Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Dock inspection

  • Are walls and safety barriers in good condition?

  • Does the issue need to be added to the NCR list? If yes take a picture.

  • Did you have someone correct the issues?

  • Are the floors of trailers and trucks always inspected before forklifts or pallet jacks are driven onto them and are they using form number 4.04.CQS-SC-FOR-001( take a picture of the form being used)

  • Are operators maintaining a safe distance between forklifts and pallet jacks?

  • Did you correct them?

  • Do the forklift and or pallet jack have a functioning warning horn that can be clearly heard above the normal noise in the areas where operated? (have an operator blow the horn)

  • Was Pengate called?

  • Is the pedestrian walkway clear? (if no take a picture)

  • Did you have someone clear the walk way?

  • Have someone clear the walk way and reinspect

  • Are the emergency areas and equipment clear of obstructions (fire extinguishers, emergency exits, etc.) Check the annex as well.

  • Did you have someone move the obstruction?

  • Employees use proper lifting technique for the materials being handled

  • Are dock doors closed and latched when not in use?

  • Are the floors dry, in good standing condition and free from debris?

  • While in motion forks are 4-6” from the ground

  • While in a stopped position fork are all the way down

  • Did you have someone fix them?

  • Drivers are using the horn as needed

  • Pallets are being placed in the designated area for raw material inspection. NA requires a comment.

  • Is the dock free from trash, are barrels empty?

Facilities

  • Is the bathroom clean

  • Is there soap and paper towels at the hand wash area?

  • Is the break room clean

Freezer

  • Are double stacked pallets in good condition and stable?

  • Is there space to unstack the pallets

  • Have someone unstack the pallets.

  • Are rack and beams in good condition, if not is it blocked off? (if no take a picture)

  • Is there product in the rack?

  • Have the product removed

  • Are pallets in racks secured?(if no take a picture)

  • Can the pallet be correctly safely?

  • Was the pallet moved?

  • Did you inform warehouse management/lead to have it corrected?

  • Are floors and aisles free and clear of rubbish?

  • Are lights in good working condition?

  • Is the emergency exit aisle unobstructed?

  • Was someone instructed to remove the obstruction?

  • Have someone move the obstruction and reinspect.

  • Are forklift and pallet jack operators using the horn appropriately?

Sign off

  • Auditor signature

Verification

  • Add signature

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