up properly in order to pick up the load

  Safe

  At Risk

  N/A

• Fork arms are centered under the load?

  Safe

  At Risk

  N/A

• Fork arms not rubbing (entry / withdrawal)?

  Safe

  At Risk

  N/A

• Reach truck operator is able to extend, retract, & shuffle forks properly?

  Yes

  No

  N/A

• When picking an elevated load they ensure when lining up that the Fork tips do not touch touch the stack / load?

  Safe

  At Risk

  N/A

• Operator ensures the the Forks are level when going into the pallet (Not Tilted)?

  Safe

  At Risk

  N/A

• Operator ensure that there is enough clearance to safely pick or drop a load ?

  Safe

  At Risk

  N/A

• Fork arms not fully inserted and load is not against the backrest (undercut) ?

  Safe

  At Risk

  N/A

Parking

• Operator parks Machine in a designated parking area?

  Yes

  No

  N/A

• The operator correctly lowers the forks and load to ground level?

  Safe

  At Risk

  N/A

• The operator turns of the machine when leaving it unattended?

  Safe

  At Risk

  N/A

Assessment Recommendations & Evaluations

• Auditor evaluation of operator safety?

  <90-100% Excellent

  <80-90% Good

  Below 80% Fail

• Comments

Signatures

• Date and time of assessment

  Date

• Auditor signature

  Sign