Co-op FM Store Condition Survey - v1.1

• Client / Site

• Audit Title

• Conducted on

  Date

• Prepared by

• Location
  Address

External Appearance

• Is the fascia and signage clean, presentable and free from defects?

  Red

  Amber

  Green

  n/a

• Are the windows and graphics clean and free from Defects?

  Red

  Amber

  Green

  n/a

• Is the external decoration presentable?

  Red

  Amber

  Green

  n/a

• Are there shutters on site?

  Off

  On

• Are shutters operational and in good condition?

  Red

  Amber

  Green

  n/a

• Are the shutters fitted with ground bolts or bullets locks?

  Yes

  No

  N/A

• Is the main structure (walls etc.) free from visible defects?

  Red

  Amber

  Green

  n/a

• If there are any other visible defects to the fabric please note this in the Observations Section and the end of the survey.

Roofs and Gutters

• Visually, do the roof areas look in good condition i.e. No slipped tiles/slates, missing ridge tiles etc.?

  Red

  Amber

  Green

  n/a

• What type of roof is it?

  Select Pitched - Slate/Tiles Flat - Felt Flat - Membrane Pitched - Sheeted Pitched - Asbestos Cement

  • Pitched - Slate/Tiles
  • Flat - Felt
  • Flat - Membrane
  • Pitched - Sheeted
  • Pitched - Asbestos Cement

• Are gutters free from defects and clear of debris?

  Red

  Amber

  Green

  n/a

• Are downpipes free from defects and drain covers in place?

  Red

  Amber

  Green

  n/a

• If flat roof areas are accessible; are they free from defects and are drain covers clear and in-situ?

  Red

  Amber

  Green

  n/a

Car Parks and Paved Areas

• Are the car park and pavement areas free from potholes and trip hazards?

  Red

  Amber

  Green

  n/a

• Is the car park lining and signage in good condition and suitable?

  Red

  Amber

  Green

  n/a

• Are the drains in good condition, running clear and visually free from blockages?

  Red

  Amber

  Green

  n/a

• Is the car park and perimeter lighting in good order and suitable?

  Red

  Amber

  Green

  n/a

Rear Yard/Delivery Areas

• Is the rear yard/goods delivery area free from potholes and trip hazards?

  Red

  Amber

  Green

  n/a

• Are the drains in good condition, running clear and visually free from blockages?

  Red

  Amber

  Green

  n/a

• Is the yard lighting in good order and suitable?

  Red

  Amber

  Green

  n/a

Plant Compounds

• Are there any external plant compounds?

  Off

  On

• Is the structure of the plant compound free from defects? i.e. Fence, walls etc.

  Red

  Amber

  Green

  n/a

• Are external plant compounds free from equipment and rubbish?

  Red

  Amber

  Green

  n/a

• Are plant compounds free from overgrown trees and bushes?

  Red

  Amber

  Green

  n/a

Landscaping

• Are trees/bushes/shrubs maintained to an acceptable condition?

  Red

  Amber

  Green

  n/a

• Is the general area free from weeds?

  Red

  Amber

  Green

  n/a

• Is the area free from litter build up?

  Red

  Amber

  Green

  n/a

Shopfloor General Fabric

• Is there an entrance mat?

  Off

  On

• Is it free from defect and trip hazards?

  Red

  Amber

  Green

  n/a

• Is the floor free from defects and trip hazards?

  Red

  Amber

  Green

  n/a

• What type of flooring is it?

  Select Terrazzo Vinyl - Sheet Vinyl - Tile Ceramic Tile Quarry Tile Vinyl - Wood Effect Carpet/Carpet Tiles Resin

  • Terrazzo
  • Vinyl - Sheet
  • Vinyl - Tile
  • Ceramic Tile
  • Quarry Tile
  • Vinyl - Wood Effect
  • Carpet/Carpet Tiles
  • Resin

• Is the ceiling clean and free from defects and signs of leaks?

  Red

  Amber

  Green

  n/a

• What type of ceiling is it?

  Select Plastered Suspended MMMF - 600 x 600 Suspended MMMF 1200 x 600 Suspended - Metal Pan Asbestos Insulating Board

  • Plastered
  • Suspended MMMF - 600 x 600
  • Suspended MMMF 1200 x 600
  • Suspended - Metal Pan
  • Asbestos Insulating Board

• Are the shopfloor lighting levels acceptable? (Approx. 85% ok)

  Red

  Amber

  Green

  n/a

• What type of lighting is on the shop Floor?

  Select LED Spotlights T5 Fluorescent T8 Fluorescent T12 Fluorescent Standard Light Bulb Other

  • LED
  • Spotlights
  • T5 Fluorescent
  • T8 Fluorescent
  • T12 Fluorescent
  • Standard Light Bulb
  • Other

• Are ceiling mounted discharge/extract grilles clean?

  Red

  Amber

  Green

  n/a

• Are all frieze panels in good condition and branding in place?

  Red

  Amber

  Green

  n/a

• Is column cladding, perstop and bump rails free from defects?

  Red

  Amber

  Green

  n/a

• Is the shelving in good condition?

  Red

  Amber

  Green

  n/a

• Is the kiosk in good condition and free from defects?

  Red

  Amber

  Green

  n/a

• Is the tobacco gantry in good condition and free from defects?

  Red

  Amber

  Green

  n/a

• Are the checkouts in good condition and free from defects?

  Red

  Amber

  Green

  n/a

• Are security/warehouse doors free from defects and operating as intended?

