2018 TLPA (Updated 8/18)

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

• Store Number

• High Shrink Store?

  Yes

  No

• Regional Director

  Gary Alexander

  Garrett Regelman

  Leah Gallagher

  Sheri Kerhulas

• District Manager Name

• Auditor Name

• Manager On Duty:

• Manager Title:

  Store Manager

  FT- Assistant Manager

  PT- Assistant Manager

  Keyholder

  Other

Inventory Control & Shrink Prevention (30 Points)

• 1. Are damaged items being scanned,<br>tagged, and resolved on a weekly basis? <br>(inspect current items to physically verify<br>proper procedures are being followed and<br>verify the past 90 days entered in the<br>system to validate the procedure is being<br>followed weekly) 5 Points

  Yes

  No

  N/A

• Which of the follow applies to question above?

  Select Damages are not scanned/processed on a weekly basis Damaged items are not being labeled with the proper MOS/Damage tag Other

  • Damages are not scanned/processed on a weekly basis
  • Damaged items are not being labeled with the proper MOS/Damage tag
  • Other

• 2. Is the store controlling inventory shortages from the DC? (i.e. are carton shortages reported within 48 hours of the shipment date, review the shipment screen and check the prior months for any unresolved shipments) Scope 90 days 5 Points

  Yes

  No

  N/A

• Which of the follow applies to question above?

  Select Oustanding shipment pending in system Other

  • Oustanding shipment pending in system
  • Other

• 3. Are there zero outstanding merchandise transfers over 15 day, in expected arrivals, recently shipped, packing and unpacking screens? *Excluding transfers to DC. 5 points <br>

  Yes

  No

  N/A

• Which of the follow applies to question above?

  Select Aged transfers (15+ days) pending in packing/ unpacking status Aged transfers (15+ days) in expected arrivals Aged Transfers in recently shipped status Received transfers not yet acknowledged in system Other

  • Aged transfers (15+ days) pending in packing/ unpacking status
  • Aged transfers (15+ days) in expected arrivals
  • Aged Transfers in recently shipped status
  • Received transfers not yet acknowledged in system
  • Other

• 4. Does the MOD know what to do when they come across merchandise that shows on-hands in the SKU locator but are physically missing from the store? (staff must be able to explain the procedure, sales floor and stock must be checked, must include 5 or more units per parent SKU) 5 Points

  Yes

  No

  N/A

• Which of the follow applies to question above?

  Select MOD was not able to explain the proper steps to take prior to requesting an inventory adjustment *variance of 5 or more SKU's, check SKU locator MOD was not aware of how to report variances of 5 or more SKUs Other

  • MOD was not able to explain the proper steps to take prior to requesting an inventory adjustment *variance of 5 or more SKU's, check SKU locator
  • MOD was not aware of how to report variances of 5 or more SKUs
  • Other

• 5. Are Buyer initiated MOS handled per Store Operation's directive? (scope is last 30 days) 5 Points

  Yes

  No

  N/A

• Which of the follow applies to question above?

  Select Management is not completing buyer initiated MOS per guidelines Management is not processing buyer initated MOS with the correct adjustment code Other

  • Management is not completing buyer initiated MOS per guidelines
  • Management is not processing buyer initated MOS with the correct adjustment code
  • Other

• 6. Is management properly following up on Web orders within 15 days of receipt? 5 Points

  Yes

  No

  N/A

• Which of the following applies to question above?

  Select Expired web orders 15+ days old Other

  • Expired web orders 15+ days old
  • Other

Customer Service (16 Points)

• 1. Are customers greeted within 30 seconds of entering the store? 5 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select I was not greeted upon entering the store Customers were not greeted upon entering the store Other

  • I was not greeted upon entering the store
  • Customers were not greeted upon entering the store
  • Other

• 2. Are Associates/MOD delivering the "Torrid Connection" by following up with every customer after the initial greeting? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select MOD and/or Sales Associate did not follow up with the customer on the sales floor MOD and/or Sales Associate did not follow up with the customer in the fitting room Other

