Title Page

  • Company

  • Prepared by

  • Conducted on

  • Location

Exterior

  • Landscaping clean & neat in appearance

  • Fence lines free of damages and debris

  • Traffic controls (gates, lot markings, signage)

  • Exterior walls & windows in good condition

  • Exterior lighting and signage

  • Walkways and parking lots free of slip, trip, fall hazards

  • Doors, stairs, handrails in good condition.

  • SWPPP - Gutters, downspouts, and drains free of debris

  • SWPPP - Parking lot free of parts, debris, service work

  • SWPPP - Dumpsters closed and well kept

  • SWPPP - If nearby creeks, lakes, water sources-free of dirt/parking lot run off

Exterior Dock Area

  • Chock Blocks on trailers in dock

  • dock bumpers and door seals in good condition

  • dock levelers & trailer locks secured properly

  • Dock aprons clean & free from debris

  • Access doors and steps free from debris

  • Driver check in and entry doors clearly marked

  • Trailer seals checked and in use?

Interior (Office Area)

  • Entry is controlled/limited

  • Entrance/Reception area free of hazards: Slip/Trip/Fall

  • Emergency Response information posted

  • Print, complete & Post attached Emergency Contact Number Template.

  • Signage and Markings as required

  • Employee Breakrooms, clean and well maintained

  • Bathrooms are well lit, stocked, free from leaks, and maintained/clean

  • Lighting in all rooms working properly

  • Cords are not laid between door/window ways

  • Floors in good condition: Free of slip/trip/fall hazards

  • Personal heaters not overloading circuits/creating fire hazards

  • No improper use of extension cords or power banks/circuit overloads

Forklift Charging Area

  • Please find attached posting that should be near the forklift charging/watering area.

  • Ventilation is adequate to disperse fumes

  • PPE Station is available (Rubber gloves, face shield, rubber aprons)

  • Eyewash station available (able to provide 15 minute flow)

  • Water supply/soda ash/spill kit for neutralizing spilled electorlyte.

  • ABC rated fire extinguisher present

  • Is charging apparatus protected from damage?

  • Are battery cables and plugs free of damage?

  • Is SDS and Emergency Procedure Posted?

Interior (Dock Area)

  • Entry is controlled/limited

  • Dock floor and work areas free of hazards: Slip/trip/fall

  • All overhead lighting functioning properly

  • Emergency Response information posted

  • Signage and Markings as required

  • Employee/Driver Breakrooms, clean and well maintained

  • Bathrooms are well lit, stocked, free from leaks, and maintained/clean

  • Lighting in all rooms working properly

  • Cords are not laid between door/window ways

  • Floors in good condition: Free of slip/trip/fall hazards

  • Personal heaters not overloading circuits/creating fire hazards

  • No improper use of extension cords or power banks/circuit overloads

  • Dock scale/Demensionalizer free of debris and accessible

  • Dock work stations organized, well marked, and free of hazard

Safety & Security

  • Camera System Operational (recording and usable)

  • Evacuation plans posted

  • Federal, State, Local, and Insurance postings as required

  • SDS Current, accessible, and marked

Aisles

  • Are aisles properly marked?

  • Do you maintain the standard width of aisles?

  • Are aisles clear of obstructions?

  • Is there adequate housekeeping?

  • Are floors and surfaces clean, free of obstruction and slippery materials?

Racks

  • Is there racking present?

  • Safe working limits

  • Rack load signs posted

  • Racks conform to these signs

  • Uprights and footplates

  • Uprights are not damaged, i.e not twisted/no splits or cracks

  • If an upright was replaced due to damage, the footplate is replaced; and splices in good condition

  • Splices in accordance with the manufacturer’s technical specifications

  • Racks stable, i.e., on a flat, level foundation

  • Braces

  • Racking braces not damaged/bent

  • Floor anchors installed and not damaged

  • Footplate replaced if a floor anchor was replaced due to damage

  • Beams

  • Beams not overloaded

  • Beams show no sign of deflection

  • Beams connect at an upright and beam connectors reasonably parallel

  • Beams not damaged

  • Beam connectors and safety clips are complete

  • Beam connectors and safety clips are undamaged

  • No beams pop out of their upright

  • Welds are undamaged

Forklift Traffic

  • Are daily/shift inspection reports being completed & retained (1 year)

  • Are all forklift operators certified with in the last three years? Is this verified?

  • Clear pathways and routes of travel

  • Seatbelts being worn properly when in operation

  • Operators traveling with loads at proper height/in proper direction

  • Are convex mirrors, intersectional controls in place

  • Are horns being sounded at intersections and off trailers

  • Are directional lights, strobes, and other traffic devices being used?

  • Door lock/in-use indications functioning properly

  • Are dock plates in good condition, maintained, and functioning properly

  • Has there been a red light pull in the last 3 months?

  • On average, how often does this happen per quarter?

  • What has been done to prevent this?

  • Are operators traveling at appropriate speeds?

  • Any evidence of "bulldozing" product? (Grooves in floor, debris, broken pallets, etc.)

  • Appropriate PPE provided for refueling method

Stairs

  • Are stair railings in good condition?

  • Are hand rail provided on stairs with 4 or more risers?

  • Are risers in proper and uniform height?

  • Are standard railings provided on stairway floor opening?

  • Are railings in place and secured?

Exits

  • Are there enough building exits?

  • Are there signs posted on exits?

  • Are there emergency lights?

  • Have they been tested and found in working order?

  • Are exit signs and hallways well lighted and in proper standards?

  • Are exits unlocked?

Ladders

  • Are fixed ladders enclosed with cage or basket guard?

  • Are there splinters or sharp edges on ladders?

  • Are any step ladders longer than 20’?

  • Scaffolding can carry the maximum intended load safely

Fire Protection

  • Please review the attachment to learn about inspecting fire systems.

  • Are fire extinguishers accessible & properly marked?

  • Are fire extinguishers in good condition and inspected/marked every 30 days?

  • Are fire extinguisher inspection tags clearly marked and current within the last year?

  • Are there adequate containers for flammable materials, rags and wastes disposal?

  • Is riser and sprinkler head clearance maintained according to fire security policies?

  • Have the sprinkler systems been inspected annually? Can documentation be shown?

  • Are fire alarms tested annually? Can documentation be shown?

PPE, First Aid, Eye Wash

  • Is PPE provided and worn when necessary? (Safety vests, hard hats, glasses, gloves, etc.)

  • Is PPE in good condition?

  • Are foot protection & dress code policies complied with?

  • Eye Wash station inspected and maintained

Forklift Inspection Verification

  • Please review this short visual aid on conducting forklift inspections

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

  • Forklift Identifier:

  • Tires & Brakes

  • Horn

  • Lights

  • Mirrors

  • Pedals

  • Seat & Seatbelt

  • Scales / Onboard equipment

  • Forks/Mast

  • Placards & ID Plate

  • Maintenance/PM current

Recordkeeping

  • Forklift inspections being retained for one year?

Pest Control

  • Who is suppling pest control?

  • How often do they visit?

  • Are traps and bait boxes marked, free of damage, in good condition, and serviceable?

Completion

  • Additional recommendation

  • Full Name & Signature of Inspector

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.