1. Safe Work Methods Sort Evaluation CLER
Employee Name: ________________________
Date: ________________________
Employee Number: _______________________
Evaluator: _______________________
Items Checked Sat. Unsat. Date Covered Comments
Performs pre-trip
Performs stretch and flex
Aware of e-stops/ operation
Does not cross moving belt
Aware of pinch points
Does not wear loose clothing
Wears safety shoes
Wears gloves when needed
Has proper lifting technique
Does not lift over 75 lbs
Does not overreach
Asks for assistance
Assists others
Avoids Lifting packages by straps
Does not throw packages
Does not create trip hazards
Pivots instead of twisting
Scans path ahead
Does not skip steps
Does not run or jump
Maintains visual clearance
Properly uses load assist devices
Aware of slip/ trip hazards
Secures containers from moving
Pushes containers instead of pull
Places container doors safely
Opens doors correctly
Closes doors correctly
Comments: ___________________________________________________________________________
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Sr. Manager
Ops. Manager
QDST Leader
Signatures
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Date
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