BU15 DM SVU Audit

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Office/ Front End/ Breakroom

• Appropriate Food Safety Training completed by all associates - SA07<br>

  Yes

  No

  N/A

• Associates have completed Hazardous Waste Training - SA50a<br>

  Yes

  No

  N/A

• Store management has completed Black Hawk Training - SA 24b<br>

  Yes

  No

  N/A

• Powered Industrial Truck Training completed by all required associates -SA11aa, SA11ab<br>

  Yes

  No

  N/A

• Finish Line Board is filled out with currant period numbers and topics including: safety, health, 5-S and SCA<br>

  Yes

  No

  N/A

• Finish Line Safety Meeting is posted and signed off by employees<br>

  Yes

  No

  N/A

• Store is protecting technology that process restricted data - Office door shut and locked<br>

  Yes

  No

  N/A

• No passwords posted for computers including MicroTrax, PlanOGrams and WebEx

  Yes

  No

  N/A

• Store is securing employee files - file cabinet locked<br>

  Yes

  No

  N/A

• Store is using separate file for employee medical information and personnel files

  Yes

  No

  N/A

• The Digital Video Recording system is operational, all views were clear and unobstructed, clean and free of dust<br>

  Yes

  No

  N/A

• Store is following POS security standards - Cashier numbers individual, all terminated/transferred employees removed from system<br>

  Yes

  No

  N/A

• Time card adjustments signed off by manager and employee - weekly payroll sign off

  Yes

  No

  N/A

• Store is following employee break policy - 30 minute lunch for any shift over 6 hours<br>

  Yes

  No

  N/A

• Retail Operations Shrink Audit(paper copy) retained at store level- blank copy<br>

  Yes

  No

  N/A

• Retail Operations Shrink Audit completed by store management- 1 shrink audit per week signed by manager and DM

  Yes

  No

  N/A

• End Of Day report attached to daily paperwork - must be EOD and not Grand X report

  Yes

  No

  N/A

• All supporting documentation attached to daily paperwork - deposit slips, EOD Report, manager payout receipts

  Yes

  No

  N/A

• Voids and refund slips completed and attached to daily report and signed by MOD- voids over $5.00 and refunds over $10.00<br>

  Yes

  No

  N/A

• Safe count for previous 7 days agrees with stores safe count- Cash Worksheet should match computer and AM/PM opening balance

  Yes

  No

  N/A

• Store management verifying safe balance at shift change and signing off AM/PM- 2 managers should count safe and sign off form

  Yes

  No

  N/A

• Pin Pads on registers are secured- should be screwed on

  Yes

  No

  N/A

Overall Store

• Bad Apple signs posted- break room, restrooms, fire exits and back door

  Yes

  No

  N/A

• At time of review building had no structural damage- cracks in walls or floors, holes in ceiling/ missing tiles

  Yes

  No

  N/A

• All electrical outlets and wiring covered properly- any outlet has a face plate/ meat and produce should have GFI covers

  Yes

  No

  N/A

• Emergency Exits not blocked, locked improperly and emergency lights working- no displays blocking doors, bars on doors, light works

  Yes

  No

  N/A

• No code dating issues found in produce, meat, smocked meat, baby food sections- check 100 items

  Yes

  No

  N/A

• Fire Extinguishers operating properly, mounted with sign indicating location and signed off

  Yes

  No

  N/A

• Items priced and labeled correctly- scan 100 items to verify price and signed

  Yes

  No

  N/A

Back Room/ Meat and Produce/ Hazardous Waste

• Utensils and food contact surfaces were found clean and in good condition - No rust on knives, no scars on cutting boards and tables in meat and produce prep areas

  Yes

  No

  N/A

• Knives properly stored when not in use or after being cleaned- Knives must be stored on knife rack or in knife bucket- cannot be left on tables or sink

  Yes

  No

  N/A

• At time of review Eye Wash Station operating properly- in date and nothing in front of station

  Yes

  No

  N/A

• Freezer Floors free of obstruction and ice buildup- no ice on ramp, door or floor

  Yes

  No

  N/A

• Cardboard baler door safety mechanism operating as designed and key removed- safety latch works and no key in baler

  Yes

  No

  N/A

• 36 inch clearance from all electrical panels and heat generating equipment- electric panals, water heaters have 36 inches cleared around them

  Yes

  No

  N/A

• Exterior power lift platforms de-energized and controls secured when not in use- lift turned off, unplugged and breaker turned off

  Yes

  No

  N/A

• Receiving doors and roof hatch secured- doors and roof hatch locked

  Yes

  No

  N/A

• Hazardous Waste Storage area is not missing any of the following: 6 totes, labels on every tote, no smoking sign, Strongpack poster, Strongpack Guide

  Yes

  No

  N/A

• Hazardous Waste storage area not missing any of the following: goggles, gloves, apron, spill magic (full), self sealing bags, labels and 5 totes for products

  Yes

  No

  N/A

• Labels on Waste totes completed properly- accumulation start date, type of product checked off, address

  Yes

  No

  N/A

• Items in Hazardous Waste totes in correct totes- check to ensure proper compliance

  Yes

  No

  N/A

• No additional Hazardous Waste products found- no items not listed found on or near Hazardous Waste rack

  Yes

  No

  N/A

• Signed Hazardous Waste Manifest we're found in waste binder- last 3 years worth for every pickup

  Yes

  No

  N/A

• Weekly signature of a management employee was found on Hazardous Waste Weekly Audit Sheet- signed off and verified weekly

  Yes

  No

  N/A

• Add signature

  Sign