GCR Site assessment

• GCR Site assessment

• Store#

• Prepare by

• Conducted on

  Date

• Store Manager

Site appearance exterior

• Does the exterior site appearance promote the brand image?

  Yes

  No

  N/A

• Is the parking lot and outside the building free of debris?

  Yes

  No

  N/A

• Are there any bumps steps holes or groves on the parking lot or outside the building that can be a tripping hazard?

  Yes

  No

  N/A

• Are there weeds over 1 foot tall growing around or in the tire stacks around the fence or other areas?

  Yes

  No

  N/A

• Are the windows clean?

  Yes

  No

  N/A

• If windows have advertisement in them, is it current and does it look good?

  Yes

  No

  N/A

• Is there junk, scraped tires other debris visible when the customers pull onto the property?

  Yes

  No

  N/A

• Are there sufficient signs to identify the location as GCR?

  Yes

  No

  N/A

• Is signage in good condition?

  Yes

  No

  N/A

Inerior

• Is the customer reception area/office clean and organized?

  Yes

  No

  N/A

• Are the employees break rooms and bathrooms clean and organized?

  Yes

  No

  N/A

• Is the emergency evacuation posted?

  Yes

  No

  N/A

• Are the torques inspected monthly and yearly?

  Yes

  No

  N/A

• Did you meet with all new teammates to stress the GCR commitment to safety?

  Yes

  No

  N/A

• Did you ensure that as a store manager you signed off any pre-trip inspections that indicated repairs were required?

  Yes

  No

  N/A

• Did you ensure that pre-trip education was completed for all new drivers?

  Yes

  No

  N/A

• Did you ensure that all pre-trips were done at the beginning of shift and turned in prior to going out on any service call?

  Yes

  No

  N/A

• Has you location established a safety committee which is comprised of as many operation teammates as management?

  Yes

  No

  N/A

• Did you complete the service tech inspection checklist as required by the compliance?

  Yes

  No

  N/A

• Does the store have a dare they using a lock out tag out system?

  Yes

  No

  N/A

• Are electrical disconnects in good condition?

  Yes

  No

  N/A

• Are electrical panels in good condition and kept locked?

  Yes

  No

  N/A

• Are electrical cords in good condition?

  Yes

  No

  N/A

Training

• Did you ensure that all teammates completed documented safety training for 4S?

  Yes

  No

  N/A

• Did you ensure all teammates completed documented safety training for safety cage & trajectory zone?

  Yes

  No

  N/A

• Is the 4S program training completed and being implemented?

  Yes

  No

  N/A

• Did you ensure that all new hired teammates have completed the required safety training prior to starting work and that you have the supporting documentation? This include safety smart, TIA, And pre-trip training

  Yes

  No

  N/A

• Did you ensure that all teammates completed documented safety training for safety cage & trajectory zone? Has the trajectory zone been identified?

  Yes

  No

  N/A

• Is the hazardous communication (HAZCOM) training register signed, quizzes on file and current (within 12 months)?

  Yes

  No

  N/A

• Is the personal protective equipment (PPE) training log completed and quizzes on file (within 12 months)?

  Yes

  No

  N/A

• Do all forklift drivers at your location have current forklift certificates? Operators should have current card in possession when operating vehicles.

  Yes

  No

  N/A

• Are all service technicians TIA certified? Have all certified technicians decertified within the last 24 months?

  Yes

  No

  N/A

• Are at least 2 people at your location trained in first aid and CPR?

  Yes

  No

  N/A

• Did you ensure that all teammates completed documented safety training for lockout/tagout?

  Yes

  No

  N/A

• Did ensure that all teammates completed safety training for tire handling?

  Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

OSHA

• Is the OSHA 300 log up to date and are there completed copies of the previous five years OSHA 300 logs and 300 summaries on file at the location as required by law?

  Yes

  No

  N/A

• Is the OSHA 300A posted every year on February 1st and taken down at the end of April as required by law?

  Yes

  No

  N/A

MSHA

• Does the site services MSHA facilities?

  Yes

  No

  N/A

• Is the MSHA tracking (MSHA 7000-02) documentation maintained at the location?

  Yes

  No

  N/A

• Do they have the documented MSHA ID# part 48 and part 46 plans on file at the location?

  Yes

  No

  N/A

Information state and federal compliance

• Are the safety health harassment and workers compensation posters properly displayed?

  Yes

  No

  N/A

• Is the Bridgestone fundamental safety activities poster displayed?

