Grocery GL & WC safety survey Good

Title Page

Store Name/Number
Contact Name
Title
Date of Survey & Time
Address

INSTRUCTIONS

1. Answer "Yes", "No", "N/A" on the questions below.
2. Add photos and notes by clicking on the paperclip icon
3. To add a Corrective Measure click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date
4. Complete audit by providing digital signature
5. Share your report by exporting as PDF, Word, Excel or Web Link

Parking Lot / Store Exterior

Is lot in acceptable condition? Note any potholes, large cracks, broken concrete, other trip hazards present. • RECOMMENDATION : Repair/demarcate any hazards to prevent a customer trip and fall.
• RECOMMENDATION : Repair/demarcate any hazards to prevent a customer trip and fall.
Are curbs, parking bumpers and speed bumps painted and secure/intact? • RECOMMENDATION : Repair the curbs in the parking lot to prevent a trip & fall.
• RECOMMENDATION : Repair the curbs in the parking lot to prevent a trip & fall.
Is the parking lot free of excessive shopping carts? • RECOMMENDATION : Remove shopping carts at regular intervals to reduce struck by hazards.
• RECOMMENDATION : Remove shopping carts at regular intervals to reduce vehicle and cart accidents.
Are shopping carts in working order, including child restraints? • RECOMMENDATION : Remove any damaged shopping carts and those with missing/non-functioning child restraints.
• RECOMMENDATION : Remove any damaged shopping carts and those with missing/non-functioning child restraints.
Are sidewalk/outdoor displays free from hazards? • RECOMMENDATION : Remove/redesign any displays that present a hazard such as tripping, falling products, etc.
• RECOMMENDATION : Remove/redesign any displays that present a hazard such as tripping, falling products, etc.
Are fire department connections capped? • RECOMMENDATION : Cap fire department connections to ensure proper functioning in case of fire.
• RECOMMENDATION : Cap fire department connections to ensure proper functioning in case of fire.
Is Additional Recommendation Needed??

Front End / Check stands / Entrances

Are carpeted mats present in front of ice cooler(s)? • RECOMMENDATION : Place mat on the floor in front of the ice cooler(s) to capture drips and ice from broken bags to prevent a customer slip and fall.
• RECOMMENDATION : Place mat on the floor in front of the ice cooler(s) to capture drips and ice from broken bags to prevent a customer slip and fall.
Are check stands in acceptable condition? •RECOMMENDATION : Repair check stands to reduce a customer cut hazard.
•RECOMMENDATION : Repair check stands to reduce a customer cut hazard.
Is there adequate visibility through the entrance doors? • RECOMMENDATION : Raise or lower the height of the posters in the storefront to enable clear visibility into the store from the outside.
• RECOMMENDATION : Raise or lower the height of the posters in the storefront to enable clear visibility into the store from the outside.
Are high visibility vests available and in use for employees collecting carts? • RECOMMENDATION : High visibility vests should be worn while collecting carts in the parking lot.
• RECOMMENDATION : High visibility vests should be worn while collecting carts in the parking lot.
Is the floor clean, dry, and free of any debris or slip/trip/fall hazards? • RECOMMENDATION : Clean and dry the floor immediately to remove any slip/trip/fall hazards.
• RECOMMENDATION : Clean and dry the floor immediately to remove any slip/trip/fall hazards.
Are automatic doors in good working condition? • RECOMMENDATION : Repair/service the door(s) to reduce a customer strike hazard. In addition, ensure daily self-inspection of all entrance/exit doors is occurring to ensure the sensors are working properly.
• RECOMMENDATION : Repair/service the door(s) to reduce a customer strike hazard. In addition, ensure daily self-inspection of all entrance/exit doors is occurring to ensure the sensors are working properly.
Have TMs been trained in proper lifting and material handling techniques? • RECOMMENDATION : Train employees in proper lifting and material handling techniques.
• RECOMMENDATION : Train employees in proper lifting and material handling techniques.
Are TMs aware of information contained on the Safety Data Sheets (SDS) and the location of SDS? • RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals and their safe usage.
• RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals and their safe usage.
Are keyboards positioned in the neutral position? • RECOMMENDATION : Adjust keyboards so the employees wrists are In neutral position.
• RECOMMENDATION : Adjust keyboards so the employees wrists are In neutral position.
Are TMs maintaining a neutral wrist posture when scanning and using the two hand pass method? • RECOMMENDATION : Train employees that wrist should be in neutral position, passing products from one hand to the other when scanning to reduce twisting and reaching.
• RECOMMENDATION : Train employees that wrist should be in neutral position, passing products from one hand to the other when scanning to reduce twisting and reaching.
Are reaches within the cashier and bagger's comfort zone? • RECOMMENDATION : Reaches should be within the cashier and bagger's comfort zone.
• RECOMMENDATION : Reaches should be within the cashier and bagger's comfort zone.
Do cashiers turn rather than twist? • RECOMMENDATION : Train cashiers to turn their feet/legs rather than twisting.
• RECOMMENDATION : Train cashiers to turn their feet/legs rather than twisting.
Are bag wells available in the cashier's cutout? • RECOMMENDATION : Bag wells should be easily accessible, the cut outs allow the bag wells to be out of work area for cashier.
• RECOMMENDATION : Bag wells should be easily accessible, the cut outs allow the bag wells to be out of work area for cashier.
Are anti-fatigue mats available, in use, and in good condition? • RECOMMENDATION : Purchase/replace anti-fatigue mats. These mats should be used to reduce stress on legs and feet when standing for long periods of time.
• RECOMMENDATION : Purchase/replace anti-fatigue mats. These mats should be used to reduce stress on legs and feet when standing for long periods of time.
Is Additional Recommendation Needed??

