Title Page
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Location
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Department Name
Untitled Page
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Date:
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Safety Team Members:
Section I: Exterior & Emergency Exits
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1. Are all doors closed and locked to prevent unauthorized
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Location of door ?
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2. Are all exit signs lighted & marked ?
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Location of door ?
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3. Are wheel chock’s properly in place for all trailers/trucks while loading and unloading?
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4. Is there a clear pathway to all emergency exits?
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5. Walking the outside perimeter, are there any potential trip hazards?
Section II: Walking and Working Surfaces
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6. Are all aisles clean and free from any obstruction or debris?
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Can you resolve the issue?
- Yes
- No
- N/A
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What did you do to resolve ?
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7. Are the lights working in all areas?
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8. Are all work areas clean, dry and free from any hazards?
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9. Are food and beverages kept out of the warehouse?
Section III: Warehouse
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10. Are pallet jacks maintained in safe working conditions?
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11. Are the fire extinguishers accessible?
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12. Are there any new signs of property damage, damage to shelving, conveyor etc ? (take pictures and mark to identify new from old)
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13. Are all pallets wrapped and stored properly in racks? (standard pallets-no overhang, non-standard pallets-minimal overhang)
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14. Are forklifts and mechanized equipment inspected daily ?
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15. Are pick locations in safe conditions with properly stacked boxes? (3PL Only)
Section IV: Health Services – First Aid and Injury
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16. Are all eyewash stations/showers accessible and checked
Section V: Environmental, fire, electrical, and ventilation hazards
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17. Is the facility free of rodents and insects?
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18. Are electrical extensions cords used safely?
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19. Are flammable liquids/chemicals stored and handled properly?
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20. Are there any shortages on soap or sanitizer?
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Comments, Suggestions, Observations
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Safety Member’s Signature
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Safety Officer Signature