  Yes

  No

  N/A

• Is there a file or list of employees emergency phone numbers and the person to contact in case of emergency?

  Yes

  No

  N/A

• Do the the manager and the teammates know the correct procedure to fallow after a safety incident?

  Yes

  No

  N/A

• Did you ensure on a daily basis that all drivers have their license that it's correct for the type of vehicle being driven and their medical certifications are with the driver and are in compliance?

  Yes

  No

  N/A

• Did you report all CSA inspections and violations to mike Russell and Doug Herlein immediately via email and with a copy of the violation?

  Yes

  No

  N/A

• Did you review the weekly CSA & accident reports with all teammates on a weakly basis?

  Yes

  No

  N/A

• Does the location have current Material Safety Data Sheets (MSDS) for products by brand sample (5) and are easy accessible?

  Yes

  No

  N/A

Observation

• Are correct emergency numbers posted on or near all telephones in the location? Address it's also recommend

  Yes

  No

  N/A

• Is there an adequate first aid kit(s) at the location?

  Yes

  No

  N/A

• Where all injuries called into medcor within 24 hours of the incidents?

  Yes

  No

  N/A

• Are all fire extinguishers sample (10) easily accessible?

  Yes

  No

  N/A

• Are all fire extinguisher sampled (10) identified by proper signage?

  Yes

  No

  N/A

• Are all fire extinguishers sampled (10) service annually as required? Are the extinguishers inspected monthly?

  Yes

  No

  N/A

• Are all doors leading outside of the building properly identified as an exit?

  Yes

  No

  N/A

• Are all exit doors unlocked and unblocked during normal business hours?

  Yes

  No

  N/A

Service area observation

• Did you ensure that all PPE is being worn? Safety glasses must have side shields

  Yes

  No

  N/A

• Is the shop/service pad clean and are tools & equipment kept picked up?

  Yes

  No

  N/A

• Are the trash containers and do they appear to be emptied regularly?

  Yes

  No

  N/A

• Is the shop swept daily and is any oil or spilled lubricants cleaned up immediately?

  Yes

  No

  N/A

• Is the area free of tripping hazards?

  Yes

  No

  N/A

• Are jack stands (or cribbing as appropriate) used under all vehicles when the unit is lifted up by Jack or jacks properly and discipline teammates who are not

  Yes

  No

  N/A

• Are the the safety inflation cages in the service area (in good working order)? Are these devices used for inflation of all tires?

  Yes

  No

  N/A

• Are signs posted for customers not to be in the service area?

  Yes

  No

  N/A

• Are customers in the service area?

  Yes

  No

  N/A

• Are all tire bars in good condition?

  Yes

  No

  N/A

• Are cheetah gauges in good condition?

  Yes

  No

  N/A

• Are fire extinguishers sample (10) easily accessible?

  Yes

  No

  N/A

• Are fire extinguishers sample (10) identified by proper signage?

  Yes

  No

  N/A

• Are fire extinguishers sample (10) service annually and inspected monthly?

  Yes

  No

  N/A

• Are electrical cords in good condition?

  Yes

  No

  N/A

• Are electrical panels in good condition and kept locked?

  Yes

  No

  N/A

• Are electrical disconnects in good condition?

  Yes

  No

  N/A

Warehouse & Storage

• Do all overhead storage areas have railing that are 42 inches (107 cm) high with a 21 inch (54 cm) mid rail?

  Yes

  No

  N/A

• Are all changes in elevation over 6 inches (15 cm) painted yellow to mark their location?

  Yes

  No

  N/A

• Are the stairs and handrails in good condition?

  Yes

  No

  N/A

• Are the inside warehouse and outside storage areas clean?

  Yes

  No

  N/A

• Are these areas well lighted? Are all light fixtures working?

  Yes

  No

  N/A

• Is the warehouse free of tripping hazards?

  Yes

  No

  N/A

• Are electrical disconnects in good condition?

  Yes

  No

  N/A

• Are all electrical cords in good condition?

  Yes

  No

  N/A

• Are electrical panels in good condition and kept locked?

  Yes

  No

  N/A

Safety coordinator

• Did you ensure that any additional action items from your safety coordinator or corporate safety audits were completed I the alloted time?

  Yes

  No

  N/A

• Following the completion of your first quarter survey was a quarterly review held with your district manager to evaluate the completion of your IIP items?

  Yes

  No

  N/A