Title Page

  • Store ID

  • Store Name

  • Conducted on

  • Prepared by

  • Location
  • Score

Exterior grounds-front parking lot and landscaping

  • Parking lot is safe and free of potholes

  • Provide photos of parking lot

  • Appears to be plenty of parking

  • Appropriate number of ADA stalls are labeled and signed

  • Parking lot landscaping is well maintained and brand appropriate

  • Provide photos of the parking lot landscaping

  • Lighting of exterior front is adequate and functional

  • Provide photos of the wall packs and parking lot lights

  • Parking lot is free of debris and brand appropriate

  • Additional comments on the exterior grounds

  • Employee entrance door working including intercom and remote lock is in good working order

Exterior Grounds -back parking lot and employee entrance

  • Parking lot is safe and free of potholes

  • Employee entrance lighting is functional and adequate

  • Parking lot is well maintained and free of debris

  • Provide photos of parking lot conditions

  • Garbage and recycling areas are secure and well-maintained

  • Lighting exterior rear of store is adequate and functional

  • Provide photos of wall packs / additional. Lighting

  • Store has dock equipment

  • Provide photos of dock equipment

  • Additional comments on exterior grounds

Store Entrance - exterior walls, sidewalks, signage and features

  • Trellis and bollards, if present, are well maintained and brand appropriate

  • Provide photos of trellis including footings, cleats and bollards

  • Exterior facade is brand appropriate with no cracks or missing / worn paint

  • Provide photos of exterior features

  • Sidewalk is safe with no trip hazards

  • Store entrance lighting is adequate and functional

  • Provide photos of all store entrance lighting

  • Trash receptacles are present and maintained..not overflowing

  • Exterior signage is brand appropriate and in working order

  • Provide photos of all signage including monument and pylon

  • Main entry doors are in working order and brand apprpriate

  • Provide photos of entrance doors

  • Door switch or auto opener is functional

  • Store entrance exterior windows and sills are clean

  • Provide photos of store entrance windows

  • Additional comments on store entrance exterior

Store Entrance - Interior

  • Vestibule is well lit and interior door switches are functional

  • Provide photos of vestibule

  • Interior of vestibule is conditioned

  • Store in entrance interior is well lit and walk off mats are clean

  • Provide photos on store entrance interior

  • No visible leaks at store entrance interior

  • Trash receptacles are in place and empty

  • EAS system is In place and functional

  • Store entrance interior windows and sills are clean

  • Additional comments on store entrance interior

  • Store entrance interior flooring is safe with no trip hazards or cracks that exceed guidelines.

Cashier / CS area

  • Lighting at all stations is functional

  • No visible leaks in Cashier / CS area

  • Cashier / CS area flooring is safe with no trip hazards or cracks that exceed guidelines

  • Cashier / CS area walls are free of damage

  • Trellis feature is free of dust, area is clean

  • Pull out shelving at registers are working as designed

  • Cabinet doors are working as designed

  • Customer hold area doors are functional and free of damage

  • Provide photos of cabinet and Hold area doors

  • Additional comments on Cashier / CS area

  • Provide photos of Cashier / CS areas

Sales Floor

  • Lighting is adequate and functional

  • Provide photos of general lighting and specific fixtures / lamps

  • Sales floor hard flooring is safe with no trip hazards or cracks that exceed guidelines

  • Sales floor carpet is in good condition with no trip hazards

  • Carpet transitions are secure with no trip hazards

  • All fixtures have power where needed

  • Floor outlet covers are in place

  • No visible leaks on sales floor

  • Sales floor walls are in good condition and brand appropriate

  • Add media

  • Fitting room lights are functional

  • Fitting rooms are functional and meeting expectations of our customers and staff

  • HVAC is operational and the space is conditioned within employee and customer expectations

  • All doors leading off of the sales floor are in good working condition and areas are clean

  • Additional comments on the sales floor

  • Sales floor is clean and meets expectations for customer satisfaction and brand acceptance

  • Provide photos of the sales floor as appropriate

Shop

  • Shop lighting is adequate and functional

  • No visible leaks in shop area

  • Shop space is conditioned and comfortable

  • Provide photos of shop HVAC if present

  • Bike lifts are operational with no visible modifications

  • Shop floor is in good condition, relatively clean and free of trip hazards

  • Shop compressor is operational and not configured out of code

  • Shop hood is functional

  • Additional comments on the shop area

  • Provide photos of the shop

Customer Restrooms

  • All restrooms were visited

  • Customer restrooms were not remodeled in the last five years

  • Restroom flooring is free of trip hazards and in good shape

  • Provide photos of restroom flooring

  • Restrooms are clean and meet expectations for customer satisfaction and brand acceptance