Floral

Are carpeted mats and/or a slip resistant floor treatment present under and/or in front of floral display? • RECOMMENDATION : Place mats on the floor under and/or in front of floral display to capture drips and spills to prevent a customer slip and fall. Slip resistant coatings are also recommended.
• RECOMMENDATION : Place mats on the floor under and/or in front of floral display to capture drips and spills to prevent a customer slip and fall. Slip resistant coatings are also recommended
Is Additional Recommendation Needed??

Sales Floor

Is the floor surface free of any cracks, grooves, missing tiles, etc. that may present a hazard? • RECOMMENDATION : Replace and/or repair the damaged floor to prevent a customer trip and fall.
• RECOMMENDATION : Replace and/or repair the damaged floor to prevent a customer trip and fall.
Are any of the freezer/cooler cases condensating onto the sales floor? • RECOMMENDATION : Contact your refrigeration vendor to repair the case to prevent a customer slip and fall. In the interim, utilize a absorbent pad(s) to remove the moisture and change out as necessary to control the moisture. Also use wet floor signs to warn customers of the hazard.
• RECOMMENDATION : Contact your refrigeration vendor to repair the case to prevent a customer slip and fall. In the interim, utilize a absorbent pad(s) to remove the moisture and change out as necessary to control the moisture. Also use wet floor signs to warn customers of the hazard.
Is the sales floor clean, dry, and free of any debris/products/cardboard or other slip/trip/fall hazards? • RECOMMENDATION : Keep the sales floor clean and dry at all times. Maintain the sales floor free of product, boxes, crates, stocking bins, etc. to prevent a vendor, customer and worker trip and fall.
• RECOMMENDATION : Keep the sales floor clean and dry at all times. Maintain the sales floor free of product, boxes, crates, stocking bins, etc. to prevent a vendor, customer and worker trip and fall.
Are there any pallets on the floor with exposed corners? • RECOMMENDATION : Pallets with exposed corners should be protected with a pallet wrap or adjustable pallet guard protectors to reduce a trip and fall hazard.
• RECOMMENDATION : Pallets with exposed corners should be protected with a pallet wrap or adjustable pallet guard protectors to reduce a trip and fall hazard.
Are there any unattended step ladders on the sales floor? • RECOMMENDATION : Store the step ladder appropriately. Follow up with the grocery stockers to ensure step ladders are not left unattended on any aisles to prevent a customer trip and fall.
• RECOMMENDATION : Store the step ladder appropriately. Follow up with the grocery stockers to ensure step ladders are not left unattended on any aisles to prevent a customer trip and fall.
Are carpeted mats present in use in the bulk area? • RECOMMENDATION : Consider placing mats in front of the bulk dispensers/bins to reduce slip and fall hazards.
• RECOMMENDATION : Consider placing mats in front of the bulk dispensers/bins to reduce slip and fall hazards.
Is Additional Recommendation Needed??

