Beruflich Dokumente
Kultur Dokumente
Conduct a thorough review of your specific operation to develop a list of items for
inspection. Space is provided at the end to add location-specific items you feel are
necessary for the safety of your loading dock operation.
Checklist items are based upon multiple sources, including:
OSHA 29 CFR 1910.176 Material Handling
OSHA 29 CFR 1910.178 Forklift Safety
OSHA 29 CFR 1910.22 Walking-Working Surfaces
ANSI B56.1-1969 American National Standard for Powered Industrial Trucks
ANSI 1264.2-2006 Provision for Slip Resistance on Walking/Working Surfaces
Work Areas
Yes No N/A Item
Comments
RC 5503 R2
January 2013
Correction Date
Material Handling
Yes No N/A Item
Correction Date
Comments
Loading Dock
Yes No N/AItem
Correction Date
Comments
Electrical Safety
Yes No N/A Item
Correction Date
Comments
RC 5503 R2
Industrial Trucks
Yes No N/A Item
All operators are trained, evaluated and certified to ensure they can
operate industrial trucks safely.
Correction Date
Comments
Truck/Trailer Safety
Yes No N/A Item
Truck drivers have a place away from the loading dock to wait while their
trailer is being loaded or unloaded.
Correction Date
Truck engines are turned off during loading and unloading operations.
A lock box or key control system is used.
Trailer lighting is adequate for the tasks being performed.
Trailer floors are inspected before entering with lift trucks.
Carbon monoxide levels are periodically checked to evaluate dockworker
exposure.
Comments
Fire Safety
Yes No N/AItem
Correction Date
Comments
Ladder Safety
Yes No N/A Item
Correction Date
RC 5503 R2
Comments
Location-Specific Items
Yes No N/A Item
Correction Date
Comments
References
Reset Form
These Liberty Mutual Insurance Risk Control references provide additional information.
Dock Operations: Loading and Unloading Trucks and Rail Cars, RC 153
Electric Lift Truck Inspection Checklist, RC 5501
Employee Injuries in the Trucking Industry, RC 5702
Employee Injuries in the Wholesale-Durable Goods Industry, RC 5705
Hand Truck Safety Inspection Checklist, RC 5391
Internal Combustion Lift Truck Inspection Checklist, RC 5500
Ladder Inspection Checklist, RC 5502
Model Safety Plan: Powered Industrial Trucks, RC 5267
OSHA Customizable Program: Powered Industrial Trucks (PITs), RC 4508
OSHA Customizable Program: Ladders, RC 4526
Preventing Slips and Falls: Floor Cleaning and Maintenance, RC 5410
Preventing Slips and falls: Floor Surfaces and Treatments, RC 5413
Warehouse Distribution Center Self-Inspection Worksheet, RC 906
The illustrations, instructions and principles contained in the material are general in scope and, to the best of our knowledge, current at the time of publication. No attempt
has been made to interpret any referenced codes, standards or regulations. Please refer to the appropriate code-, standard-, or regulation-making authority for interpretation
or clarification. Provided that you always reproduce our copyright notice and any other notice of rights, disclaimers, and limitations, and provided that no copy in whole or in
part is transferred, sold, lent, or leased to any third party, you may make and distribute copies of this publication for your internal use.
2013 Liberty Mutual Insurance. All rights reserved.
RC 5503 R2