Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Associate Name

  • Date

Observer Name

  • Select date

Pre-Shift

  • Associate is following policy and wearing company supplied uniforms items that are in a serviceable condition?

  • Associate completes DVIR correctly?

  • Associate has previous DVIR logs up-to-date and filed correctly?

  • Associate obtains necessary supplies at the beginning of the shift( shrink wrap, safety cutter, gloves, safety goggles)

  • Comments

Order Selection

  • Associate responds quickly and safely for any empty or waiting towers?<br>

  • Associate communicates effectively over radio to communicate empties, waiting or need for a pallet?

  • Associate continuously fills towers, not just when they are empty.

  • Associate stacks light pallets on the floor and calls for new pallets before they are completely depleted?<br>

  • Comments

Quality Control

  • Associate uses proper techniques when handling product to eliminate causing damage?

  • Associate ensures all products placed in tower are in saleable condition and free from defects?

  • Associate places product correctly and efficiently in the tower to eliminate damage occurred during transit?

  • Associate secures pallet/cart correctly and efficiently with shrink wrap or tarp to eliminate damage during transit?

  • Associate removes any damaged products and places in designated location?

  • Comments

Safety Observation

  • Associate wears proper safety equipment at all times including: eyewear, face shield, steel toe shoes, seat belt and harness?

  • Associate uses proper lifting techniques when handling products ( MoveSmart)

  • Associate eliminates tier-stacking by correctly selecting products from pick locations?

  • Associate stands close to towers to eliminate wasted steps, and stress on the body?

  • While working in the towers, Associate:<br>- uses stairs or ladder to travel from level to level<br>- observes proper travel path and right of way at all times<br>- secures product on MHE correctly and safely moves product to destination<br>- travels at a safe speed

  • Associate keeps their head up and is aware of their surroundings at all times.

  • Associate is observed utilizing safety equipment when needed to clear writings and jams?

  • Comments

Housekeeping

  • Associate removes plastic from pallets and discards correctly?

  • Associate stacked empty pallets in designated locations safely and correctly?

  • Associate keeps warehouse clean of debris and trash at all times?

  • Associate is signing off daily on the cleaning logs?

  • Equipment assigned to associate is clean and well maintained?

  • Comments

Compliance

  • Meal period violation

  • UPTO/Sick Calls

  • Tardy

  • Productivity

  • Errors

  • Comments

Performance Observations and Feedback

  • Performance Strengths

  • 1.

  • 2.

  • 3.

  • Do more of:

  • 1.

  • 2.

  • 3.

  • Do less of:

  • 1.

  • 2.

  • 3.

Associate Oobservations

  • The time given for daily assignments is adequate and allows me to perform at acceptable safety levels?

  • What do you feel could be done differently to creat a more productive work environment?

  • Employee Signature

  • Select date

  • Observer Signature

  • Select date

  • Warehouse Manager

  • Select date

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.