ADC Audit-GIH

• Store/Location

• Audit Title

• Conducted on

  Date

• Prepared by

Previous Audit

• Date of last audit

  Date

• List of any deficiencies that needed to be corrected from previous audit

Issue

• The issue or deficiency was...

  Select Not Corrected Corrected Issue-trak

  • Not Corrected
  • Corrected
  • Issue-trak

Exterior

• Exterior clean and free of donations

  Yes

  No

  N/A

• Free of dump/Trash

  Yes

  No

  N/A

• Structure and signs free of graffiti

  Yes

  No

  N/A

• Does structure need repairs or maintenance?

  Yes

  No

  N/A

• If YES, list issue(s)

Issues

• Issue to be resolved

Interior

• Work area organized and clean

  Yes

  No

  N/A

• Floor is clean and free of debris and trash

  Yes

  No

  N/A

• Interior free of unauthorized personal items and/or non-work related items

  Yes

  No

  N/A

• If music is being played, it is at at comfortable level and not excessively loud

  Yes

  No

  N/A

Safety

• Any visible safety hazards

  Safe

  At Risk

  N/A

• Donations stacked properly

  Safe

  At Risk

  N/A

• Fire extinguishers clear of obstructions

  Safe

  At Risk

  N/A

• Fire extinguishers checked monthly and up to date

  Yes

  No

  N/A

• Expiration date

  Date

• First aid kit properly stocked and with BBP kit

  Yes

  No

  N/A

• CSPC binder is current

  Yes

  No

  N/A

• Red safety binder present and current

  Yes

  No

  N/A

Equipment

• All required equipment and supplies available (if NO, then check items that are missing)

  Yes

  No

  N/A

• Broom and dust pan

• Trash can

• Clock

• Portable fan with batteries

• Donation slips

Signage

• Free of handwritten and/or unauthorized signs

  Yes

  No

  N/A

• All required and authorized signs posted (if NO, check those missing)

  Yes

  No

  N/A

• Posted hours

• Items not accepted

• Hazardous waste & construction material

• Mission statement

• CPSC notice

• Out to lunch and/or back in 15 minutes sign

• Street use permit (Kunia and Hawaii Kai only)

ADC Attendant

• Staff in proper dress code with name tag

  Yes

  No

  N/A

• Proper footwear being used

  Yes

  No

  N/A

• Proper personal protective equipment used

  Yes

  No

  N/A

• Attendant smiling, greeting and assisting customers/donors

  Needs Improvement

  Good

  Excellent

  N/A

• Store staff is not smoking (includes electronic) while on duty

  Yes

  No

  N/A

Summary

• Maintenance issues (if any)

Issue

• Add media

  Media

• Comments

Signatures

• Name

  Sign