2019 TLPA

• Store#

• Conducted on

  Date

• Audit conducted by:

  Select Blue Montez Joseph Munoz Larry Tusing Shannon Griffin Susan Seiffert Regional Manager District Manager

  • Blue Montez
  • Joseph Munoz
  • Larry Tusing
  • Shannon Griffin
  • Susan Seiffert
  • Regional Manager
  • District Manager
• Location
  Address

• Store Number

• High Shrink Store?

  Select Yes No

  • Yes
  • No

• Regional Director

  Select Gary Alexander Garrett Regelman Leah Gallagher Sheri Kerhulas

  • Gary Alexander
  • Garrett Regelman
  • Leah Gallagher
  • Sheri Kerhulas

• Region #

• District Manager Name

• District #

• Auditor Name

• Manager Title:

  Select Store Manager FT- Assistant Manager PT- Assistant Manager Keyholder Other

  • Store Manager
  • FT- Assistant Manager
  • PT- Assistant Manager
  • Keyholder
  • Other

• Manager Name

Inventory Control & Shrink Prevention (30 Points)

• 1. Are damaged items, tagged, scanned and resolved on a consistent basis? Scope 90 days (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Damaged items are not labeled with the proper MOS/Damage Tag Management is not processing damages on a weekly basis

  • Damaged items are not labeled with the proper MOS/Damage Tag
  • Management is not processing damages on a weekly basis

• 2. Is the store controlling inventory shortages from the DC by acknowledging & reporting shipment errors/missing cartons within 48 hours of receipt? Review prior months shipment screen for any unacknowledged/unresolved shipment. (90 days) (5 points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Outstanding shipment pending in system

  • Outstanding shipment pending in system

• 3. Is management acknowledging all merchandise transfers upon receipt and is the transfer system clear of aged merchandise transfers over 15 days in expected arrivals, recently shipped and packing/unpacking status **Excludes transfers to DC** (5 points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed 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

  • 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

• 4. Does the MOD know what to do when they come across merchandise that shows on-hand qty in the SKU locator but are physically missing from the store? **MOD 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

• Listed are the responses that apply to the question listed above:

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

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

• 5. Are Buyer initiated MOS handled per store operation's directive? Scope 30 days (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 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

  • Expired web orders 15+ days old

Customer Service (16 Points)

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 2. Are customers consistently re-engaged after the initial greeting both on the sales floor and in the fitting room? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Customers were not re-engaged after the initial greeting while on the sales floor Customers were not re-engaged while in the fitting room

  • Customers were not re-engaged after the initial greeting while on the sales floor
  • Customers were not re-engaged while in the fitting room

• 3. Is the sales floor clean and organized, free from dust/debris, merchandise, price tags or sensor tags scattered on the sales floor? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 4. Is the POS area organized and free of loose change, clutter and go-back merchandise? <br> (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Used/damaged items found in the managers drawer POS area/back counter cluttered in unworkable condition Loose change, accessories, price tickets found in pen holders

  • Used/damaged items found in the managers drawer
  • POS area/back counter cluttered in unworkable condition
  • Loose change, accessories, price tickets found in pen holders

• 5. Is the store using the most current TCC application? (2 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

Knowledge & Awareness (45 Points)

• 1. Has last weeks LP topic been printed and signed by 80% of scheduled associates? (3points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Last week’s LP topic was not printed Less than 80% of scheduled associates signed the weekly LP training topic sheet

  • Last week’s LP topic was not printed
  • Less than 80% of scheduled associates signed the weekly LP training topic sheet

• 2. Are the current shrink results posted on the LP bulletin board? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 3. Is the staff member aware of the current monthly LP topic and has the LP bulletin board been updated with the current monthly topic? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff Member was not aware of the current monthly LP topic The current monthly LP topic was not posted on the LP bulletin board

  • Staff Member was not aware of the current monthly LP topic
  • The current monthly LP topic was not posted on the LP bulletin board

• 4. Is the staff member aware of the store's daily loss rate for shrink? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member was not aware of the stores average daily loss rate

  • Staff member was not aware of the stores average daily loss rate

• 5. Is the staff member aware of the stores top 5 shrink departments without referring to the LP bulletin board? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member was not aware of the top 5 shrink departments

  • Staff member was not aware of the top 5 shrink departments

• 6. Is the Emergency Contact Sheet current and posted on the LP bulletin board? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 7. Is the Business Abuse poster posted/visible on the LP bulletin board and is the staff member spoken to familiar with the program? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The Business Abuse poster was not posted on the LP bulletin board Staff Member was not familiar with the Business Abuse program

  • The Business Abuse poster was not posted on the LP bulletin board
  • Staff Member was not familiar with the Business Abuse program

