Title Page
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Company
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Prepared by
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Conducted on
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Location
Aisles
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Are aisles properly marked?
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Do you maintain the standard width of aisles?
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Are aisles clear of obstructions?
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Do you maintain cleanliness?
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Is there adequate housekeeping?
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Is there adequate drainage?
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Are floors and surfaces clean, free of obstruction and slippery materials?
Racks
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Safe working limits
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Rack load signs posted
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Racks conform to these signs
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Uprights and footplates
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Uprights not damaged, i.e not twisted/no splits or cracks
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If an upright was replaced due to damage, the footplate is replaced; and splices in good condition
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Splices in accordance with the manufacturer’s technical specifications
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Racks stable, i.e., on a flat, level foundation
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Braces
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Racking braces not damaged/bent
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Floor anchors installed and not damaged
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Footplate replaced if a floor anchor was replaced due to damage
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Beams
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Beams not overloaded
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Beams show no sign of deflection
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Beams connect at an upright and beam connectors reasonably parallel
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Beams not damaged
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Beam connectors and safety clips are complete
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Beam connectors and safety clips are undamaged
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No beams pop out of their upright
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Welds are undamaged
Forklift
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Signage and stickers are legible/capacity plate present
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Wheels and tires are not worn and good air pressure
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Forks/backrest/mast/chains/rollers: no damage, good working condition
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Battery: charge is good, connections not loose
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Engine; not rough, no noise or leaks
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Fluid levels good: oil, fuel and radiator
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Lights: headlights and warning lights working
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Horn: loud and working
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Fluid leaks: no damp spots or drips on ground
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Seatbelt: good working condition, no damage
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Steering; good working condition
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Tilt/sideshift: loose, no leaks, doesn’t stick
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Propane tank (if applicable): secured, connections tight, hose in good condition
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Brakes: foot, parking in good working condition
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Gauges working
Stairs
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Are stair railings in good condition?
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Are hand rail provided on stairs with 4 or more risers?
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Are risers in proper and uniform height?
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Are standard railings provided on stairway floor opening?
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Are railings in place and secured?
Exits
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Are there enough building exits?
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Are there signs posted on exits?
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Are there power supplies for emergency use?
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Are exit signs and hallways well lighted and in proper standards?
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Are exits unlocked?
Ladders
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Are fixed ladders enclosed with cage or basket guard?
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Are ladders equipped with safety shoes?
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Are there no splinters or sharp edges on ladders?
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Are step ladders not longer than 20’?
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Scaffolding can carry the maximum intended load safely
Air Emissions
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Are warning signs posted in areas where carbon monoxide might be present?
Work Environment
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Are lightings adequate on all work areas?
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Are acceptable noise levels maintained?
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Are exhaust stacks and air intakes located away from potential sources of contamination?
Material Handling
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Are safe clearances from equipments maintained?
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Are passages marked and clear of obstructions?
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Are daily inspection maintained for mechanical equipments or vehicles?
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Are vehicles inspected/turned on-off before and after use/loading?
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Are materials stored securely and in stable condition?
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Ensure that bridge plates are used for vehicles and docks operations
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Ensure that movements of trucks and trailers are secured during operations
Fire Protection
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Are fire extinguishers accessible?
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Are fire extinguishers in good condition and inspected regularly?
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Are emergency numbers posted on the phone?
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Are there adequate containers for flammable materials, rags and wastes disposal?
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Are sprinkler heads clearance maintained according to fire security policies?
Personal Protective Equipment
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Are hard hats provided and worn when necessary?
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Are hard hats in good condition?
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Is foot protection provided when necessary?
Completion
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Additional recommendation
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Full Name & Signature of Inspector