Deli / Bakery

Are filters in the hood free of grease buildup? • RECOMMENDATION : Pull down and clean the filters every two weeks (once per month at minimum) to reduce grease buildup and fire hazards.
• RECOMMENDATION : Pull down and clean the filters every two weeks (once per month at minimum) to reduce grease buildup and fire hazards.
Are light fixtures functioning and have proper guards? • RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
• RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
Are temperature monitoring logs being completed? • RECOMMENDATION : Develop monitoring logs to consistently document good food handling temperatures. Maintain logs for two years.
• RECOMMENDATION : Develop monitoring logs to consistently document good food handling temperatures. Maintain logs for two years.
Is there a food safety audit completed at least once a month (in house or third party)? • RECOMMENDATION : Develop a food safety audit for regular verification of food safety practices.
• RECOMMENDATION : Develop a food safety audit for regular verification of food safety practices.
Is there a fire barrier (or sufficient distance) between the stove and fryer? • RECOMMENDATION : A stainless steel partition should be installed between the stove and the deep fryer to reduce a fire hazard. The partition should extend 16 inches above the taller of the two appliances to prevent splashing of hot oil onto the stove to reduce a fire hazard.
• RECOMMENDATION : A stainless steel partition should be installed between the stove and the deep fryer to reduce a fire hazard. The partition should extend 16 inches above the taller of the two appliances to prevent splashing of hot oil onto the stove to reduce a fire hazard.
Are the flue and hood being cleaned every 6 months at minimum? • RECOMMENDATION : Contact a service company to initiate the semi-annual cleaning service of flue and hood.
• RECOMMENDATION : Contact a service company to initiate the semi-annual cleaning service of flue and hood.
Are caution wet floor signs and spill clean up supplies available in a readily accessible location? • RECOMMENDATION : Place wet floor signs and floor cleaning/drying supplies in an easily accessible location.
• RECOMMENDATION : Place wet floor signs and floor cleaning/drying supplies in an easily accessible location.
Are steam mitts or heat resistant gloves available, in good condition and being used? • RECOMMENDATION : Purchase heat resistant gloves and/or steam mitts to be used when handling hot foods. Steam mitts and/or heat resistant gloves should be readily accessible and in good working condition.
• RECOMMENDATION : Purchase heat resistant gloves and/or steam mitts to be used when handling hot foods. Steam mitts and/or heat resistant gloves should be readily accessible and in good working condition.
Do coolers/freezers have properly operating handles and push release knobs? • RECOMMENDATION : Service/repair any damaged/non-functional handles and push release knobs.
• RECOMMENDATION : Service/repair any damaged/non-functional handles and push release knobs.
Are all containers, buckets, spray bottles, and miscellaneous cleaning supplies, stored and labeled properly? • RECOMMENDATION : Train employees on proper chemical usage, labeling and storage.
• RECOMMENDATION : Train employees on proper chemical usage, labeling and storage.
Do employees keep floors, walls, and work areas free of foreign objects/debris while they work? • RECOMMENDATION : Train employees on "Clean As You Go" procedures to keep floors, walls, and work areas free of foreign objects.
• RECOMMENDATION : Train employees on "Clean As You Go" procedures to keep floors, walls, and work areas free of foreign objects.
Are cooler/freezer floors, walls and ceilings free of ice, water and debris? • RECOMMENDATION : Remove any debris, water, and/or ice to reduce a slip and fall hazard. Make necesasary repairs to plumbing/refridgeration systems to stop water/ice concerns.
• RECOMMENDATION : Remove any debris, water, and/or ice to reduce a slip and fall hazard. Make necesasary repairs to plumbing/refridgeration systems to stop water/ice concerns.
Are storage racks properly secured? Are good storage practices followed? • RECOMMENDATION : Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
• RECOMMENDATION : Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
Have employees been trained in proper lifting and material handling techniques? • RECOMMENDATION : Train employees on proper lifting and material handling techniques.
• RECOMMENDATION : Train employees on proper lifting and material handling techniques.
Have necessary employees been trained in Lockout Tag-out (LOTO) procedures? Do employees understand LOTO procedures? • RECOMMENDATION : Train employees on proper Lockout Tagout (LOTO) as necessary.
• RECOMMENDATION : Train employees on proper Lockout Tagout (LOTO) as necessary.
Are appropriate step ladders in use, stored properly, and in good condition? • RECOMMENDATION : Repair/purchase appropriate stepladder for the task being completed. Ladders should be stored securely and maintained in good condition.
• RECOMMENDATION : Repair/purchase appropriate stepladder for the task being completed. Ladders should be stored securely and maintained in good condition.
Are cut resistant gloves available and in use on the non-cutting hand? • RECOMMENDATION : Purchase cut resistant gloves for any employee using knives, cleaning blades of any kind, or as necessary. These should be used on the on the non-cutting hand for knive users and both hands while cleaning blades. Puncture resistant gloves are useful for Seafood production as well.
• RECOMMENDATION : Purchase cut resistant gloves for any employee using knives, cleaning blades of any kind, or as necessary. These should be used on the on the non-cutting hand for knive users and both hands while cleaning blades. Puncture resistant gloves are useful for Seafood production as well.
Are slip resistant shoes worn by employees? • RECOMMENDATION : Slip resistant shoes should be worn by employees to reduce the risk of slips and falls.
• RECOMMENDATION : Slip resistant shoes should be worn by employees to reduce the risk of slips and falls.
Are employees aware of information contained on the Safety Data Sheets (SDS) and the location of SDS? • RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals in house and their safe usage.
• RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals in house and their safe usage.
Are knives and other hand tools stored properly? • RECOMMENDATION : Train employees to put knives away when not in use (in a knive box, on a magnetic rack, etc.). Knives and other hand tools should always be properly stored.
• RECOMMENDATION : Train employees to put knives away when not in use (in a knive box, on a magnetic rack, etc.). Knives and other hand tools should always be properly stored.
Is access to display cases acceptable? Are there proper step-ups to display cases if necessary? • RECOMMENDATION : Modify cases or add a secure platform so employees can access display cases.
• RECOMMENDATION : Modify cases or add a secure platform so employees can access display cases.
Do all freezers have a fire axe properly mounted on or near the door? (CA only) • RECOMMENDATION : Applies to California locations only, Cal-OSHA requirement. Fire axe should be mounted and available in the event of a fire.
• RECOMMENDATION : Applies to California locations only, Cal-OSHA requirement. Fire axe should be mounted and available in the event of a fire.
Are all applicable machines properly guarded? Are employees properly using and not bypassing guards on equipment? • RECOMMENDATION : Remove from service any equipment that has a missing/non-functioning guard(s). Train employees on proper use of guards to protect them from hazards created by point of operation, nip points, rotating parts, flying chips, sparks etc.
• RECOMMENDATION : Remove from service any equipment that has a missing/non-functioning guard(s). Train employees on proper use of guards to protect them from hazards created by point of operation, nip points, rotating parts, flying chips, sparks etc.
Is the sales floor in the deli/bakery area clean, dry, and free of any debris or slip/trip/fall hazards? • RECOMMENDATION : Clean, dry, etc. the floor to remedy the situation immediately. There should be no slip/trip/fall hazards on the sales floor.
• RECOMMENDATION : Clean, dry, etc. the floor to remedy the situation immediately. There should be no slip/trip/fall hazards on the sales floor.
Is Additional Recommendation Needed??

