RECEIVING DOCK SAFETY CHECK

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--- GENERAL AREA & LIGHTING ---
[ ] Overall Area Condition (Excellent, Good, Fair, Poor)
[ ] Ambient Light Level (Lux/Foot-Candles)
[ ] Visibility of Hazards (Excellent, Good, Fair, Poor)
[ ] Comments on General Area Condition
[ ] Presence of Standing Water (Yes, No)
[ ] Evidence of Pests (Yes, No)

--- DOCK LEVELERS ---
[ ] Leveller Type? (Hydraulic, Mechanical, Other - Specify)
[ ] Leveller Platform Height (inches)
[ ] Platform Condition? (Good, Fair, Poor, Needs Repair)
[ ] Safety Lip Function? (Operating Properly, Sticking/Malfunctioning, Missing, N/A)
[ ] Platform Capacity (lbs)
[ ] Control Functionality? (Operating Properly, Slow/Erratic, Malfunctioning, N/A)
[ ] Any observed issues or maintenance notes:
[ ] Last Inspection Date:

--- DOCK DOORS & SEALS ---
[ ] Door Operation (Manual/Electric) (Manual, Electric)
[ ] Door Condition (Excellent, Good, Fair, Poor)
[ ] Door Alignment (Properly Aligned, Slightly Misaligned, Significantly Misaligned)
[ ] Seal Condition (if applicable) (Intact, Damaged, Missing)
[ ] Seal Condition Score (0-10, 10 being excellent)
[ ] Notes on Door/Seal Issues

--- TRUCK RESTRAINTS & APPROACH ---
[ ] Truck Restraint Operational Status (Operational, Malfunctioning, Disconnected)
[ ] Approach Lighting Condition (Functional, Dim/Flickering, Non-Functional)
[ ] Approach Grade (%)
[ ] Approach Surface Condition (Good â€“ No Cracks/Potholes, Minor Cracks/Wear, Significant Damage/Repair Needed)
[ ] Notes on Truck Approach
[ ] Visibility of Approach Markings (Excellent, Good, Fair, Poor)

--- GROUND MARKINGS & SIGNAGE ---
[ ] Are ground markings (loading zones, pedestrian walkways) clearly visible and maintained? (Yes, No, N/A)
[ ] Are truck approach markings visible and in good condition? (Yes, No, N/A)
[ ] Are warning signs (e.g., 'Blind Spot,' 'Watch for Trucks') in place and legible? (Yes, No, N/A)
[ ] Describe any missing or damaged signage observed:
[ ] Are pedestrian walkways clearly marked and protected from truck traffic? (Yes, No, N/A)
[ ] Upload photos of ground markings and signage (if issues are present)

--- EQUIPMENT & PERSONNEL SAFETY ---
[ ] Forklift Inspection Records Available & Current? (Yes, No, N/A)
[ ] Personal Protective Equipment (PPE) Requirements Enforced? (Yes, No, N/A)
[ ] Which PPE is required and visibly available? (Safety Glasses, Safety Shoes, High-Visibility Vests, Gloves, Hard Hats, None)
[ ] Distance maintained from moving equipment (minimum feet)
[ ] Observations/Notes on Personnel Safety
[ ] Pedestrian traffic control measures in place? (Yes, No, N/A)

--- HOUSEKEEPING & OBSTRUCTIONS ---
[ ] Are walkways and access routes clear of debris and obstructions? (Yes, No, N/A)
[ ] Approximate area (sq ft) of debris present (if applicable)
[ ] Description of any observed debris or obstructions.
[ ] Are pallets stacked safely and not creating an obstruction? (Yes, No, N/A)
[ ] Quantity of oil/fluid spills observed (if any)
[ ] Details of any spill mitigation measures taken (if applicable)
[ ] Are fire lanes and emergency exits clear and unobstructed? (Yes, No, N/A)

--- END OF TEMPLATE ---
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