  • MOD and/or Sales Associate did not follow up with the customer on the sales floor
  • MOD and/or Sales Associate did not follow up with the customer in the fitting room
  • Other

• 3. Is the sales floor clean and organized showing no signs of bad housekeeping? ( dust/debris, merchandise, price tags or sensor tags scattered on the salesfloor and/or fitting room. 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Dust/debris, loose tickets, hangers, merchandise and/or sensor tags scattered on the sales floor and/or fitting room Other

  • Dust/debris, loose tickets, hangers, merchandise and/or sensor tags scattered on the sales floor and/or fitting room
  • Other

• 4. Is the POS area neat, clean, and free of merchandise, loose change and or price tickets? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Used/damaged items found in the managers drawer POS area/back counter cluttered in unworkable contition Other

  • Used/damaged items found in the managers drawer
  • POS area/back counter cluttered in unworkable contition
  • Other

• 5. Is the store utilizing the current TCC application. <br>2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Old TCC applications located at cash wrap Store is using old TCC applications Other

  • Old TCC applications located at cash wrap
  • Store is using old TCC applications
  • Other

Knowledge & Awareness (43 Points)

• 1. Is last week's LP topic printed and signed by the store team? (80% of the store staff at the time of the audit must have signed last week's topic) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Last weeks LP topic was not printed 80% of the store associates did not sign the weekly topic sheet Other

  • Last weeks LP topic was not printed
  • 80% of the store associates did not sign the weekly topic sheet
  • Other

• 2. Does the Loss Prevention Bulletin Board include the current shrink results? <br> 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Current shrink results were not posted on the LP Bulletin board Other

  • Current shrink results were not posted on the LP Bulletin board
  • Other

• 3. Is the staff aware of the current monthly LP awareness topic and is it posted on the LP board? (Staff on duty must know the current topic and it's content) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Used/damaged items found in the managers drawer POS area/back counter cluttered in unworkable contition Other

  • Used/damaged items found in the managers drawer
  • POS area/back counter cluttered in unworkable contition
  • Other

• 4. Are associates aware of the store's daily loss rate for shrink? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associates were not aware of the stores average daily loss rate Other

  • Associates were not aware of the stores average daily loss rate
  • Other

• 5. Are associates aware of the top 5 shrink departments? (Staff on duty must know the top 5 without referring to the LP bulletin board.) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associates were not aware of the top 5 shrink departments Other

  • Associates were not aware of the top 5 shrink departments
  • Other

• 6. Is the Emergency Contact Reference Sheet current and posted on the Loss Prevention Bulletin board? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select The Emergency Contact Reference Sheet did not have current names/phone numbers listed Required information was not completely filled out on Emergency Reference Sheet Other

  • The Emergency Contact Reference Sheet did not have current names/phone numbers listed
  • Required information was not completely filled out on Emergency Reference Sheet
  • Other

• 7. Is the Business Abuse poster visible on the Loss Prevention Bulletin board and are associates familiar with the program? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select The Business Abuse poster was not posted on the LP Bulletin Board Associates were not familiar with the Business Abuse program Other

  • The Business Abuse poster was not posted on the LP Bulletin Board
  • Associates were not familiar with the Business Abuse program
  • Other

• 8. Are associates aware of the "associate discount" policy? (Staff on duty must know the policy) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Manager and/or Associate were not aware of eligible family members Manager and/or Associate was not aware of Associate Gift Card purchase guidelines Other

  • Manager and/or Associate were not aware of eligible family members
  • Manager and/or Associate was not aware of Associate Gift Card purchase guidelines
  • Other

• 9. Are proper discounts applied to associate/dependent transactions and rung by a member management? Review Electronic Journal/ Back office reports to verify compliance. Review 5 associate purchases transactions. <br>3 Points <br>

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Manager tendering own purchase Associate tendering friends/family purchases Incorrect discount applied to associate sale Other

  • Manager tendering own purchase
  • Associate tendering friends/family purchases
  • Incorrect discount applied to associate sale
  • Other