• 8. Is staff member aware of the "Associate Discount" policy? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member was not aware of eligible family members Staff member was not aware of associate gift card purchase guidelines Staff member was not aware of Haute Cash or Loyalty program restrictions

  • Staff member was not aware of eligible family members
  • Staff member was not aware of associate gift card purchase guidelines
  • Staff member was not aware of Haute Cash or Loyalty program restrictions

• 9. Are proper discounts applied to associate and/or eligible immediate family member transactions and tendered by a member management? (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Incorrect discount applied to associate sale

  • Incorrect discount applied to associate sale

• 10. Is the staff member aware of the bag check policy and are bag checks completed consistently? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Management is not performing bag checks per company guidelines Management is performing bag checks after the associate has clocked out / "off" the clock

  • Management is not performing bag checks per company guidelines
  • Management is performing bag checks after the associate has clocked out / "off" the clock

• 11. Is the store following the Associate Hold guidelines and is the following information listed on the Hold Tag: Hold type, associate name, current date, hold expires date, SKU for each item on hold and management signature? (2 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Associate Hold Tag missing required information- hold type, associate name, current date, hold expires date, SKU for each item on hold and management signature Manager placing own items on hold/ authorizing own hold Expired holds

  • Associate Hold Tag missing required information- hold type, associate name, current date, hold expires date, SKU for each item on hold and management signature
  • Manager placing own items on hold/ authorizing own hold
  • Expired holds

• 12. Is the store following the Customer Hold guidelines and is the following information listed on the Hold Tag: Hold type, customer name, current date, hold expires date and SKU for each item on hold? (2 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Expired Holds Merchandise in hold area without hold tag attached Customer Hold Tag missing required information SKU, name and hold type

  • Expired Holds
  • Merchandise in hold area without hold tag attached
  • Customer Hold Tag missing required information SKU, name and hold type

• 13. Is the staff member aware of how to use the ultraviolet light to detect counterfeit currency, credit cards and DL's and is associate aware of the OVI color shifting ink? (3 points) <br>

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The store does not have a UV light to detect counterfeit currency Staff member was unaware of the OVI color shifting ink

  • The store does not have a UV light to detect counterfeit currency
  • Staff member was unaware of the OVI color shifting ink

• 14. Has the store earned TLC points with the last 90 days? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The store has not earned TLC points within the past 90 days

  • The store has not earned TLC points within the past 90 days

• 15. Is the staff member able to explain how to handle credit card transactions when the card does not swipe, the security chip does not read and/or the customer attempts to hand key credit card information into the pin pad? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member was unable to explain how to handle credit card transactions when the card does not swipe, the security chip does not read or customer is attempting to manually enter credit card information from the pin pad The store has bank charge-back activity within the past 90 days due to manually entered transactions

  • Staff member was unable to explain how to handle credit card transactions when the card does not swipe, the security chip does not read or customer is attempting to manually enter credit card information from the pin pad
  • The store has bank charge-back activity within the past 90 days due to manually entered transactions

Loss Prevention (44 Points)

• 1. Are fitting room doors closed and locked when unattended? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Fitting room doors were left open when unattended

  • Fitting room doors were left open when unattended

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Merchandise was left in the fitting room by a customer Fitting room was being used as storage Empty hangers and/or other found in fitting room

  • Merchandise was left in the fitting room by a customer
  • Fitting room was being used as storage
  • Empty hangers and/or other found in fitting room

• 3. Are fitting rooms clear of any signs of theft? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Evidence of theft found inside of the fitting room, Merchandise tickets and/or defeated sensor tags were found behind benches/chairs, wall grates/pictures and mirrors

  • Evidence of theft found inside of the fitting room, Merchandise tickets and/or defeated sensor tags were found behind benches/chairs, wall grates/pictures and mirrors

• 4. Is The staff obtaining the customer’s name and physically counting each item when the customer enters the fitting room? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member is not obtaining the customer name and/or obtaining a merchandise piece count prior to customer entering the fitting room

  • Staff member is not obtaining the customer name and/or obtaining a merchandise piece count prior to customer entering the fitting room

• 5. Is the EAS system working properly? **Ensure the EAS system is working properly by passing merchandise through the front door EAS towers/antenna ** (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The EAS system is not working and/or management has not completed work request ticket through R&M The EAS system was turned off

  • The EAS system is not working and/or management has not completed work request ticket through R&M
  • The EAS system was turned off

• 6. Can the staff member explain how to properly respond to EAS alarm activations? (2 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member was not aware of how to properly engage a customer who activated the EAS alarm after making a purchase and upon exiting the store Staff member was not able to explain what steps to take when finding unpaid for merchandise in a customer’s bag after responding to a EAS activation Witnessed unacknowledged EAS activation while conducting audit

