Warehouse Labor Assessment Form
Use this form to assess warehouse labor conditions, staffing, workload, safety, equipment availability, and overall operational readiness for a shift or work area.
Worker and Shift Information
Worker Name
*
Department / Area
*
Please Select
Receiving
Putaway
Picking
Packing
Shipping
Returns
Inventory Control
Other
Job Role
*
Please Select
Warehouse Associate
Forklift Operator
Picker
Packer
Loader/Unloader
Inventory Clerk
Team Lead
Supervisor
Other
Shift Date
*
-
Month
-
Day
Year
Date
Shift Type
*
Day
Evening
Night
Rotating
Other
Supervisor Name
Warehouse Location / Zone
Please Select
Zone A
Zone B
Zone C
Dock Area
Storage Area
Mezzanine
Other
Workload and Staffing Assessment
Current Workload Level
*
Light
1
2
3
4
5
6
7
8
9
Heavy
10
1 is Light, 10 is Heavy
Staffing Adequacy
*
Very Inadequate
1
2
3
4
5
6
7
8
9
Very Adequate
10
1 is Very Inadequate, 10 is Very Adequate
Pace of Work Sustainability
*
Not Sustainable
1
2
3
4
5
6
7
8
9
Highly Sustainable
10
1 is Not Sustainable, 10 is Highly Sustainable
Was overtime required this shift?
*
Yes
No
Workload by Task Area
*
Rows
Low
Moderate
High
Very High
Receiving
1
2
3
4
Picking
5
6
7
8
Packing
9
10
11
12
Loading
13
14
15
16
Inventory Movement
17
18
19
20
Safety and Ergonomics
Perceived Safety of Work Area
*
Unsafe
1
2
3
4
5
6
7
8
9
Very Safe
10
1 is Unsafe, 10 is Very Safe
Fatigue Level
*
Low
1
2
3
4
5
6
7
8
9
Extreme
10
1 is Low, 10 is Extreme
Ergonomic Strain / Issues
*
None
Minor
Moderate
Severe
Incident or Near-Miss Observed This Shift
*
Yes
No
Safety Concerns or Hazards Noticed
Equipment and Resource Availability
Availability of Required Equipment
*
Very Limited
1
2
3
4
Fully Available
5
1 is Very Limited, 5 is Fully Available
Condition of Tools, Forklifts, and PPE
*
Excellent
Good
Fair
Poor
Not Applicable
Are shortages affecting labor output?
*
Yes
No
Missing Equipment, Supplies, or Blockers
Training, Performance, and Labor Feedback
Training adequacy for current tasks
*
Not adequate
1
2
3
4
Highly adequate
5
1 is Not adequate, 5 is Highly adequate
Confidence performing assigned tasks
*
1
2
3
4
5
Factors affecting productivity
Training gaps
Insufficient staffing
Equipment availability
Task complexity
Schedule changes
Physical fatigue
Process inefficiencies
Other
Labor feedback and improvement suggestions
Submit Assessment
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