Countdown - H & S

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Store Inspection

• FIRE SUPPRESSION AND EMERGENCY EGRESS CHECKS INCLUDING SPRINKLER SYSTEMS

• Has annual inspection been completed?

  Yes

  No

  N/A

• All access to equipment unobstructed?

  Yes

  No

  N/A

• All access paths to and including fire exits unobstructed?

  Yes

  No

  N/A

• STORE SITE SAFETY PLAN

• Does this years plan exist?

  Yes

  No

  N/A

• Is it measurable?

  Yes

  No

  N/A

• When was it last reviewed?

  Yes

  No

  N/A

• STORE SAFETY SIGNAGE REVIEW

• Is all current safety signage up?<br>Staff room + 2 other locations?<br>

  Yes

  No

  N/A

• Notifiable events

• Electric shock

• Green rules

• Fire wardens

• Is SHE resolution chart up?

  Yes

  No

  N/A

• FREEZER LOCK IN ALARMS

• Fitted?

  Yes

  No

  N/A

• Working?

  Yes

  No

  N/A

• CHECKOUT SILENT PANIC ALARM

• Are team able to display knowledge of and how to use?

  Yes

  No

  N/A

• FIRE SUPPRESSION SPRINKLER PUMP/VALVE ROOM

• Records kept and up to date?

  Yes

  No

  N/A

• RESTRICTED ACCESS AREAS

• Signage up - detailing restricted access only?

  Yes

  No

  N/A

• GENERAL BUILDING

• Maintenance - review Argest Folder, is building WOF current including up to date daily inspections

  Yes

  No

  N/A

• Is the store free of any floor slip hazards?

  Yes

  No

  N/A

• Is the stores spill kit stocked and available?

  Yes

  No

  N/A

• Is the mesh glove/knife policy adhered to correctly?

• Deli

• Seafood

• Produce

• Meat

• Bakery

• MACHINERY ISOLATION FOR CLEANING

• Are the bakery power switches accessible for isolation on all equipment

  Yes

  No

  N/A

• Are all deli slicer switches accessible for isolation?

  Yes

  No

  N/A

Forklift Operation

• TRAFFIC MANAGEMENT PLAN

• Cones/barriers or chains in use when required for forklift operation?

  Yes

  No

  N/A

• Is the seatbelt worn by forklift operators?

  Yes

  No

  N/A

• Are safety gloves and protective glasses present for gas bottle replacement?

  Yes

  No

  N/A

• Forks tilted down when not in use?

  Yes

  No

  N/A

• Is there a speed limit in place for delivery vehicles?

  Yes

  No

  N/A

• Is the area secured when unloading in an area available to the general public/traffic

  Yes

  No

  N/A

• FORKLIFT PRE-START CHECKS

• Are daily and weekly pre-checks completed?

  Yes

  No

  N/A

Maintenance Records

• MAINTENANCE AUTHORITY BOOKS

• Are all appropriate sections filled out?

  Yes

  No

  N/A

• Is sign off completed? Including cause of failure and store agreement.

  Yes

  No

  N/A

• WORK PERMITS

• All applicable sections signed off?

  Yes

  No

  N/A

Visitor Book

• INDUCTION

• Are site inductions performed for first time visitors?

  Yes

  No

  N/A

• Are site specific emergency procedures highlighted?

  Yes

  No

  N/A

• Is the incident reporting procedure listed?

  Yes

  No

  N/A

• Are the site specific hazards listed?

  Yes

  No

  N/A

• GENERAL SITE IN PROCEDURES

• Is the sign in process monitored and secure when not in use?

  Yes

  No

  N/A

• Are all sections filled in completely?

  Yes

  No

  N/A

• Are visitors signing out? Including stockroom?

  Yes

  No

  N/A

Staff Records

• INDUCTION

• Induction sign off sheet completed?

  Yes

  No

  N/A

• 30/90/annual review completed?

  Yes

  No

  N/A

• Hazard training completed? Signed off?

  Yes

  No

  N/A

• Modules completed?

  Yes

  No

  N/A

Pulse Incident Records

• INCIDENTS RECORDED IN PULSE

• Persons name?

  Yes

  No

  N/A

• Investigations completed?

  Yes

  No

  N/A

• Corrective actions in place?

  Yes

  No

  N/A

• Incident closed?

  Yes

  No

  N/A

• HAZARDS

• Site hazards recorded in system?

  Yes

  No

  N/A

• New hazards entered from meetings

  Yes

  No

  N/A

Licences/Training

• FORKLIFT

• Are all licences current?

  Yes

  No

  N/A

• Photocopy of licence on file?

  Yes

  No

  N/A

• Is "F" endorsement on the licence?

  Yes

  No

  N/A

• SIGNIFICANT HAZARD TRAINING

• All senior managers, all dept managers, all assistant managers, all site safety team members

  Yes

  No

  N/A

• FIRST AID CERTIFICATES

• Valid?

  Yes

  No

  N/A

• Are all hours covered?

  Yes

  No

  N/A

• Trading x2 (50 or less team)

  Yes

  No

  N/A

• Trading X1 (50 or less team)

  Yes

  No

  N/A

• EMERGENCY WARDEN TRAINING

• Completed?

  Yes

  No

  N/A

• On file?

  Yes

  No

  N/A

Safety Pack

• MONTHLY

• Completed?

  Yes

  No

  N/A

• On file?

  Yes

  No

  N/A

STAFF INTERVIEW

• TEAM MEMBERS (LESS THAN 2 YEARS SERVICE)

• Knowledge of induction completed?

  Yes

  No

  N/A

• Safety plan knowledge?

  Yes

  No

  N/A

• Site safety information knowledge?

  Yes

  No

  N/A

• Know who the site safety team are?

  Yes

  No

  N/A

• What are you responsible for with safety?

  Yes

  No

  N/A

• Danger tags (knowledge of)

  Yes

  No

  N/A

• What should you do in an incident?

  Yes

  No

  N/A

Carpark

• LINES

• Lines clearly marked?

  Yes

  No

  N/A

• Directional arrows clear?

  Yes

  No

  N/A

• SPEED

• 15kms signs and in good condition?

  Yes

  No

  N/A

• CAR PARK SURFACE

• Do pot holes exist?

  Yes

  No

  N/A

• LIGHTS

• On timer and working? Daylight savings?

  Yes

  No

  N/A

• TROLLEYS

• No more than 7 trolleys collected with a strap?

  Yes

  No

  N/A

• 4 without a strap?

  Yes

  No

  N/A

• Hi vis safety vest worn outside building?

  Yes

  No

  N/A

• Raincoat available? (Rain)

  Yes

  No

  N/A

• Hat available? (Sun)

  Yes

  No

  N/A

Stockroom

• STOCK MANAGEMENT PRINCIPLES

• Is stock stacked safely?

  Yes

  No

  N/A

• LINE MARKING

• Clear and in good condition?

  Yes

  No

  N/A

• Walkway clear of stock. Trolleys and flat decks?

  Yes

  No

  N/A

• LADDERS & STEP STOOLS

• Stored safely?

  Yes

  No

  N/A