  • Staff member was not aware of how to properly engage a customer who activated the EAS alarm after making a purchase and upon exiting the store
  • Staff member was not able to explain what steps to take when finding unpaid for merchandise in a customer’s bag after responding to a EAS activation
  • Witnessed unacknowledged EAS activation while conducting audit

• 7. Is sensor tagging compliance meeting/exceeding company expectation of 95%? Scope inspect 200 items if more than 10 items are found not tagged = no tag (5 Points) <br>

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select EAS tagging falls below the company minimum guideline of 95%

  • EAS tagging falls below the company minimum guideline of 95%

• 8. Is management following Trash Removal guidelines and is: (1) trash is removed from the store on a daily basis (2) management personally supervises the removal of any trash? (2 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 9. Is management following Store Access guidelines, ensuring perimeter doors/gates remain locked during non-business hours to include store opening/closing activities? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Perimeter doors were not locked prior to store opening Perimeter doors were not locked after store closing

  • Perimeter doors were not locked prior to store opening
  • Perimeter doors were not locked after store closing

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The door from the sales floor leading to the stock room was propped open

  • The door from the sales floor leading to the stock room was propped open

• 11. Is the stock room/restroom clear of stashed merchandise, tickets/defeated sensor tags which may be an indication of internal theft? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Stashed merchandise found hidden in the stockroom, restroom and/or lockers etc. Merchandise tickets/defeated sensor tags found stashed in stockroom and/or restroom

  • Stashed merchandise found hidden in the stockroom, restroom and/or lockers etc.
  • Merchandise tickets/defeated sensor tags found stashed in stockroom and/or restroom

• 12. Is the emergency exit door armed/functional and has management completed the Monthly Perimeter Door Inspection Log? (2 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Exit door panic alarm was not functioning properly and/or the battery was dead The emergency exit door was not armed Management is not completing the Monthly Perimeter Door Inspection Log

  • Exit door panic alarm was not functioning properly and/or the battery was dead
  • The emergency exit door was not armed
  • Management is not completing the Monthly Perimeter Door Inspection Log

• 13. Are all doors, cabinets, locks and keys functional and working order? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Broken and/or inoperable hardware in need of repair

  • Broken and/or inoperable hardware in need of repair

• 14. Is management following Store Key guidelines and is the MOD physically in possession of store keys during their shift? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 15. Are the following areas locked when unattended: IT cabinet, Managers' drawer, registers and filing cabinet? Are the keys to the listed areas secured in the safe and/or managers’ drawer? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Controlled keys are not secured per company guidelines IT cabinet was unlocked Managers drawer was left unlocked Filing cabinet was left unlocked Store Manager is the only person in possession of the filing cabinet key. Unable to access Managers filing cabinet

  • Controlled keys are not secured per company guidelines
  • IT cabinet was unlocked
  • Managers drawer was left unlocked
  • Filing cabinet was left unlocked
  • Store Manager is the only person in possession of the filing cabinet key. Unable to access Managers filing cabinet

• 16. Does the safe lock and in good working condition? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Safe lock/digital pin pad and/or safe handle in need of repair

  • Safe lock/digital pin pad and/or safe handle in need of repair

• 17. Have store locks, keys and/or safe combination been changed following recent management turnover which included integrity issues or unreturned keys? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Locks have not been changed following management turnover involving integrity Keys not returned by former manager Lost and/or missing keys

  • Locks have not been changed following management turnover involving integrity
  • Keys not returned by former manager
  • Lost and/or missing keys

• 18. Are all personal belongings secured in a locker or plastic bin in the stockroom area? (3 points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Personal belongings found at the cash wrap Personal belongings are not secured in a locker or plastic bin Lockers were unlocked

  • Personal belongings found at the cash wrap
  • Personal belongings are not secured in a locker or plastic bin
  • Lockers were unlocked

Cash Handling & Media (30 Points)

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Safe was unlocked/day lock Safe was left open

  • Safe was unlocked/day lock
  • Safe was left open

• 2. Are safe funds accounted for and secured in the safe? (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed 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 unsecured at the cash wrap area Safe funs not secure, safe unlocked and/or open

  • 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 unsecured at the cash wrap area
  • Safe funs not secure, safe unlocked and/or open

• 3. Are bank deposits completed and taken to the bank every Monday/Thursday while management 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 (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed 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 Bank deposits are not taken to the bank on Monday/Thursday per company banking guidelines

  • 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
  • Bank deposits are not taken to the bank on Monday/Thursday per company banking guidelines

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select No manager and/or witness signature

