Title Page

  • Conducted on

  • Prepared by

  • Location
  • Site

In Freezer

  • How clean Are the cross isle of debris and pallets?

  • How clean is the back wall of debris and pallets?

  • How clean are isle 1-6

  • How clean are isle 7-20?

  • How clean are isle 21-34?

  • How clean are pick slots from garbage and damaged cases ?

  • How clean are pick slots from build up of empty pallets ?

  • How clean are trash cans and bins from overflow ?

  • How clean is the re pack side of 35 wall?

  • Status of transdock wall?

  • Condition of ice and frost build up on freezer doors?

  • Condition of ice and frost build up in reserve slots?

On Dock

  • How clean is the dock from doors 1-35?

  • How clean is the dock from doors 36-50?

  • Was the dock free of parked or left over equipment?

  • How clean is the pallet area ?

Assessment Overveiw

  • Overall Assessment Grade

  • Reasoning For Graded Assessment

  • Final Assessment Score

  • Signature

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.