Title Page

  • Location

  • Department Name

Untitled Page

  • Date:

  • Safety Team Members:

Section I: Exterior & Emergency Exits

  • 1. Are all doors closed and locked to prevent unauthorized

  • Location of door ?

  • 2. Are all exit signs lighted & marked ?

  • Location of door ?

  • 3. Are wheel chock’s properly in place for all trailers/trucks while loading and unloading?

  • 4. Is there a clear pathway to all emergency exits?

  • 5. Walking the outside perimeter, are there any potential trip hazards?

Section II: Walking and Working Surfaces

  • 6. Are all aisles clean and free from any obstruction or debris?

  • Can you resolve the issue?

  • What did you do to resolve ?

  • 7. Are the lights working in all areas?

  • 8. Are all work areas clean, dry and free from any hazards?

  • 9. Are food and beverages kept out of the warehouse?

Section III: Warehouse

  • 10. Are pallet jacks maintained in safe working conditions?

  • 11. Are the fire extinguishers accessible?

  • 12. Are there any new signs of property damage, damage to shelving, conveyor etc ? (take pictures and mark to identify new from old)

  • 13. Are all pallets wrapped and stored properly in racks? (standard pallets-no overhang, non-standard pallets-minimal overhang)

  • 14. Are forklifts and mechanized equipment inspected daily ?

  • 15. Are pick locations in safe conditions with properly stacked boxes? (3PL Only)

Section IV: Health Services – First Aid and Injury

  • 16. Are all eyewash stations/showers accessible and checked

Section V: Environmental, fire, electrical, and ventilation hazards

  • 17. Is the facility free of rodents and insects?

  • 18. Are electrical extensions cords used safely?

  • 19. Are flammable liquids/chemicals stored and handled properly?

  • 20. Are there any shortages on soap or sanitizer?

  • Comments, Suggestions, Observations

  • Safety Member’s Signature

  • Safety Officer Signature

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