• 10. Are associates aware of the bag check policy and is it being followed? (Staff on duty must know the policy and perform on the clock) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Bag Checks are not being done consistently Bag Checks are being performed "off" the clock Other

  • Bag Checks are not being done consistently
  • Bag Checks are being performed "off" the clock
  • Other

• 11. Are associates aware of the associate hold policy and is it being followed? (Staff on duty must know the policy and inspect hold tag(s) for assoc. checked, name written on tag, SKU listed, not expired and manager signature on the tag) 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associate hold tags are not filled out completely Managers did not sign hold tag Expired holds Other

  • Associate hold tags are not filled out completely
  • Managers did not sign hold tag
  • Expired holds
  • Other

• 12. Is the customer hold policy being followed? (inspect hold tag(s) for customer checked, name written on tag, SKU listed, and not expired) 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Expired Holds Merchandise in hold area without hold tag attached Customer Hold tags not completely filled out (missing SKU, name, hold type) Other

  • Expired Holds
  • Merchandise in hold area without hold tag attached
  • Customer Hold tags not completely filled out (missing SKU, name, hold type)
  • Other

• 13. Does the store have an ultraviolet light to detect counterfeit currency, credit cards and DL's? Are associates able to describe the embedded security features in currency? 3 points <br>

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Store does not have a UV light to detect Counterfeit Currency Associates were unable to describe the embedded security features in currency Other

  • Store does not have a UV light to detect Counterfeit Currency
  • Associates were unable to describe the embedded security features in currency
  • Other

• 14. Has the store contributed to the TLC program? (Scope 3 months- either shrink or fraud prevention or other type of loss prevention incident) 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Management has not submitted and/or contributed to TLC within the last 3 months Other

  • Management has not submitted and/or contributed to TLC within the last 3 months
  • Other

• 15. Can associates explain how to handle a credit card transactions when the card does not swipe and/or the security chip does not read? 3 Points <br>

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associates are not able to explain how to handle a credit card transactions when the card does not swipe and/or the security chip does not read Charge back activity within the past 90 days Other

  • Associates are not able to explain how to handle a credit card transactions when the card does not swipe and/or the security chip does not read
  • Charge back activity within the past 90 days
  • Other

Loss Prevention (47 Points)

• 1. Are fitting room doors closed and locked when not in use? 1 Point

  Yes

  No

  N/A

• Which of the following applies to the question above?Which of the following applies to the question above?

  Select Fitting rooms doors were left open Other

  • Fitting rooms doors were left open
  • Other

• 2. Are the fitting rooms free of merchandise and/or storage? 1 Point

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Fitting rooms are not being cleared after every customer Fitting rooms are being used for storage Other

  • Fitting rooms are not being cleared after every customer
  • Fitting rooms are being used for storage
  • Other

• 3. Are the fitting rooms clear of any signs of theft? (i.e. empty hangers. defeated sensor tags, price tickets) 1 Point

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Fitting rooms are not being cleared after every customer Fitting rooms are being used for storage Other

  • Fitting rooms are not being cleared after every customer
  • Fitting rooms are being used for storage
  • Other

• 4. Are customers properly checked in and out of fitting rooms? (i.e. obtain customer's name, items physically handled and counted prior to a customer entering a fitting room and quantity verified upon exiting the fitting room) 1 Point

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associates are not obtaining the customers name and/or piece counting merchandise prior to customers entering the fitting room Other

  • Associates are not obtaining the customers name and/or piece counting merchandise prior to customers entering the fitting room
  • Other

• 5. Is the EAS system working properly? (at the time of the audit, system must be on and enunciate when a tag is waved through the exit) (if the system is not functioning, verify that a work ticket has been placed through the R&M Dashboard) 5 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select EAS system is not working/Management has not completed request for service ticket for repair EAS system was turned off Other

  • EAS system is not working/Management has not completed request for service ticket for repair
  • EAS system was turned off
  • Other