Produce

Is produce department housekeeping in acceptable condition? • RECOMMENDATION : Follow up with the produce department employees to remind them to pick up loose produce and debris on the floor as they are stocking and rotating throughout the day.
• RECOMMENDATION : Follow up with the produce department employees to remind them to pick up loose produce and debris on the floor as they are stocking and rotating throughout the day.
Are carpeted mats and/or a slip resistant floor treatment present under and/or in front of the wet produce displays? • RECOMMENDATION : Place mats on the floor under and/or in front of the wet produce display to capture drips and spills to prevent a customer slip and fall. Slip resistant coatings are also recommended
• RECOMMENDATION : Place mats on the floor under and/or in front of the wet produce display to capture drips and spills to prevent a customer slip and fall. Slip resistant coatings are also recommended
Are caution wet floor signs and spill clean up supplies available in a readily accessible location? • RECOMMENDATION : Place wet floor signs and floor cleaning/drying supplies in an easily accessible location.
• RECOMMENDATION : Place wet floor signs and floor cleaning/drying supplies in an easily accessible location.
Are light fixtures functioning and have proper guards? • RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
• RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
Is the sales floor clean, dry, and free of any debris/products/cardboard or other slip/trip/fall hazards? • RECOMMENDATION : Keep the sales floor clean and dry at all times. Maintain the sales floor free of product, boxes, crates, stocking bins, etc. to prevent a vendor, customer and worker trip and fall.
• RECOMMENDATION : Replace unauthorized extension cords with proper extension cords that meet the electrical need and are in proper order.
Is the sales floor clean, dry, and free of any debris/products/cardboard or other slip/trip/fall hazards? • RECOMMENDATION : Keep the sales floor clean and dry at all times. Maintain the sales floor free of product, boxes, crates, stocking bins, etc. to prevent a vendor, customer and worker trip and fall.
• RECOMMENDATION : Keep the sales floor clean and dry at all times. Maintain the sales floor free of product, boxes, crates, stocking bins, etc. to prevent a vendor, customer and worker trip and fall.
Is Additional Recommendation Needed??

