5B Quarterly Safety Inspection- Store Sites -

• Location

  Select

• Conducted on

  Date

• Prepared by

SAFETY

Sales Floor

• Are aisles in the customer areas maintained to a minimum of 4 feet wide?

  Yes

  No

  N/A

• Are the Sales Floor aisles free of display stock, obstructions, extension cords and other slip or fall hazards?

  Yes

  No

  N/A

• Are Cords tied to and placed toward the back of shelves to reduce risk of pulled down items

  Yes

  No

  N/A

• Are doormats to absorb water provided at doors during inclement weather?

  Yes

  No

  N/A

• Are automatic doors operating properly?

  Yes

  No

  N/A

• Are defective shopping carts removed from service?

  Yes

  No

  N/A

• If carpeted, are floors free of any frays that could cause tripping?

  Yes

  No

  N/A

• Is there a procedure for spill cleanup and equipment readily available for cleaning spills?

  Yes

  No

  N/A

• Are any floor level changes conspicuously marked and highly visible?

  Yes

  No

  N/A

• Are all floor outlets securely covered if not in use?

  Yes

  No

  N/A

• Is the sales floor free of any items from the do not accept list?

  Yes

  No

  N/A

• Are bicycles and other ride on toys secured in a rack and or are in operable?

  Yes

  No

  N/A

• Are all the potential weapons are displayed out of customer reach?

  Yes

  No

  N/A

• Are all power tools inoperable?

  Yes

  No

  N/A

• Is display hardware from grids removed if not in use?

  Yes

  No

  N/A

• Are racks, gondolas, and shelving for merchandise in good condition and secure?

  Yes

  No

  N/A

• Are all cracked or broken items removed from the sales floor?

  Yes

  No

  N/A

• Are breakable items and sharp utensils kept out of reach of children?

  Yes

  No

  N/A

• Medical area is stocked, organized, and free of Trip, fall, or struck by hazards

  Yes

  No

  N/A

CASH WRAP

• Fatigue maps are in good shape and not loose on floor

  Yes

  No

  N/A

• Go backs storage is placed off the floor in a manner to reduce Slip, Trip, Fall & Struck By Exposures

  Yes

  No

  N/A

• Hanger Rack is being utilized and not overfilled

  Yes

  No

  N/A

• Access to shopping bags, and Hanger storage is in line with standards to reduce twisting and bending injuries

  Yes

  No

  N/A

• Overall Sales Floor Score

  Select Compliant-No Actions Needed Non Compliant- AT RISK Non Compliant- Multiple Actions Needed

  • Compliant-No Actions Needed
  • Non Compliant- AT RISK
  • Non Compliant- Multiple Actions Needed

Production Room, Equipment, Parking Lot

Production Room/Warehouse

• Are Production aisles clear of obstructions/clutter that would cause Slip, Trip, Fall and Struck By Hazards ?

  Yes

  No

  N/A

• Are extension cords unplugged if not in use.

  Yes

  No

  N/A

• Are extension cords free from frays or other potential fire hazards.

  Yes

  No

  N/A

• No used extension cord is used as a permanent means of power

  Yes

  No

  N/A

• Is stock stacked at least 18 inches below the level of the sprinkler heads?

  Yes

  No

  N/A

• Is HHW processed and unsellable brought to the warehouse weekly?

  Yes

  No

  N/A

• Are HVAC System & Wall Mounted Fans working appropriately

  Yes

  No

  N/A

• No Unsafe Acts were witnessed during the inspection.

  Yes

  No

  N/A

Work Spaces

• Are Work Areas clear of obstructions/clutter that would cause Slip, Trip, Fall and Struck By Hazards ?

  Yes

  No

  N/A

• Are equipment, tools, and work items, to reduce slip, trip, falls and struck by exposures

  Yes

  No

  N/A

• Employees are practicing proper lifting and moving procedures to prevent Strains and Slip, Trip, Fall exposures

  Yes

  No

  N/A

• Are required employees wearing personal protective equipment?

  Yes

  No

  N/A

• Truck Bay/Load Zone - Is the loading/unloading area even with no slip/fall hazards?

  Yes

  No

  N/A

• Truck Bay - Is the dock edge painted to contrast with the surrounding sales floor?

  Yes

  No

  N/A

Material Moving Equipment

• Location has available carts, hand trucks, pallet jacks, & dollies

  Yes

  No

  N/A

• Equipment not currently in use is stored in proper place, out of walkway and within easy reach

  Yes

  No

  N/A

• All equipment being used is in good condition and safe to use

  Yes

  No

  N/A

Donor Door, Sidewalk, and Parking Lot

• Is donor area in good condition and free of tripping hazards?

  Yes

  No

  N/A

• Are outside lights in proper working order?

  Yes

  No

  N/A

• Is donation area free of debris is and potholes?

  Yes

  No

  N/A

• Is the sidewalk in front of the store in good condition, free of any cracks, holes, to breeze, or obstructions?

  Yes

  No

  N/A

• Is the curb between sidewalk and parking lot highly visible? (Painted a highly visible color or is the parking lot asphalt)

  Yes

  No

  N/A

• Overall Production Room & Donor Door Score

  Select Compliant-No Actions Needed Non Compliant- AT RISK Non Compliant- Multiple Actions Needed

  • Compliant-No Actions Needed
  • Non Compliant- AT RISK
  • Non Compliant- Multiple Actions Needed

Lighting, Fire Extinguishers, Emergency Procedures

Lighting

• Are emergency lights mounted and functioning in the sales floor?