  • No manager and/or witness signature

• 5. Are the deposit amounts, safe funds, O/S amounts and deposit verification information recorded on the electronic and paper deposit log? Scope 21 days (4 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed 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 Managers are not verifying the number of deposits secured in the safe

  • 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
  • Managers are not verifying the number of deposits secured in the safe

• 6. Does the store have a 45 day supply of Torrid bank deposit slips? (3 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 7. Is Management printing the Till Summary receipt for all registers and reviewing daily sales media verifying all open/close, no sales and paid in/out receipts are accounted for? Scope 7 days (5 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Management is not printing the Till Summary receipt during store closing process Management is not auditing paperwork on a daily basis

  • Management is not printing the Till Summary receipt during store closing process
  • Management is not auditing paperwork on a daily basis

Safety (15 Points)

• 1. Does staff member know where to find the Active Incident poster and is a copy of the Active Incident poster posted on the LP bulletin board? (1 Points) <br>

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

  Select Staff member did not know where to find a posted copy of the Active Incident Poster The Active Incident poster was not posted on the LP bulletin board

  • Staff member did not know where to find a posted copy of the Active Incident Poster
  • The Active Incident poster was not posted on the LP bulletin board

• 2. Is the staff member aware of the store's meeting location in the event of an evacuation? (1Points)

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

  Select Associate was not aware of the stores meeting spot in the event of an evacuation

  • Associate was not aware of the stores meeting spot in the event of an evacuation

• 3. Does the staff member know the location of the First Aid kit and Bodily Fluid Clean-Up kit? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Associate did not know the location of the First Aid kit Associate did not know the location of the Bodily Fluid Clean Up Kit

  • Associate did not know the location of the First Aid kit
  • Associate did not know the location of the Bodily Fluid Clean Up Kit

• 4. Is the store maintaining a properly stocked First Aid Kit with no expired items and sealed Bodily Fluid Clean-Up kit? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The First Aid kit had expired items The store did not have a First Aid kit The store did not have a Bodily Fluid Clean Up kit The Bodily Fluid Clean Up kit was not sealed

  • The First Aid kit had expired items
  • The store did not have a First Aid kit
  • The store did not have a Bodily Fluid Clean Up kit
  • The Bodily Fluid Clean Up kit was not sealed

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

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 6. Are ladders properly stored/secured with racking or wall hook? (1 Point)

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

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

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

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

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

  Select Fire Extinguisher pressure gauge is reading outside of the safe "Green Zone" Pressure was overcharged Low pressure indicating Fire Extinguisher needs to be re-charged

  • Fire Extinguisher pressure gauge is reading outside of the safe "Green Zone"
  • Pressure was overcharged
  • Low pressure indicating Fire Extinguisher needs to be re-charged

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

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 9. Are managers inspecting fire extinguishers every month and filling out the inspection hang tag with initials/date within the first week of every month? (1 Point)

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

  Select The inspection date and/or managers initials are not listed on the fire extinguisher inspection tag

  • The inspection date and/or managers initials are not listed on the fire extinguisher inspection tag

• 10. Are sales floor objects such as folding tables, marketing materials and fixtures properly assembled and secure? (1 Point)

  Safe

  At Risk

  N/A

• Listed are the responses that apply to the question listed above:

  Select The following risk factors were found during the audit, sharp edges and/or broken glass on the sales floor

  • The following risk factors were found during the audit, sharp edges and/or broken glass on the sales floor

• 11. Is the sales floor free of slips, trips and fall hazards? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select Slip, trip and fall hazards were identified Electrical hazards identified

  • Slip, trip and fall hazards were identified
  • Electrical hazards identified

• 12. Have all repair or facility needs been reported in for repair through the R&M Dashboard? (1 Point)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

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

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

• 13. Is there proper clearance (36 inches) around electrical panels and is the store following ADA guidelines by maintaining (36 inches) between fixtures; are ADA signs posted at the front door, cash wrap and fitting room? (1 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The electrical panel is obstructed by freight, shipment and/or fixtures Merchandise and/or fixtures were on top of the electrical box ADA signage is not posted at the front door, cash wrap and fitting room

  • The electrical panel is obstructed by freight, shipment and/or fixtures
  • Merchandise and/or fixtures were on top of the electrical box
  • ADA signage is not posted at the front door, cash wrap and fitting room

• 14. Is the store maintaining an unobstructed pathway (42 inches) to rest areas and exit routes? (1 Points)

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed above:

  Select The exit route is obstructed by freight, rolling racks, trash/empty boxes and/or fixtures

  • The exit route is obstructed by freight, rolling racks, trash/empty boxes and/or fixtures

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

  Yes

  No

  N/A

• Listed are the responses that apply to the question listed 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

• Date & Time audit completed

  Date

• MOD Signature

  Sign