ASDA/GMB Union Retail Safety Audit

• Date of Inspection

  Date

• National Health & Safety Rep Name: GMB Health & Safety Rep Name:

• Store GSM/Op's Name:

• Rep Email Address:

• Store Number/Name:

• Store Location:
  Address

• GMB Region

  Select Wales & South West Midlands Scotland London North West & Irish Southern North East Yorkshire & Humber

  • Wales & South West
  • Midlands
  • Scotland
  • London
  • North West & Irish
  • Southern
  • North East Yorkshire & Humber

• This CHECKLIST has been customized to suit the inspections of ASDA Retail stores. The purpose of this CHECKLIST is for training/guides only. Please always continue to complete the correct report documentation as per agreement. This report can be used in conjunction with the F2533 form, and can be sent to the store GSM as a PDF format.

• Before your Inspection, ensure you inform management/security that you are on site, and always sign in using the appropriate methods. Please ensure you check the accident book before starting your inspection, to ensure you're aware of previous dangers in the workplace. After the inspection, ensure that management is informed of the problems and takes appropriate action to resolve them. Always make your reports in writing using your GMB Safety Representatives Report Forms F2533.

• SAFETY REPRESENTATIVES AND SAFETY COMMITTEES SRSC Regulation 5, (1-4) will provide you with your entitlement to complete Inspections of the workplace.

• On behalf of the GMB Union I kindly wish to thank the Store GSM for working with us to ensure our colleagues, staff, business & customers are safe.

  

CARPARK

• Are all pedestrian routes clear from any trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Has all fire doors got clear marked signage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are floor gullies clear of any damage, raised, or sunken areas?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire exit routes clear from all obstructions?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all trolley bays clear from any damage to the perspecs, or clear from any structural damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all lights working around the perimeter of the building, and around public access points to the store, not being blocked or obstructed by overhanging trees?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is 10mph marked signage visible around the carpark?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the fire assembly point clearly marking within the carpark?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all curbing stones in good condition, not raised, or broken causing trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all surrounding walls/fences in good condition, with no visible damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all road markings visible, with no faded areas around the carpark?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire doors around the perimeter of the building securely closed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the delivery gates leading into the warehouse, secure, and kept closed, with no access to public?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are there any broken trolleys around the carpark, which will need to be removed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the smoking shed in good condition, with no visible or known damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all customer/colleague benches, seating areas outside, safe, sturdy with no known damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all bushes, trees, shrubs well maintained around walkways, and parking bays?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any known health & safety concerns from porters, is all PPE provided, and warn?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the store have sufficient amount of different trolleys accessible for General public, Parent & Baby's, Disabled?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all public entrance doors in working order, with no visible damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all carpark bollards in good condition & visible to the public?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all pedestrian footpaths protected by bollards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable, are all salt/grit boxes in the carpark, free from rubbish, only containing salt.

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are Click & Collect collection points in good condition, with no visible damage, trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the Click & Collect drive-thru protected by CCTV & does this work?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the Click & Collect drive-thru have zero tolerance posters displayed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit in the carpark?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Fuel station & Forecourts

• Are all fuel forecourt lights working, illuminating the area well?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the fuel venting system clearly marked, with no visible damage to the system or surrounding wall?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all gloves/paper towels made available throughout the provided bin areas?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the PFS easily accessible for colleagues to walk to & from the store?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any visible or known damage to the structure of the fuel forecourt canopy?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are there any trip hazards around the fuel forecourt, including all floor gullies?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire extinguishers within service date, and sand buckets made available?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there a sufficient amount of fire extinguishers around the forecourt?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all the sand buckets only containing sand?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all grit boxes around the forecourt clear of all rubbish, and only containing grit?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are locked/secured areas, securely locked at the time of inspection?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all air/water machines in good working order, with no visible or known damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable is the car wash in good working order, with all glass surrounds clear from cracks?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable, is the car wash clear from any visible or reported damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all pedestrian walkways clear, with no trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all PFS bollards in good condition, and clearly painted?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable, are all fridges working within the fuel station (Manned small fridges), including shop floor fridges/freezers?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• At the time of inspection are all fridges/freezers free from any leaks if applicable in the FPS?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all fire doors, clearly marked up with the correct signage, and secured?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the any health & safety concerns from colleagues within the PFS?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all first aid kits stocked correctly, all containing, eye wash, plasters, icepacks?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the colleagues provided with own PPE? This can include H-Viz, Safety Boots.