Meat / Seafood

Do coolers/freezers have properly operating handles and push release knobs? • RECOMMENDATION : Service/repair any damaged/non-functional handles and push release knobs.
• RECOMMENDATION : Service/repair any damaged/non-functional handles and push release knobs.
Are all containers, buckets, spray bottles, and miscellaneous cleaning supplies, stored and labeled properly? • RECOMMENDATION : Train employees on proper chemical usage, labeling and storage.
• RECOMMENDATION : Train employees on proper chemical usage, labeling and storage.
Do employees keep floors, walls, and work areas free of foreign objects/debris while they work? • RECOMMENDATION : Train employees on "Clean As You Go" procedures to keep floors, walls, and work areas free of foreign objects.
• RECOMMENDATION : Train employees on "Clean As You Go" procedures to keep floors, walls, and work areas free of foreign objects.
Are cooler/freezer floors, walls and ceilings free of ice, water and debris? • RECOMMENDATION Remove any debris, water, and/or ice to reduce a slip and fall hazard. Make necesasary repairs to plumbing/refridgeration systems to stop water/ice concerns.
• RECOMMENDATION Remove any debris, water, and/or ice to reduce a slip and fall hazard. Make necessaary repairs to plumbing/refrigeration systems to stop water/ice concerns.
Are storage racks properly secured? Are good storage practices followed? • RECOMMENDATION Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
• RECOMMENDATION Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
Have TMs been trained in proper lifting and material handling techniques? • RECOMMENDATION : Train employees on proper lifting and material handling techniques.
• RECOMMENDATION : Train employees on proper lifting and material handling techniques.
Have necessary employees been trained in Lockout Tag-out (LOTO) procedures? Do employees understand LOTO procedures? • RECOMMENDATION : Train employees on proper Lockout Tagout (LOTO) as necessary.
• RECOMMENDATION : Train employees on proper Lockout Tagout (LOTO) as necessary.
Are appropriate step ladders in use, stored properly, and in good condition? • RECOMMENDATION : Repair/purchase appropriate stepladder for the task being completed. Ladders should be stored securely and maintained in good condition.
• RECOMMENDATION : Repair/purchase appropriate stepladder for the task being completed. Ladders should be stored securely and maintained in good condition.
Are cut resistant gloves available and in use on the non-cutting hand? • RECOMMENDATION : Purchase cut resistant gloves for any employee using knives, cleaning blades of any kind, or as necessary. These should be used on the on the non-cutting hand for knive users and both hands while cleaning blades.
• RECOMMENDATION : Purchase cut resistant gloves for any employee using knives, cleaning blades of any kind, or as necessary.
Are light fixtures functioning and have proper guards? • RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
• RECOMMENDATION : All lights over exposed products should be working and have covers to keep food products safe from broken bulbs.
Are slip resistant shoes worn by employees? • RECOMMENDATION : Slip resistant shoes should be worn by employees to reduce the risk of slips and falls.
• RECOMMENDATION : Slip resistant shoes should be worn by employees to reduce the risk of slips and falls.
Are employees aware of information contained on the Safety Data Sheets (SDS) and the location of SDS? • RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals in house and their safe usage.
• RECOMMENDATION : Train employees on the SDS and the location of the SDS. This contains all information pertaining to chemicals in house and their safe usage.
Are knives and other hand tools stored properly? • RECOMMENDATION : Train employees to put knives away when not in use (in a knive box, on a magnetic rack, etc.). Knives and other hand tools should always be properly stored.
• RECOMMENDATION : Train employees to put knives away when not in use (in a knife box, on a magnetic rack, etc.). Knives and other hand tools should always be properly stored.
Is access to display cases acceptable? Are there proper step-ups to display cases if necessary? • RECOMMENDATION : Modify cases or add a secure platform so employees can access display cases.
• RECOMMENDATION : Modify cases or add a secure platform so employees can access display cases.
Do all freezers have a fire axe properly mounted on or near the door? • RECOMMENDATION : Applies to California locations only, Cal-OSHA requirement. Fire axe should be mounted and available in the event of a fire.
• RECOMMENDATION : Applies to California locations only, Cal-OSHA requirement. Fire axe should be mounted and available in the event of a fire.
Are all applicable machines properly guarded? Are employees properly using and not bypassing guards on equipment? • RECOMMENDATION : Remove from service any equipment that has a missing/non-functioning guard(s). Train employees on proper use of guards to protect them from hazards created by point of operation, nip points, rotating parts, flying chips, sparks etc.
• RECOMMENDATION : Remove from service any equipment that has a missing/non-functioning guard(s). Train employees on proper use of guards to protect them from hazards created by point of operation, nip points, rotating parts, flying chips, sparks etc.
Is the sales floor in the meat/seafood area clean, dry, and free of any debris or slip/trip/fall hazards? • RECOMMENDATION : Clean, dry, etc. the floor to remedy the situation immediately. There should be no slip/trip/fall hazards on the sales floor.
• RECOMMENDATION : Clean, dry, etc. the floor to remedy the situation immediately. There should be no slip/trip/fall hazards on the sales floor.
Is Additional Recommendation Needed??

Bathrooms / café area

Is bathroom area housekeeping in good condition? • RECOMMENDATION : Keep the bathroom area floors clean, dry and clutter free to prevent a vendor, customer and worker trip and fall.
• RECOMMENDATION : Keep the bathroom area floors clean, dry and clutter free to prevent a vendor, customer and worker trip and fall.
If customer bathrooms are accessible through the stockroom/back of house, is there a clearly defined, clean and hazard free path to access them? • RECOMMENDATION : Using a highly visible, slip-resistant paint or tape, mark the pathway from the sales floor leading to the bathrooms to guide customers in locating the bathrooms and create a visual area for employees to remind them to maintain the area free of stock or equipment to prevent a trip and fall.
• RECOMMENDATION : Using a highly visible, slip-resistant paint or tape, mark the pathway from the sales floor leading to the bathrooms to guide customers in locating the bathrooms and create a visual area for employees to remind them to maintain the area free of stock or equipment to prevent a trip and fall.
Are door dampers present on bathroom doors? Do bathroom doors close at a rate of 4-6 from a fully open position? • RECOMMENDATION : Install a door closer/damper to close at a speed of 4 to 6 seconds from a fully open position to reduce a door strike hazard.
• RECOMMENDATION : Install a door closer/damper to close at a speed of 4 to 6 seconds from a fully open position to reduce a door strike hazard.
Is the café area clear and the furniture in good condition? • RECOMMENDATION : Keep the café floors clean, dry and clutter free to prevent a slip and fall. Remove and/or replace any furniture not in good working order.
• RECOMMENDATION : Keep the café floors clean, dry and clutter free to prevent a slip and fall. Remove and/or replace any furniture not in good working order.
Is Additional Recommendation Needed??

