GoodwillJax DC Safety Checklist

• Donation Center:

• Conducted on

  Date

• Donation Center Location:
  Address

• CSR on duty:

General Conditions

• Any piles

  Yes

  No

• Are the walkways blocked

  Yes

  No

  N/A

• Please select a pile size

  Small

  Medium

  Large

  XL

  XXL

• Please provide photos here

  Media

• Full totes are safely stacked with no more than four high

  Yes

  No

  N/A

• Full totes are able to be closed flat without anything sticking out the top

  Yes

  No

  N/A

• Customer Receiving Area clear of donations & equipment (dandux/totes)

  Yes

  No

  N/A

• Adequate lighting

  Yes

  No

  N/A

• Housekeeping acceptable

  Yes

  No

  N/A

• Restrooms clean, stocked and maintained.

  Yes

  No

  N/A

• First aid kit stocked

  Yes

  No

• What first aid items are needed?

• Front doors and windows clean

  Yes

  No

  N/A

• Doors unobstructed

  Yes

  No

  N/A

Building evacuations/Life safety

• Exit signs lighted

  Yes

  No

  N/A

• Exit path clear

  Yes

  No

  N/A

• Exit doors operable/clear

  Yes

  No

  N/A

Fire prevention

• Fire extinguishers accessible

  Yes

  No

  N/A

• Monthly inspection conducted

  Yes

  No

  N/A

• Electrical panels clear by 36"

  Yes

  No

  N/A

• Water heaters clear by 36"

  Yes

  No

  N/A

Outside grounds

• Parking area maintained

  Yes

  No

  N/A

• Walkways in good condition

  Yes

  No

  N/A

• All lights functional

  Yes

  No

  N/A

• Trash picked up

  Yes

  No

  N/A

• Comments:

• Add any related media here:

  Media

• Prepared by

  Sign