Title Page

  • Client / Site

  • Conducted on

  • Prepared by

Colleague Areas

  • Are the colleague toilets clean and tidy?

  • Are the kitchen surfaces (floors/countertops) clean and tidy?

  • Are all appliances clean and hygienic?

  • Are all Fire extinguishers serviced and free from obstruction?

  • Have all fire doors been opened in the last 7 days?

  • Are all main fire exit routes free and clear of obstructions i.e. Bikes, fixtures, fittings, rubbish etc?

  • Are Fire escape routes well lit and clearly signed?

  • Are all stairwells free from stored combustible materials?

  • Is all furniture in a good state of repair i.e. office chairs free of rips or missing casters etc?

  • Are all floor surfaces free from damage?

  • Is the cleaning cupboard well maintained?

  • Is the First Aid box present and filled with the relevant contents?

  • Are all fire doors closed and not propped open?

Paperwork & Notice boards

  • Is there a copy of the health and safety policy on display?

  • Is the health and safety law poster on display?

  • Top Box: Paul Lang - Paul.lang02@dixonscarphone.com - 07482469239
    Bottom Box: Judith Peacock - Judith.Peacock@dixonscarphone.com - 07872845002

  • Is the top and bottom box information correct?

  • is the store-specific emergency evacuation plan on display?

  • What date was the last Emergency Evacuation carried out?

  • Has the store carried out the exercise as requested?

  • Please add photographic evidence of the Evacuation drill record.

  • If no why?

  • What date did the store last complete an Emergency Evacuation?

  • Is there a copy of the insurance liability certificate on display?

  • Is the accident reporting procedure on display?

  • Is the Manual Handling guidance on display?

  • Is the first aid poster on display?

  • is the tote guidance poster on display?

  • Can the store evidence the completion of fire alarm tests?

  • What was the last test date?

  • Can the store evidence the completion of emergency light tests?

  • What was the last test date?

  • Can the store evidence the completion of Water temperature testing?

  • What was the last water temperature recorded?
  • Has the store completed the risk assessment process?

  • If no why?

  • Have all colleagues been briefed on the risk assessments that are relevant to them?

  • If no why?

  • Is the latest Fire Risk Assessment (FRA) present?

  • Has the store manager completed the assigned actions contained within the FRA?

Sales Floor / Mezzanine

  • Are all fire extinguishers serviced and free from obstructions?

  • Are all Emergency Evacuation chairs wall mounted and free from obstructions?

  • Are refuge points clean tidy and free of combustible materials?

  • Are all fire exit routes clearly indicated and is high-level signage visible?

  • Are all final exit routes free from obstruction?

  • Have all final exit doors been opened in the last 7-days?

  • Are all till points in good working order? i.e. no frayed cables, broken scanners, shelves etc?

  • Are all floors/surfaces (including entrance mats) free from damage?

  • Is merchandising done in such a manner as not to cause trip hazards or prevent access and egress?

  • Are all stair treads and handrails in good order and free from damage?

  • Is all glass clearly highlighted with manifestations?

  • Are all cooker hoods installed correctly and mechanically fixed in place?

  • Are integrated appliances securely fixed in place (including doors)?

Work Equipment

  • Is the Mechanical Stacker in good working order and showing no signs of wear? i.e. frayed cables, bent plates etc.

  • Does the Mechanical Stacker have a maximum working load sticker present?

  • Is the Sack Truck in good working order?

  • Do the safety interlocks work on the goods lift?

  • Does the emergency stop function on the Conveyor belt operate as it should?

  • Do all the Conveyor belt controls function as they should?

  • Are the Conveyor belts safe working loads displayed in a location visible to the user?

  • Is the Conveyor belt safety poster present?

  • Are all the roller end guards and main drive guards present?

  • Are all step ladders fully functional and free from defects?

  • Are all Pallet Trucks in good working order? i.e. no leaking hydraulic oil, no bent or loose wheels, no automatic decrease in lift height.

  • Are all Pallet Trucks clearly labelled with the maximum safe working load?

Warehouse / Stock Room

  • Is Stock or Comm's equipment stored in a safe manner with consideration of the items weight?

  • Are all fire exits clearly lit and well signed?

  • Are all emergency exit routes clear and free from obstruction?

  • Have all final exit doors been opened in the last 7-days?

  • Are all stairwells free from stored combustible materials?

  • Are all stairs and handrails in a good state of repair?

  • Are all fire extinguishers serviced and free from obstruction?

  • Are all internal room ceilings and other fragile surfaces free from stored items?

  • Are main Electrical intakes free from stored combustible materials?

  • Are all goods for resale stored in a safe manner?

  • Is the warehouse in a clean and tidy state?

  • Is lighting in good working order?

  • Is the loading bay clear and free from obstructions?

  • Are all yellow (or other colour) painted demarcation lines clearly visible?

  • Are floors and surfaces in a good state of repair?

Knowledge Check

  • Are colleagues aware of the risk assessment process and have they acknowledged completion?

  • Are colleagues aware of what to do should an accident occur in store?

  • Are colleagues aware of the emergency evacuation plan?

  • Are colleagues aware of the action to be taken in a violent situation/robbery?

  • Are colleagues aware of the signing-in process?

  • Are colleagues aware of what to do when contractors visit the store?

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.