• 6. Are associates aware on how to respond to EAS alarm activations? (staff on duty must know the policy) 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associates did not know how to engage a customer when they activate the EAS alarm following a purchase. Other

  • Associates did not know how to engage a customer when they activate the EAS alarm following a purchase.
  • Other

• 7. Is sensor tagging compliance at or above 95%? (inspect 200 items, if more than 10 items are found not tagged = no) 5 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select EAS tagging falls below the minimun guideline of 95% ____ out of ____ items were tagged Other

  • EAS tagging falls below the minimun guideline of 95%
  • ____ out of ____ items were tagged
  • Other

• 8. Is management inspecting the trash in front of another associate prior to removal? ( Ask the staff on duty at the time of the audit to verify procedure, which must include their knowledge of this procedure being done while the associates are on the clock) 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Management is taking out trash when off the clock Management is not inspecting trash prior to removal Management is leaving the store unsecured when completing trash removal process Other

  • Management is taking out trash when off the clock
  • Management is not inspecting trash prior to removal
  • Management is leaving the store unsecured when completing trash removal process
  • Other

• 9. Are all perimeter doors closed and locked? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Perimeter doors were not locked prior to store opening and/or after store closing Other

  • Perimeter doors were not locked prior to store opening and/or after store closing
  • Other

• 10. Is the door from the sales floor leading to the stock room closed during business hours? 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select The stockroom door leading to the sales-floor was propped open during business hours Other

  • The stockroom door leading to the sales-floor was propped open during business hours
  • Other

• 11. Is the stock room clear of any groups of clothing that appear to be suspicious or indicate an associate may be stashing product? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Stashed merchandise found hidden in the stockroom, restroom and/or lockers ect Merchandise tickets found stashed in stockroom and/or restroom Other

  • Stashed merchandise found hidden in the stockroom, restroom and/or lockers ect
  • Merchandise tickets found stashed in stockroom and/or restroom
  • Other

• 12. Is the stock room exit door armed? (open the door to validate the alarm enunciates) 2 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Exit door panic alarm battery was dead Stock room exit door was not armed Other

  • Exit door panic alarm battery was dead
  • Stock room exit door was not armed
  • Other

• 13. Are all doors, cabinets and emergency exit hardware in good working order? <br> 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Broken and/or inoperable hardware in need of repair Other

  • Broken and/or inoperable hardware in need of repair
  • Other

• 14. Is the MOD in possession of the store keys? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select MOD was not in possession of the store keys MOD lost keys MOD gave keys to store associate Other

  • MOD was not in possession of the store keys
  • MOD lost keys
  • MOD gave keys to store associate
  • Other

• 15. Are the following areas locked when unattended: IT cabinet, MOD drawer, registers and filing cabinet. Are the keys to the listed areas secured in the safe and/or managers drawer? 3 Points <br>3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Controlled keys are not secured per company guidelines IT cabinet was unlocked Other

  • Controlled keys are not secured per company guidelines
  • IT cabinet was unlocked
  • Other

• 16. Does the safe lock and is it in good working condition? (if not, verify through the R&M Dashboard that a work ticket has been placed) 1 Point

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Safe lock/pin pad and/or handle in need or repair Other

  • Safe lock/pin pad and/or handle in need or repair
  • Other

• 17. If there has been a recent internal management change involving integrity or keys have not been retrieved, has the safe combo and/or locks been changed? 3 Points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Locks have not been changed following management turnover involving integrity or lost keys Other

  • Locks have not been changed following management turnover involving integrity or lost keys
  • Other

• 18. Are Associates personal belongings secured in a locker, designated drawer or plastic bin? 3 points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Associate personal belongings found at the cash wrap Associate personal belongings are not secured in a locker, drawer or plastic bin Other

  • Associate personal belongings found at the cash wrap
  • Associate personal belongings are not secured in a locker, drawer or plastic bin
  • Other

Cash Handling & Media (30 Points)

• 1. Is the safe locked when unattended? 5 points

  Yes

  No

  N/A

• Which of the following applies to the question above?