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the colleagues wear the provided PPE?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit in the PFS?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Home Shopping/Click & Collect

• Does the home shopping fridges/freezers have current fire alarm sirens/sprinkler system installed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are home shopping van bays in good condition, with no visible damage to the structure, the safety barriers, and safety wheel bumps?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the home shopping bays, have sufficient amount of lighting?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the home shopping vans in good condition, with no un-roadworthy vans being used?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all Home Shopping colleagues wearing the correct PPE for their job role?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are sack barrows being stored in the front of the cab with the drivers?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are Hi-Viz jackets/vests made available for click & collect staff

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable does all the van keys have the safety tool?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all Hi-Viz signage for entering areas where PPE is required, visible not faded?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is PPE being adhered to & followed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the first aid box clearly visible, correctly stocked?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all picking trolleys in good condition with no clear damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Any known injuries to pickers whilst using 10 tote picking trolleys?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all near misses/accidents being reported within the department?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any PPE or equipment needed to be ordered or replaced?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are there any issues when ordering PPE or Equipment?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all broken sack trucks being sent back to supplier, or disposed of correctly?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all Sack Barrows withing the department in good working order?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all electrical charging points for delivery vans in good condition, with no broken cables, or sockets?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all totes stacked correctly, to an ideal height?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all trolleys/totes/bases in good working order?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all dollies/bases stacked correctly, to an ideal height?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is all fire walk-way routes within the department clear from any obstuctions?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire Extinguishers in good condition within the department, and clear from any obstructions?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire call points in good condition, not blocked or obstructed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit in the home shopping department?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Warehouse/Delivery Yard

• Are all warehouse fridges in good condition, visible fire alarm sirens/sprinkler systems in place?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all warehouse freezers in good working condition, with no buildup of ice, or Icey surfaces, causing a slip hazard?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does all freezers used by colleagues throughout the warehouse, unlock from the inside, or does the audible/siren warning alert work?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire extinguishers in good condition, in the correct position, with the correct identification plate?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are any fire extinguishers/fire call points obstructed or blocked (put in identification Number if blocked/obstructed)

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire doors held open with mag locks, and do the doors close freely?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Do all fire doors have correct signage, ‘fire door, keep clear’

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is all first aid kits, clearly visible, and stocked correctly?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire route doors clear?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire routes clear?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are delivery bay shutter doors left open, unattended, potentially causing a hazard for colleagues/visitors to fall off the delivery dock?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is PPE being worn around the warehouse by colleagues, management & visitors?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all compactors in good working order, with no visible damage or known damage, which could potentially harm the operator?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If compactors no longer in use, has it been isolated/removed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any eye wash cleaning stations next to the charging points for the PPT/Reach forklifts?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the delivery gates locked/closed at the time of inspection, if not, explain why?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the delivery dock in good condition, with no visible damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the delivery lift in good condition, with no visible damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any damage to the PPPT, Forklifts & Reach fork lifts, if so, list below.

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If deliveries are under a canopy, does it have height identification plates?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all hired fridge/freezer containers in good working order, with working lights inside?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all gas bottles safely secured in a locked cage, and is there a build up of gas bottles?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are fireworks stored in the correct container, with correct identification signage visible?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Any structural damage to perimeter fence/walls/gates?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all pallets stacked correctly, away from the building, and not too high, these should be no more than 20 high.

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire walk-way routes clear within the yard area & accessible in the event of a fire?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are there any trip hazards within the warehouse/yard?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there a fire evacuation chair on the mezzanine floor?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does all the fire walk-way routes have clear painted markings, with correct signage/directions?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are Hi-Viz signage for entering areas where PPE is required, visible?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are Hi-Viz vests made available for colleagues, management & visitors whilst entering a Hi-Viz area?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• is there any known health & Safety issues raised by colleagues in the warehouse department?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are battery charging areas clear of combustible materials?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all pallets in the racking free from damage, with stock wrapped securely to the pallet?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any additional concerns found within the Warehouse department at the time of inspection?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all near-misses/accidents being reported within the department?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the COSH cupboard locked in the Cleaning room?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any concerns in the Cleaning room?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit in the warehouse/yard?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Shop floor/Café/Customer Toilets

