|
|
YES |
NO |
|
Is safety and
health training provided to dock workers?
|
(
) |
(
) |
|
Are written safety/health
rules provided to dock workers?
|
(
) |
(
) |
|
Is motorized and
non-motorized equipment training provided to dock workers?
|
(
) |
(
) |
|
Is refresher training
provided annually to all dock workers?
|
(
) |
(
) |
|
Are dock workers
trained in safe lifting and manual handling techniques?
|
(
) |
(
) |
|
Are dock workers
trained in the safe handling, storage and use of controlled products?
|
(
) |
(
) |
|
Are dock workers
trained in the proper wheel chocking
procedure?
|
(
) |
(
) |
|
Are dock workers
trained in the proper use of dock levelers or bridge plates?
|
(
) |
(
) |
|
Are safety talks
held with dock workers on a regular basis?
|
(
) |
(
) |
|
Are dock workers
trained to secure loads for transport?
|
(
) |
(
) |
|
|
|
|
|
|
|
|
LOADING
DOCK AREA
|
|
|
|
|
|
|
|
Are dock approaches
free from potholes or deteriorated pavement?
|
(
) |
(
) |
|
Are dock bumpers
in good repair?
|
(
) |
(
) |
|
Are trailer positions
marked with lines, or lights for accurate trailer spotting?
|
(
) |
(
) |
|
After trailers
are spotted, are trailer dollies dropped?
|
(
) |
(
) |
|
Are trailer wheel
chocks used to block trailers and prevent movement during loading and unloading
operations?
|
(
) |
(
) |
|
Are there wheel
chocks for each trailer?
|
(
) |
(
) |
|
Are trailer wheel
chocks chained to the building?
|
(
) |
(
) |
|
Are
warning signs or warning lights in use?
|
(
) |
(
) |
|
If
dock levelers are used, are they in proper working order?
|
(
) |
(
) |
|
|
|
|
|
|
|
|
|
Is the leveler
or dock plate capacity adequate given typical load weights, lift truck speeds,
ramp inclines, and frequency
of use?
|
(
) |
(
) |
|
|
|
|
HOUSEKEEPING
PROCEDURES
|
|
|
|
|
|
|
|
Loading dock and
immediate area free of waste/litter?
|
(
) |
(
) |
|
Wood/bulky
items, crate, skids stacked or stored properly?
|
(
) |
(
) |
|
Excess
materials securely tied?
|
(
) |
(
) |
|
Adequate
litter receptacles available?
|
(
) |
(
) |
|
All
refuse receptacles properly covered?
|
(
) |
(
) |
|
Are
refuse receptacles emptied daily?
|
(
) |
(
) |
|
Are
litter receptacles placed where needed?
|
(
) |
(
) |
|
Are
receptacles located at entrances and exits to buildings
and grounds?
|
(
) |
(
) |
|
Litter is being
prevented from blowing?
|
(
) |
(
) |
|
Small
pieces of waste, etc. placed in plastic bags and tied securely?
|
(
) |
(
) |
|
Is general housekeeping
maintained?
|
(
) |
(
) |
|
Are
floors swept daily?
|
(
) |
(
) |
|
Are
floors washed regularly?
|
(
) |
(
) |
|
Are
washrooms and lunch facilities clean?
|
(
) |
(
) |
|
All
waste in dumpster?
|
(
) |
(
) |
|
Dumpster lids
and doors in working order?
|
(
) |
(
) |
|
Dumpster lids
and doors closed while not in use?
|
(
) |
(
) |
|
Dumpster
capacity adequate for waste generated?
|
(
) |
(
) |
|
Dumpster
service frequency adequate?
|
(
) |
(
) |
|
Dumpster
in good repair and free of graffiti?
|
(
) |
(
) |
|
Are parking lots,
sidewalks and driveways clean?
|
(
) |
(
) |
|
Are
grass borders, strips, fence, wall bases and planted areas where trapped litter accumulates
clean?
|
(
) |
(
) |
|
|
|
|
MATERIAL
HANDLING EQUIPMENT
|
|
|
|
|
|
|
|
Does motorized
equipment have the following?
|
(
) |
(
) |
|
Lights
|
(
) |
(
) |
|
horn
|
(
) |
(
) |
|
emergency brakes
|
(
) |
(
) |
|
operator’s manual
|
(
) |
(
) |
|
daily operator safety checklist
|
(
) |
(
) |
|
Are motorized
equipment aisles clearly identified?
|
(
) |
(
) |
|
Are there mirrors
at blind corners?
|
(
) |
(
) |
|
Are pedestrian
aisleways clearly identifie?
|
(
) |
(
) |
|
Are storage areas
identified?
|
(
) |
(
) |
|
Are pallets inspected
before each use?
|
(
) |
(
) |
|
|
|
|
OTHER
|
|
|
|
|
|
|
|
Are
truck drivers provided with a place away from theLoading
dock to wait while their trailer is being loaded or unloaded?
|
(
) |
(
) |
|
Are
truck engines turned off during the loading and unloading
operation?
|
(
) |
(
) |
|
Do
all dock workers and visitors wear personal protective
equipment when required?
|
(
) |
(
) |
|
Are
carbon monoxide levels monitored to evaluate dock workers exposure?
|
(
) |
(
) |
|
Is
lighting adequate for task being performed?
|
(
) |
(
) |
|
Is
the first aid kit fully stocked and in an accessible
area?
|
(
) |
(
) |
|
Are
fire extinguishers fully charged and accessible?
|
(
) |
(
) |
|
Are
emergency exists kept unblocked?
|
(
) |
(
) |