  Select Safe was unlocked/daylock Safe was left open Other

  • Safe was unlocked/daylock
  • Safe was left open
  • Other

• 2. Are safe funds accounted for and secured in the safe? (funds must not be secured in a manager's drawer, locker, carton, or any other area of the store) 5 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Safe funds were locked in the managers drawer Safe funds were locked inside of a locker Safe funds were left on the managers desk safe funds were unscecured at the cashwrap area Other

  • Safe funds were locked in the managers drawer
  • Safe funds were locked inside of a locker
  • Safe funds were left on the managers desk
  • safe funds were unscecured at the cashwrap area
  • Other

• 3. Are bank deposits completed and taken to the bank every Mon/Thurs. (verify that deposits are taken to the bank while the manager is on the clock) * Deposits over $1500 are to be taken to the bank on the next business day * Deposits scheduled falling on a holiday are to be taken to the bank on the next business day. Scope 21 days

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Bank deposits larger than $1,500 are not being taken to the bank on the following day Managers are not clocked in when taking the deposit to the bank Other

  • Bank deposits larger than $1,500 are not being taken to the bank on the following day
  • Managers are not clocked in when taking the deposit to the bank
  • Other

• 4. Are deposit slips signed by the closing manager and a witness each night? Review 21 days. 3 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select No manager and/or witness signature Other

  • No manager and/or witness signature
  • Other

• 5. Are the deposit amounts, safe funds, O/S amounts recorded on the electronic/paper deposit log? (scope is last 21 days) 4 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Managers are not filling out the electronic deposit log on a daily basis Managers are not filling out the daily deposit log consistently Over/Short activity is not being filled out Other

  • Managers are not filling out the electronic deposit log on a daily basis
  • Managers are not filling out the daily deposit log consistently
  • Over/Short activity is not being filled out
  • Other

• 6. Is there a minimum of 45 day supply of the correct Torrid deposit slips? (verify the slips are assigned to the store) 3 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Store does not have 45 day supply of deposit slips Wrong store number is printed on the deposit slips Other

  • Store does not have 45 day supply of deposit slips
  • Wrong store number is printed on the deposit slips
  • Other

• 7. Is Management printing the Till Summary receipt for each register at store closing to verify all required receipts are signed and accounted for? *The following receipts are required w/signatures: open/close receipts, no sales, paid in, paid out (Review 7 days). <br> 5 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Store is not printing the till summary receipt during store closing process Store is not auditing paperwork Other

  • Store is not printing the till summary receipt during store closing process
  • Store is not auditing paperwork
  • Other

Safety (21 Points)

• 1. Are associates aware of where to find a posted copy of the Active Incident Procedures? 3 points <br>

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Associates did not know the location of the Active Incident Poster Other

  • Associates did not know the location of the Active Incident Poster
  • Other

• 2. Are Managers and associates aware of the store's meeting spot in the event of an evacuation? <br> 3 points

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Associates did not know stores meeting spot in the event of an evacuation Other

  • Associates did not know stores meeting spot in the event of an evacuation
  • Other

• 3. Do associates know the location of the first aid kit and Bodily Fluid Disposal Kit/Bodily Fluid Clean-Up kit? 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Associate did not know the location of the first aid kit Associate did not know the location of the Bodily Fluid Disposal Kit. Other

  • Associate did not know the location of the first aid kit
  • Associate did not know the location of the Bodily Fluid Disposal Kit.
  • Other

• 4. Is the store maintaining a properly stocked first aid kit sealed Bodily Fluid Disposal Kit or Bodily Fluid Clean-Up kit? (no expired items) 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select The first aid kit had expired items The Bodily Fluid Disposal Kit The store did not have a first aid kit The store did not have a Bodily Fluid Disposal Kit Other

  • The first aid kit had expired items
  • The Bodily Fluid Disposal Kit
  • The store did not have a first aid kit
  • The store did not have a Bodily Fluid Disposal Kit
  • Other

• 5. Are ladders and chairs in good working order? 1 point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Ladders broken Chair Broken Store is not utilizing OSHA certified ladder Store is not using company issued chair Other