• Are all fire extinguishers around the shop floor up to date, not blocked or obstructed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the zero tolerance posters being displayed in customer area's?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire call points in good condition, not blocked or obstructed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is top stocking to company policy?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire doors clear from all obstructions, and accessible in case of a fire?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is all first aid kits, clearly visible, and stocked correctly?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fridges/freezers on the shop floor clear from any damages/leaks, which are potentially causing a hazard?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all kickplates on fridges/freezers in good condition?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all shelving throughout the store, in good condition, with trolley bump rails in place, Rodent guards in place, and crash bar end bungs installed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the shop floor free from any slip/trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all clothes racking within George, in good condition, with no damage, potentially causing hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all changing rooms in good condition, with no damage to doors, mirrors, seats?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable do all changing rooms doors securely lock?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all seating area’s adequate around the store, safe, sturdy?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the temperature within the store reasonable?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Has all pallets been removed from the shop floor at the time of inspection?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the cleanliness of the store reasonable?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all service tills, and self-scan tills in good condition, with no defects, or visible damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all bakery machinery/equipment in good condition, with no known defects?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all rotisserie machinery/equipment in good condition, with no known defects?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Do all fire doors throughout the shop floor, open & close freely if you're able to check?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all customer toilets in good condition, with no known, or visible damages?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the toilet facilities have working hot/cold water, and does all the hand dryer’s work?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are anti-fatigue mats in place, behind the customer service desk & Kiosk, if they are, record the condition?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all slip mats available & in good condition around the flower purchase area?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all thumb lock mechanisms installed correctly on the doors, and twist to the diagram above?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all restricted areas/doors around the shop floor kept closed, secured?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all plug sockets around the store fitted with child safety plugs?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all equipment within the café area, in good condition, including tables/chairs and other machinery for public/colleague use?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is all ASDA owned appliances in the CAFE/Restaurant in good condition?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable are all child rides in good condition, safe to use/operate?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all disability scooters in good condition, adequate amount of availability, safe to use/operate?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the cleaning stations have a good amount of D10, blue roll & hand gel?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all ceiling tiles/vent systems in good condition, with no visible damage, or raised tiles?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does all ceiling lights work, with adequate amount of lighting?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all PAT tested equipment up to date?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all stairways, elevators, escalators in good condition, with no noticeable or reported defects, and displayed with correct signage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Any known health & safety issues raised by members/non-members whilst doing your walkaround?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit around the shop floor?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Colleague canteen, locker rooms, toilets, offices

• If applicable are all post office equipment in good condition?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the doors for the cash office secure?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• If applicable is the extractor fan area, for the old colleague canteen clear, with no obstructions?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fridges in good condition and clean in the colleague canteen?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the canteen have anything under the sinks which should not be there?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all colleague tables and chairs in good condition, with no visible damage/defects?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does all electrical items in the canteen work, and have a PAT Tested sicker?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the sink have hot/cold water in the canteen?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are fire evacuation chairs available on the top of all stairwells?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the floors clear of all slip/trip hazards?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the locker rooms in good condition, with all lockers clear from any damage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are the colleague toilets in good condition, clean, & with working Hot/Cold water?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Does the store have an up to date GMB board, with relevant information?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the well-being room in good condition, and is it made available to all colleagues?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the training room in good condition, all tables/chairs and equipment in good working order?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all first aid kits correctly stocked, and visible?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is the meeting room in good condition, tables/chairs and equipment in good condition?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all fire extinguishers visible, in the correct place, with up-to-date service?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is all equipment within the offices in good condition, including: tables/chairs?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are lifts for colleagues in working order, with ‘do not use in case of fire signage?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all FM Compliance forms up to date?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Any known issues form colleagues under health & safety?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Are all cupboards kept closed?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any other concerns found at the time of safety audit around the offices or colleague area's?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

• Is there any safety concerns from Colleagues, Members, customers at the time of inspection?

  Select Acceptable Not Acceptable N/A Dangerous Attention Needed Observe

  • Acceptable
  • Not Acceptable
  • N/A
  • Dangerous
  • Attention Needed
  • Observe

Sign-off

• GMB Representative Signature

  Sign

• GSM/Ops Signature

  Sign

• Time of Completion

  Date