Stockroom/Back of House

Is stockroom housekeeping in acceptable condition? • RECOMMENDATION : Remind the stockers to maintain a clear walking path in the stockroom area free of boxes, crates, stocking bin, carts etc. to prevent a vendor and/or employee trip and fall.
• RECOMMENDATION : Remind the stockers to maintain a clear walking path in the stockroom area free of boxes, crates, stocking bin, carts etc. to prevent a vendor and/or employee trip and fall.
Are only approved/trained employees allowed to use the bailer/compactor? • RECOMMENDATION : Only employees who are approved and trained should be allowed to use the bailer/compactor to reduce the risk of a vendor injury.
• RECOMMENDATION : Only employees who are approved and trained should be allowed to use the bailer/compactor to reduce the risk of a vendor injury.
Do baler and compactor emergency stops operate properly? • RECOMMENDATION : Repair/Lock out-Tag out the bailer/compactor if the stops do not work properly. Emergency stops should be in good working condition.
• RECOMMENDATION : Only employees who are approved and trained should be allowed to use the bailer/compactor to reduce the risk of a vendor injury.
Ladder(s) properly stored and secured? • RECOMMENDATION : Hang, chain or bungee cord the ladder to the wall to prevent it from falling on an employee or vendor.
• RECOMMENDATION : Hang, chain or bungee cord the ladder to the wall to prevent it from falling on an employee or vendor.
Are only approved/trained employees allowed to use any power industrial trucks or PITs (pallet jack, forklift, etc.)? • RECOMMENDATION : Only employees who are approved and trained should be allowed to use any PITs to reduce the risk of a vendor injury.
• RECOMMENDATION : Only employees who are approved and trained should be allowed to use any PITs to reduce the risk of a vendor injury.
Are pallet jacks properly stored while not in use? • RECOMMENDATION : Train the stockers and receiving clerks to store pallet jacks under a pallet while not in use to prevent a trip and fall over the forks.
• RECOMMENDATION : Train the stockers and receiving clerks to store pallet jacks under a pallet while not in use to prevent a trip and fall over the forks.
Are propane/helium/freon stored and secured properly? • RECOMMENDATION : Secure any compressed gas cylinders following applicable laws. The containers should be secured so they cannot fall and potentially explode.
• RECOMMENDATION : Secure any compressed gas cylinders following applicable laws. The containers should be secured so they cannot fall and potentially explode.
Are motor/compressor and electrical rooms clean and clear of all combustibles? • RECOMMENDATION : Motor/Compressor and electrical rooms should be clean and clear of all combustibles.
• RECOMMENDATION : Motor/Compressor and electrical rooms should be clean and clear of all combustibles.
Is ladder to overhead storage area appropriate? • RECOMMENDATION : Access to the overhead storage area should extend a minimum of three feet above the floor of the storage area.
• RECOMMENDATION : Access to the overhead storage area should extend a minimum of three feet above the floor of the storage area.
Is Additional Recommendation Needed??