  • No visible leaks in the restrooms

  • Restroom ventilation is adequate

  • Restroom lighting is adequate

  • All plumbing fixtures and accessories are functional

  • All faucets are functional and timed to turn off within 15 - 30 seconds<br>

  • Faucets provide hot water

  • Additional comments on customer restrooms

  • Provide photos of the restrooms

Employee Restroom and Shower

  • Restroom and shower is clean and meets expectations for employee satisfaction and brand acceptance

  • Floor is in good shape and free of trip hazards

  • Provide photos of restroom and shower floor

  • Ventilation is adequate

  • No visible leaks

  • Lighting is adequate

  • All plumbing fixtures and restroom accessories are functional

  • Faucets are functional and turn off within 15-20 seconds

  • Shower provides adequate hot water

  • Additional comments on Employee Restroom and Shower

  • Provide photos of the employee restroom and shower

Office

  • Office is clean and meets our expectations of employee satisfaction and brand acceptance

  • Lighting is adequate

  • No visible leaks in the office

  • Flooring is in good condition and free of trip hazards

  • Provide photos of office flooring

  • Wall repairs needed

  • Provide photos of damaged walls

  • Cabinets are functional

  • Doors and locks are functional

  • Is banking room located in the office? If no, indicate where banking room is located

  • Banking room door, locks, safe, shelving and cabinets are all functional

  • Banking room floor is free of trip hazards

  • Provide photos of banking room flooring

  • Is server rack located in the office? If no, indicate where it is located

  • Provide photo of server rack and any HVAC dedicated to the area

  • No overheating issues associated with the server

  • Store is in possession of all necessary keys including the control key

  • Are store's drawings located in the office? If not indicate where they are stored

  • Additional comments on the office area

Employee Breakroom

  • Employee Breakroom is clean and meets our expectations for employee satisfaction and brand acceptance

  • Lighting is adequate

  • No visible leaks

  • Flooring is in good shape and free of trip hazards

  • Provide photos of Breakroom floor

  • Cabinets, drawers, disposal, refrigerator and all accessories are functional

  • Additional comments on the Employee Breakroom

Warehouse

  • Lighting is adequate

  • Floor is free of trip hazards

  • No visible leaks

  • Man doors are in good working order

  • Overhead doors are operational and in good working order

  • Overhead doors are insulated

  • Any fire doors at this location?

  • If yes, door has valid expiration date posted

  • Racking is secured to floor and walls

  • Racking complies with ADA

  • HVAC supplies the warehouse space?

  • Provide photos of HVAC

  • Location does not have any lift equipment such as forklifts or Walky Stackers

  • No issues with switchgear

  • No issues with EMS

  • Provide photos of switchgear and EMS

Backflow and fire sprinkler

  • Backflow is maintained by REI

  • Backflow is located on REI premises

  • No issues with backflow

  • Provide photos of Backflow devices

  • No issues with fire sprinkler system

Burglar Alarm

  • Alarm is maintain solely by REI

  • No issues with alarm

  • Provide photo of alarm panel

Fire Alarm

  • Alarm is maintained solely by REI

  • No issues with alarm

  • Provide photos of the alarm panel

Roof

  • Access is within REI space

  • Information regarding roof maintenance

  • Comments regarding general condition and concerns

  • Provide photos of roof

  • Comments on condition and concerns regarding HVAC equipment

  • Provide photos of HVAC equipment

  • Additional comments on the roof

Off-site space associated with location if applicable

  • Is there off-site space associated with the location? Describe in detail

Elevator

  • Unit is operational

  • Operating permit is posted and current

  • Comments and concerns regarding the elevator

Janitorial

  • No issues with janitorial

  • Store posts a SC note in the current work order regarding and comments or concerns

  • Diverse Chemicals are properly hooked up and being used

  • Scope of Work is posted by cleaning supplies

  • Additional comments on janitorial

Other

  • Additional comments on location items that may have been missed

  • Provide signature below when audit is complete

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.