  • Ladders broken
  • Chair Broken
  • Store is not utilizing OSHA certified ladder
  • Store is not using company issued chair
  • Other

• 6. Are ladders properly stored/secured when not in use? (Secured with racking or wall hook, etc. Stores to request installation through R&M dashboard) 1 Point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Ladders are not secured with a wall hook or rack when not being used Other

  • Ladders are not secured with a wall hook or rack when not being used
  • Other

• 7. Are all fire extinguishers full and charged properly? 1 Point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Fire extinguisher pressure gauge is reading outside of the safe "Green Zone" Other

  • Fire extinguisher pressure gauge is reading outside of the safe "Green Zone"
  • Other

• 8. Are all fire extinguishers properly labeled with inspection tag and mounted in a visible location? 1 Point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Fire extinguishers are missing inspection tags Fire extinguisher tags are not in a visible location Other

  • Fire extinguishers are missing inspection tags
  • Fire extinguisher tags are not in a visible location
  • Other

• 9. Are all fire extinguishers inspected monthly? (inspection tag must contain initials and date when the inspection was completed each month) 1 Point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select Managers are not inspecting fire extinguishers monthly fire by dating/initialing the fire inspection tag on the fire extinguishers Other

  • Managers are not inspecting fire extinguishers monthly fire by dating/initialing the fire inspection tag on the fire extinguishers
  • Other

• 10. Are objects such as mannequins, mobile folding tables, marketing materials and fixtures on the sales floor, secure and present no risk for hazards? 1 Point

  Safe

  At Risk

  N/A

• Which of the following applies to above?

  Select The following risk factors were found during the audit, sharp edges and/or broken glass in the fitting room and/or selling floor Other

  • The following risk factors were found during the audit, sharp edges and/or broken glass in the fitting room and/or selling floor
  • Other

• 11. Is the sales floor free of slips, trips and fall hazards? (i.e. slippery floor, cracked or uneven floors, sharp objects, beveled edge of mats or rugs not secure, tangled wires, poorly secured handrails, ect. 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Slip, trip and fall hazards were found on sales floor Other

  • Slip, trip and fall hazards were found on sales floor
  • Other

• 12. Have all repair or facility needs been reported in order to avoid any hazard or prevent any accident from occurring? (verify trough the R&M Dashboard that a work ticket has been placed) 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Un-reported safety hazards on the sales floor, fitting room and/or stockroom Other

  • Un-reported safety hazards on the sales floor, fitting room and/or stockroom
  • Other

• 13. Is there proper clearance (36 inches) around electrical panels and is the store sales floor fixtures within ADA guidelines (36 inches) of each other? (Is required signage properly posted) 2 Points

  Yes

  No

  N/A

• Which of the following applies to above?

  Select The electrical panel is obstructed by freight, shipment and/or fixtures Merchandise and/or fixtures were on top of the electrical box Other

  • The electrical panel is obstructed by freight, shipment and/or fixtures
  • Merchandise and/or fixtures were on top of the electrical box
  • Other

• 14. Are all exit routes and rest areas unobstructed? (i.e, no materials, cartons, equipment, and doors freely unlock with use of a push bar) (a clear path 42 inches wide preventing egress through the rear exit door) 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select The exit route is obstructed by freight, rolling racks and/or fixtures Other

  • The exit route is obstructed by freight, rolling racks and/or fixtures
  • Other

• 15. Is the store current with all required Federal/State Labor posters? (For Canadian stores- Labour Law Poster) 1 Point

  Yes

  No

  N/A

• Which of the following applies to above?

  Select Missing Federal Poster Outdated Federal Poster Missing State Poster Outdated State Poster Canadian Stores- Missing/Outdated Labour Law Poster

  • Missing Federal Poster
  • Outdated Federal Poster
  • Missing State Poster
  • Outdated State Poster
  • Canadian Stores- Missing/Outdated Labour Law Poster

• MOD Signature

  Sign

• Date & Time audit completed

  Date