Receiving

Are storage racks properly secured? Are good storage practices followed? • RECOMMENDATION : Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
• RECOMMENDATION : Move/rearrange stored items to reduce falling object hazards. Good storage practices include stable stacking, shrink-wrapping, and moving more frequently used and heavy items to the bottom.
Have employees been trained in proper lifting and material handling techniques? • RECOMMENDATION : Train/retrain employees on proper lifting and material handling techniques. Examples include using legs rather than back, turning rather than twisting, and getting help when loads are too heavy or oddly shaped.
• RECOMMENDATION : Train/retrain employees on proper lifting and material handling techniques. Examples include using legs rather than back, turning rather than twisting, and getting help when loads are too heavy or oddly shaped.
Is dock plate properly secured while not in use? • RECOMMENDATION : Chain the dock plate to the wall to prevent it from falling on an employee or vendor.
• RECOMMENDATION : Chain the dock plate to the wall to prevent it from falling on an employee or vendor.
Are forklift/powered pallet jack/PIT certificates posted and/or available to view? • RECOMMENDATION : Post forklift/powered pallet jack certificates in a conspicuous place. Certificated should state date of training and next required training date.
• RECOMMENDATION : Post forklift/powered pallet jack certificates in a conspicuous place. Certificated should state date of training and next required training date.
Are daily forklift/powered pallet jack/PIT inspections maintained properly? • RECOMMENDATION : Train employees on completing and maintaining daily forklift/powered jack inspections.
• RECOMMENDATION : Train employees on completing and maintaining daily forklift/powered jack inspections.
Are forklifts/powered pallet jacks/PITs operating and in good condition? • RECOMMENDATION : Any out of order forklifts/powered pallet jacks/PITs should be locked-out and removed from service. Forklifts/powered pallet jacks/PITs must be in good working order.
• RECOMMENDATION : Any out of order forklifts/powered pallet jacks/PITs should be locked-out and removed from service. Forklifts/powered pallet jacks/PITs must be in good working order.
Are dock plates in good condition and operating properly? • RECOMMENDATION : Repair any damaged/malfuctioning dock plates.
• RECOMMENDATION : Repair any damaged/malfunctioning dock plates.
Are docks properly marked to caution employees about hazards? • RECOMMENDATION : Add signage, demarcation, etc to docks. Docks should be properly marked to caution employees about hazards.
• RECOMMENDATION : Add signage, demarcation, etc to docks. Docks should be properly marked to caution employees about hazards.
Are wheel chocks or dock locks available and used? • RECOMMENDATION : Provide wheel chocks if not available. Wheel chocks should be available and used by truck drivers; chock signage should be posted in view of driver's side mirror and on delivery door.
• RECOMMENDATION : Provide wheel chocks if not available. Wheel chocks should be available and used by truck drivers; chock signage should be posted in view of driver's side mirror and on delivery door.
Are handrails and mid-rails around loading dock in good condition? • RECOMMENDATION : Install/repair any missing/damaged railings. Handrails and mid-rails around loading dock should be maintained in good condition.
• RECOMMENDATION : Install/repair any missing/damaged railings. Handrails and mid-rails around loading dock should be maintained in good condition.
Is an eyewash station/safety shower available? • RECOMMENDATION : An eyewash station / safety shower should be available near the battery charging area. The eyewash should be easily accessible in the event a employee needs to wash out their eye(s).
• RECOMMENDATION : An eyewash station / safety shower should be available near the battery charging area. The eyewash should be easily accessible in the event a employee needs to wash out their eye(s).
Are used or broken pallets allowed to accumulate, over stacked or stood on edge? • RECOMMENDATION : Remove over stacked pallets and crate another stack. Any pallets on edge should be laid down. Used or broken pallets should be not allowed to accumulate and should not be stood on edge.
• RECOMMENDATION : Remove over stacked pallets and crate another stack. Any pallets on edge should be laid down. Used or broken pallets should be not allowed to accumulate and should not be stood on edge.
Are overhead storage areas fall protected? • RECOMMENDATION : Install proper fall protection for overhead storage areas. Any overhead storage areas must have proper enclosures or fall protection systems to protect employees.
• RECOMMENDATION : Install proper fall protection for overhead storage areas. Any overhead storage areas must have proper enclosures or fall protection systems to protect employees.
Are load limits posted in mezzanine storage areas? • RECOMMENDATION : Post load limits should be posted for any mezzanine storage areas. Load limits helps ensure the shelving is not overloaded and reduces potential failure.
• RECOMMENDATION : Post load limits should be posted for any mezzanine storage areas. Load limits helps ensure the shelving is not overloaded and reduces potential failure.
Is loading/receiving area in acceptable condition including free of potholes/large cracks? • RECOMMENDATION : Repair pot hole(s)/large crack(s) to prevent a vendor trip and fall or strain while pulling a cart or pallet.
• RECOMMENDATION : Repair pot hole(s)/large crack(s) to prevent a vendor trip and fall or strain while pulling a cart or pallet.
Are confined spaces marked properly at the baler, compactor, grease trap, and other applicable areas? • RECOMMENDATION : Place signage at confined spaces. Confined spaces should be properly marked at the baler, compactor, grease trap, and other applicable areas to help make sure employees do not enter a confined space.
• RECOMMENDATION : Place signage at confined spaces. Confined spaces should be properly marked at the baler, compactor, grease trap, and other applicable areas to help make sure employees do not enter a confined space.
Is Additional Recommendation Needed??