  Red

  Amber

  Green

  n/a

Warehouse

• Is warehouse floor free from defects and trip hazards?

  Red

  Amber

  Green

  n/a

• Are the warehouse walls in good condition and free from damage?

  Red

  Amber

  Green

  n/a

• Is the warehouse ceiling free from defects, damage and signs of leaks?

  Red

  Amber

  Green

  n/a

• What type of ceiling is it?

  Select Plastered Suspended MMMF - 600 x 600 Suspended MMMF 1200 x 600 Suspended - Metal Pan Asbestos Insulating Board

  • Plastered
  • Suspended MMMF - 600 x 600
  • Suspended MMMF 1200 x 600
  • Suspended - Metal Pan
  • Asbestos Insulating Board

• Are the warehouse lighting levels acceptable?

  Red

  Amber

  Green

  n/a

• What type of lighting is in the Warehouse?

  Select LED Spotlights T5 Fluorescent T8 Fluorescent T12 Fluorescent Standard Light Bulb Other

  • LED
  • Spotlights
  • T5 Fluorescent
  • T8 Fluorescent
  • T12 Fluorescent
  • Standard Light Bulb
  • Other

• Are the Goods-in doors in good condition and free from defects?

  Red

  Amber

  Green

  n/a

• Are Fire Escape doors free from defect and pest proof?

  Red

  Amber

  Green

  n/a

• Is the warehouse racking in good condition and free from visible defect?

  Red

  Amber

  Green

  n/a

Back of house areas

• Enter Name of Room

Name of Room

• Is the floor free from defects and trip hazards?

  Red

  Amber

  Green

  n/a

• What type of flooring is it?

  Select Terrazzo Vinyl - Sheet Vinyl - Tile Ceramic Tile Quarry Tile Vinyl - Wood Effect Carpet/Carpet Tiles Resin

  • Terrazzo
  • Vinyl - Sheet
  • Vinyl - Tile
  • Ceramic Tile
  • Quarry Tile
  • Vinyl - Wood Effect
  • Carpet/Carpet Tiles
  • Resin

• Are the walls in good condition and free from damage?

  Red

  Amber

  Green

  n/a

• Is the ceiling free from defects, damage and signs of leaks?

  Red

  Amber

  Green

  n/a

• What type of ceiling is it?

  Select Plastered Suspended MMMF - 600 x 600 Suspended MMMF 1200 x 600 Suspended - Metal Pan Asbestos Insulating Board

  • Plastered
  • Suspended MMMF - 600 x 600
  • Suspended MMMF 1200 x 600
  • Suspended - Metal Pan
  • Asbestos Insulating Board

• Are the lighting levels acceptable?

  Red

  Amber

  Green

  n/a

• What type of lighting is in the room?

  Select LED Spotlights T5 Fluorescent T8 Fluorescent T12 Fluorescent Standard Light Bulb Other

  • LED
  • Spotlights
  • T5 Fluorescent
  • T8 Fluorescent
  • T12 Fluorescent
  • Standard Light Bulb
  • Other

• Are work surfaces and shelving free from damage and defects?

  Red

  Amber

  Green

  n/a

• Are the doors in good condition and free from defects?

  Red

  Amber

  Green

  n/a

• Are Windows and frames in good condition and free from defect?

  Red

  Amber

  Green

  n/a

• Are Fire Escape doors free from defect and pest proof?

  Red

  Amber

  Green

  n/a

• Is the room a prep or ISB?

  Off

  On

• Are all work surfaces suitable for food prep and free from defect?

  Red

  Amber

  Green

  n/a

• Are all sinks and washing facilities in working order and free from defect?

  Red

  Amber

  Green

  n/a

• Is the room a W.C.?

  Off

  On

• Are all cubicles in good condition and free from defect?

  Red

  Amber

  Green

  n/a

• Is all sanitaryware in good condition and free from defect?

  Red

  Amber

  Green

  n/a

• Is visible plumbing in good condition?

  Red

  Amber

  Green

  n/a

• Is the site a Petrol Filling Station?

  Off

  On

Forecourt General

• Is the canopy in good condition and free from leaks?

  Red

  Amber

  Green

  n/a

• Is the forecourt surface free from potholes and trip hazards?

  Red

  Amber

  Green

  n/a

• Are drains in good condition with covers in place?

  Red

  Amber

  Green

  n/a

• Is traffic signage appropriate and in good condition?

  Red

  Amber

  Green

  n/a

Pumps and Associated Equipment

• Are pumps free from leaks at the case or hoses?

  Red

  Amber

  Green

  n/a

Car-Wash

• Does the site have a Car-Wash?

  Off

  On

• Is the fabric free from any visible defects?

  Red

  Amber

  Green

  n/a

• Are the drains free flowing and free from visible blockages?

  Red

  Amber

  Green

  n/a

Jet-Wash

• Does the site have a Jet-Wash?

  Off

  On

• Are the screens free from any visible defects?

  Red

  Amber

  Green

  n/a

• Are the drains free flowing and free from visible blockages?

  Red

  Amber

  Green

  n/a

Use this Section for further observations

• Enter details of observation

Observation

• Observation Details

• Add media

  Media

• Date for follow up

  Date

Work Orders Logged

Enter work orders logged during or on the back of the visit

• Enter Work Order Number

• Enter brief description of work order

• Date for follow up

  Date

Sign-off

• Signature of Regional Facilities Manager

• RFM Signature

  Sign

• Signature of Store Representative

• Store Representative Signature

  Sign