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Material Handling Inspection Form
UNCH - Surgical Tower
All personnel are required to ensure that the above-listed items are confirmed in place whether loading or off-loading trucks on Skanska projects. If at
ANY POINT, ANY INDIVIDUAL
feels the material cannot be safely loaded or unloaded, he or she is
REQUIRED
to use
STOP WORK AUTHORITY!
Today's date and time
Name of the Delivery Competent Person completing this form.
*
First Name
Last Name
Driver
*
Company
*
Select the appropriate response for loading or off-loading a truck and sign your name confirming that you have verified the checklist items.
Is this checklist for loading or unloading?
*
loading
Off-loading
Loading / Unloading Checklist
Truck inspected and staged on flat level ground?
Is cargo evenly distributed?
Weight of the load known?
Surrounding area closed off to unauthorized personnel?
Brakes set? Wheels chocked?
Proper bracing and dunnage?
Tie down points secure?
Was load disrupted during transport?
Deck surface appropriate for loading /off-loading material?
Chains/binders in good condition?
Proper access to bed of truck?
Softeners and edge protectors in place?
Do personnel need to be above 6' to load / unload?
Exclusion zone set up?
Stored energy present? How will it be managed?
No leaking or damaged material?
Signature of Competent Person completing this form:
*
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