Title Page

  • Conducted on

  • Prepared by

  • Location
  • Pallets are placed on tables and carts securely

  • Parts are stacked on pallets securely

  • Pallets are properly stacked on racking

  • No leaning product on any surface

  • Seatbelt is used during forklift operation

  • Forklift speeds are safe

  • Forklift operators are using horns

  • Proper lifting techniques are being used

  • Area is free of tripping hazards

  • Required PPE is used

  • Overhead crane check sheets are filled out

  • Walkways are clear of obstacles

  • Equipment is free of dust preventing combustion

  • Lighting is in working order

  • Electrical cords have proper strain relief with no insulation showing

  • All cords have ground pins in place

  • Transformers are free of parts and materials stacking

  • Power strips are plugged into each other or extension cords

  • Containers/Spray bottles are clearly marked

  • Machine guarding in place

Safety Committee

  • Fire extinguishers are clearly marked and accessible

  • Exits are not blocked

  • Test eye wash station

  • Forklift/Electric Pallet jack check sheets are filled out

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.