  Yes

  No

  N/A

• Is access to all exits clear and free of obstructions?

  Yes

  No

  N/A

• Is lighting adequate for safe at work?

  Yes

  No

  N/A

• Are all exits properly marked and lighted?

  Yes

  No

  N/A

• Is the lighting throughout the show room enough to safely illuminate all the floorspace and obstacles?

  Yes

  No

  N/A

• Is the sidewalk well lit at night?

  Yes

  No

  N/A

Fire Extinguishers

• Are fire extinguishers mounted properly on the sales floor?

  Yes

  No

  N/A

• Has fire extinguisher been serviced within the past 12 months?

  Yes

  No

  N/A

• Has fire extinguisher been checked and initiated monthly?

  Yes

  No

  N/A

• Does fire extinguisher gauge indicate green?

  Yes

  No

  N/A

• Site Sprinkler system is tagged green and within annual service. (picture of tag if no)

  Yes

  No

  N/A

Emergency Response Supplies

• Site AED Machine in good condition and inspected monthly

  Yes

  No

  N/A

• Is the first aid kit easily located in properly stocked? (Bandages, gauze tape, CPR masks and latex gloves)

  Yes

  No

  N/A

• Is there no oral medication aside from aspirin?

  Yes

  No

  N/A

• Is there a blood-borne pathogen kit available?

  Yes

  No

  N/A

• Is the SDS book easily located where all employees can access?

  Yes

  No

  N/A

• Are chemicals and cleansers clearly labeled and are there safety data sheets of each in the SDS book?

  Yes

  No

  N/A

• Emergency Procedures are Posted in an area for all employee Access

  Yes

  No

  N/A

• Lighting, Fire Prevention, and Emergency Procedures

  Select Compliant-No Actions Needed Non Compliant- AT RISK Non Compliant- Multiple Actions Needed

  • Compliant-No Actions Needed
  • Non Compliant- AT RISK
  • Non Compliant- Multiple Actions Needed

Drills, Audits, Training

• Current Training/ Accident Data Handouts Are Posted

  Yes

  No

  N/A

• Are employee evacuation plans posted conspicuously?

  Yes

  No

  N/A

• Is the Current OSHA 300A Posted FEB 1-APR 30 Posted

  Yes

  No

  N/A

• Safety Binder is located in an area where all employees can access

  Yes

  No

  N/A

• Drills & Training completed for previous quarter

  Yes

  No

  N/A

• Self Audit completed by the fifth of the month for months within the review period?

  Yes

  No

  N/A

• Overall Drills, Audits, Training Score

  Select Compliant-No Actions Needed Non Compliant- AT RISK Non Compliant- Multiple Actions Needed

  • Compliant-No Actions Needed
  • Non Compliant- AT RISK
  • Non Compliant- Multiple Actions Needed

CLEANINESS/IMAGE

• Is the Parking lot in good condition, free of pot holes or other required maintenance?

  Completed

  Not Completed

• Are floors clean- swept, mopped, vacuumed, to standard?

  Completed

  Not Completed

• Are mats vacuumed regularly, free of debris?

  Completed

  Not Completed

• Are Sales floor Racking, gondolas, and cash wrap free of excess dust?

  Completed

  Not Completed

• Are racks shoppable? (nothing is overstocked/overfilled)

  Completed

  Not Completed

• Sales Floor Bathroom is Clean and stocked. Water Fountain is cleaned

  Completed

  Not Completed

• Glass doors/Windows are clean

  Completed

  Not Completed

• Are all worksites clean and free of excess clutter?

  Completed

  Not Completed

• Is Production Room/Warehouse Cleaned to standard

  Completed

  Not Completed

• Are Break Room Tables, chairs, waste disposal, and recycling cleaned to standard?

  Completed

  Not Completed

• Are break Room Counters, and Sink Cleaned to standard- No exess items inside cabinets

  Completed

  Not Completed

• Are Break room Appliances (microwave, refrigerator, vending machines etc) cleaned to standard

  Completed

  Not Completed

• Production Bathrooms are Cleaned and Stocked. Water Fountain is cleaned

  Completed

  Not Completed

• Adequate Custodial Supplies in stock, and in appropriate condition

  Completed

  Not Completed

• Custodial Storage is clean, organized, and supplies are being used according to training and standard

  Completed

  Not Completed

• New Goods Storage is properly used and organized appropriately

  Completed

  Not Completed

• Vents, fans, and High level areas are free of excess dust and cobwebs

  Completed

  Not Completed

• Bulletin Boards are clean, Readable, and Material posted is current

  Completed

  Not Completed

• Furniture trash storage is clean and organized

  Completed

  Not Completed

• Office is organized, and cleaned to standard

  Completed

  Not Completed

CUSTOMER SERVICE

• Customers greeted upon entering the store

  Pass

  Fail

• Customers are greeted while shopping within 10 ft/10 seconds

  Pass

  Fail

• Customers are thanked for supporting mission at cash wrap

  Pass

  Fail

• Donors are greeted within 10 seconds of pulling into donor drive

  Pass

  Fail

PROFESSIONALISM

• All Employees Name Badges are visible

  Pass

  Fail

• There were no donations left outside during audit

  Pass

  Fail

• Signage is appropriate throughout location (no hand written or taped signs in customer/donor view)

  Pass

  Fail

• Customers are asked to Round up to support mission services

  Pass

  Fail

Acknowledgement

• Manager Witness

  Sign