Administration

Is there a Safety Program in Place? • RECOMMENDATION : Implement a formal written program that includes safety manuals, training checklists, department specific trainings with combination of video/CBT, written material and hands-on training. Implement annual refresher training.
• RECOMMENDATION : Implement a formal written program that includes safety manuals, training checklists, department specific trainings with combination of video/CBT, written material and hands-on training. Implement annual refresher training.
Is there a Safety Awareness program in place? • RECOMMENDATION : Recommend posting safety awareness posters, implementing a safety incentive program, installing a safety suggestions box, adding safety as a performance standard on evaluations (employees and manager), and ensuring department participation and accountability.
• RECOMMENDATION : Recommend posting safety awareness posters, implementing a safety incentive program, installing a safety suggestions box, adding safety as a performance standard on evaluations (employees and manager), and ensuring department participation and accountability.
Are all incident reports completed in a timely fashion and stored properly? • RECOMMENDATION : All incident reports should be properly filed according to company procedures, and accident investigation should be used to identify corrective actions to prevent similar types of incidents.
• RECOMMENDATION : All incident reports should be properly filed according to company procedures, and accident investigation should be used to identify corrective actions to prevent similar types of incidents.
Are contracts and certificates of insurance on file for temporary and contracted services? (with proper indemnification) • RECOMMENDATION : All contracts and certificates of insurance should be kept on file and reviewed by legal counsel to provide proper indemnification.
• RECOMMENDATION : All contracts and certificates of insurance should be kept on file and reviewed by legal counsel to provide proper indemnification.
Are all repair and maintenance records kept on file? • RECOMMENDATION : All records of repairs and maintenance should be kept on file.
• RECOMMENDATION : All records of repairs and maintenance should be kept on file.
Are employee safety training records available for review? • RECOMMENDATION : Safety training records should be readily available and document completed training activities. Documentation of safety trainings is required by federal and sate laws.
• RECOMMENDATION : Safety training records should be readily available and document completed training activities. Documentation of safety trainings is required by federal and sate laws.
Are current State and Federal OSHA posters posted as required? • RECOMMENDATION : Current State and Federal OSHA posters should be posted for employees to view in a conspicuous location.
• RECOMMENDATION : Current State and Federal OSHA posters should be posted for employees to view in a conspicuous location.
Are Right to Know Center, Safety Data Sheets (SDS), and Chemical Inventory maintained properly? • RECOMMENDATION : Toxic and hazardous substances on the chemical inventory list should be updated at least annually, the update date should be on the list.
• RECOMMENDATION : Toxic and hazardous substances on the chemical inventory list should be updated at least annually, the update date should be on the list.
Are safety committee names posted on the safety board? • RECOMMENDATION : A Safety Committee binder should be readily available, records should be maintained for at least one year and committee member names should be posted.
• RECOMMENDATION : A Safety Committee binder should be readily available, records should be maintained for at least one year and committee member names should be posted.
Is the break room clean and in good condition? • RECOMMENDATION : Maintain the break room so that it is clean, safe and appropriate for employee break time.
• RECOMMENDATION : Maintain the break room so that it is clean, safe and appropriate for employee break time.
Are Environmental Protection Agency (EPA) refrigerant General Record Keeping Requirements maintained and up-to-date? • RECOMMENDATION : Environmental Protection Agency (EPA) refrigerant General Record Keeping Requirements should be maintained accordingly and kept up-to-date. These EPA records may be kept in-house or maintained by your refrigeration contractor.
• RECOMMENDATION : Environmental Protection Agency (EPA) refrigerant General Record Keeping Requirements should be maintained accordingly and kept up-to-date. These EPA records may be kept in-house or maintained by your refrigeration contractor.
Are electrical boxes (junction, breaker, cabinets, fittings, etc.) closed with no missing knockout, missing breakers or other openings? • RECOMMENDATION : Repair any deficiencies with the electrical boxes. Electric panels and boxes should be closed at all times to reduce the risk of contact with electricity.
• RECOMMENDATION : Repair any deficiencies with the electrical boxes. Electric panels and boxes should be closed at all times to reduce the risk of contact with electricity.
Are extension cords not used in place of permanent wiring? • RECOMMENDATION : Replace any extension cords with permanent wiring. Permanent wiring should be used as extension cords can become damaged. Extension cords should be used for temporary purposes.
• RECOMMENDATION : Replace any extension cords with permanent wiring. Permanent wiring should be used as extension cords can become damaged. Extension cords should be used for temporary purposes.
Are only authorized extension cords used when a temporary power source is needed? Are all extension cords in good working order, with no exposed wires, no missing ground plugs, etc.?
• RECOMMENDATION : Replace unauthorized extension cords with proper extension cords that meet the electrical need and are in proper order.
Are electrical outlets properly covered and free from exposed wires? • RECOMMENDATION : Make necessary repairs to outlets. Electrical outlets should be closed and covered to reduce risk of electrical shock when used. Outlets in wet areas must be on a GFCI.
• RECOMMENDATION : Make necessary repairs to outlets. Electrical outlets should be closed and covered to reduce risk of electrical shock when used. Outlets in wet areas must be on a GFCI.
Do all electrical panels and appliances have a minimum clearance of 36 inches? • RECOMMENDATION : Move obstructions from electrical panel doors. Clearance is needed to gain access to the panels and reduce the risk of fire hazard if panels overheat.
• RECOMMENDATION : Move obstructions from electrical panel doors. Clearance is needed to gain access to the panels and reduce the risk of fire hazard if panels overheat.
Are electrical panels labeled to indicate their purpose? • RECOMMENDATION : Label all electrical panels so their purpose is clear.
• RECOMMENDATION : Label all electrical panels so their purpose is clear.
Is there an annual inspection of Lockout Tag-out (LOTO) procedures? • RECOMMENDATION : Lockout Tag-out (LOTO) procedures must be reviewed and tested periodically (at least annually). All employees using Lockout Tag-out (LOTO) should be retrained annually and procedures reviewed for compliance.
• RECOMMENDATION : Lockout Tag-out (LOTO) procedures must be reviewed and tested periodically (at least annually). All employees using Lockout Tag-out (LOTO) should be retrained annually and procedures reviewed for compliance.
Are First Aid and Blood Borne Pathogen (BBP) kits available and stocked? • RECOMMENDATION : Order/refill first and and BBP kits from an approved supplier.
• RECOMMENDATION : Order/refill first and and BBP kits from an approved supplier.
Is Additional Recommendation Needed??

Completion

Auditor's Signature

Grocery GL & WC safety survey Good

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Parking Lot / Store Exterior

Front End / Check stands / Entrances

Floral

Sales Floor

Deli / Bakery

Produce

Meat / Seafood

Bathrooms / café area

Stockroom/Back of House

Receiving

Administration

Completion

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Grocery GL & WC safety survey Good

Free Grocery GL & WC safety survey Good Checklist

Go digital today!

Convert your paper checklists into digital forms

Parking Lot / Store Exterior

Front End / Check stands / Entrances

Floral

Sales Floor

Deli / Bakery

Produce

Meat / Seafood

Bathrooms / café area

Stockroom/Back of House

Receiving

Administration

Completion

Related checklists