Seiwa Kaiun Philippines, Inc.

Daily Facility Inspection Form

Month Legends O - Compliance
X- Non-compliance
Checkpoints Mon Tue Wed Thu Fri Sat Remarks
Date
FLOORS
No wet / Slip hazard
No Trip Hazard
No Falling Hazard
No electric cords across walkways
Floors are swept / clean
STAIRS and RAMPS
Lightning is adequate
Non-slip surface in good condition
Handrails - installed and secure
PALLET/RACKS/STORAGE PALLET
Warehouse capacity guidelines followed to avoid
overcrowding
Stacks are well constructed using the bonding
method ( Present of slip sheet if double stocking)
Pallet in good condition ( no splinters, protruding
nails)
Empty pallet correctly stored
Heavier material on lower shelves
Warehouse is free of chemicals, lubricants, fuels,
vehicle tires or hazardouz materials
FORKLIFT
Forklift truck correctly maintained and operated
Safe charging area for forklift truck
Certification badge is posted
Properly parked
Checklist properly filled-up
FIRE SAFETY
Fire extinguisher accessible
Fire extinguisher tagged, service
Fire exits correctly marked and illuminated
Exits clear and unobstructed
Fire exits are unlocked while building is occupied
Atleast two fire exit doors are accessible
NO smoking allowed inside the warehouse
ELECTRICAL
Extension cords used only for temporary work
Permanent wiring correctly installed
Electrical panel has 90cm clearance
Electrical panel clearly marked
Electrical wires and cords in good condition ( No
exposed wire or frayed cords)
PERSONAL PROTECTIVE EQUIPMENT
Personal protective equipment (PPE) available:
Helmet
Safety shoes
Back support Belt
Carrying aids available i.e. hand trucks,pallet jacks,
cart
SAFETY POSTERS
Safety posters are posted or available when needed:
Safety and Quality
Forklift Zone
Human Zone
BUILDING AND YARD
Roof is leak free
Warehouse yard is clean, free of trash and grass /
plant are cut short
Warehouse walls are free of crack or holes
Water flow effectively to drains
TRUCKING AND OTHER VEHICLES
Separate loading and Unloading areas designated
Traffic movement( deliveries etc.) are safe and well
signed
Vehicle exhaust minimized and well-ventilated
Tractor head in good operating condition (Tire, body)
Container Chasis in good condition ( Landing gear,
Body, lightning, Tire, etc.)
Container in good condition
Stopper place when on loading/Unloading activity and
while on parking.
GENERAL SAFETY
First-aid kit available
Emergency phone number posted
Emergency procedure posted
Emergency lightning functions
Lightning is adequate
Tools/Equipment are in safe condition
Number of employees in warehouse are posted
Area free of potential falling object
Sinks and restroom are accessible and well
maintained
Soap and water are available for hand washing

Note: Photo of non-compliance must attached in this form. Non-compliance findings must be address to concern PIC. And both
parties may agreed on the action need to made.

Prepared by Checked by Confirmed by Noted by

Ariel Vergara Doan Leaño Judy Gulapa

Safety Officer SL Safety Officer GA Supervisor HRGA Manager
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