Weekly Supervisor Safety Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

Department Supervisor

• Pallets are placed on tables and carts securely

  Pass

  Fail

  N/A

• Parts are stacked on pallets securely

  Pass

  Fail

  N/A

• Pallets are properly stacked on racking

  Pass

  Fail

  N/A

• No leaning product on any surface

  Pass

  Fail

  N/A

• Seatbelt is used during forklift operation

  Pass

  Fail

  N/A

• Forklift speeds are safe

  Pass

  Fail

  N/A

• Forklift operators are using horns

  Pass

  Fail

  N/A

• Proper lifting techniques are being used

  Pass

  Fail

  N/A

• Area is free of tripping hazards

  Pass

  Fail

  N/A

• Required PPE is used

  Pass

  Fail

  N/A

• Overhead crane check sheets are filled out

  Pass

  Fail

  N/A

• Walkways are clear of obstacles

  Pass

  Fail

  N/A

• Equipment is free of dust preventing combustion

  Pass

  Fail

  N/A

• Lighting is in working order

  Pass

  Fail

  N/A

• Electrical cords have proper strain relief with no insulation showing

  Pass

  Fail

  N/A

• All cords have ground pins in place

  Pass

  Fail

  N/A

• Proper air guns are being used (30 psi max)

  Pass

  Fail

  N/A

• Power strips are plugged into each other or extension cords

  Pass

  Fail

  N/A

• Containers/Spray bottles are clearly marked

  Pass

  Fail

  N/A

• Machine guarding in place

  Pass

  Fail

  N/A