Title Page
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Conducted on
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Prepared by
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Location
Safety and Security Report
Equipment Testing
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Portable Appliance Testing (PAT) Complete?
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Last Date of PAT?
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Emergency Lighting Testing (DP) Complete?
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Last Date of Emergency Lighting Test?
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Fire Alarm Testing (H6) Complete?
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Last Date of Fire Alarm Testing?
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Fire Extinguisher Testing Complete?
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Last Date of Fire Extinguisher Testing?
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Gas Safety Testing Complete?
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Last Date of Gas Safety Testing?
Risk Assessments
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Driver Checklist Completed (last 4 weeks)?
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HACCP Completed (91 days, 13 rolling weeks)?
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Accident Report Book Available?
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Pest Control book available?
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Date of last Pest control Visit
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Asbestos Report Complete?
Dlearn Training Records
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Number of team members who have completed the induction
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Number of team members who have completed the driver training
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Number of team members who have completed the food safety
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Comments
Paperwork Check
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H&S and Fire safety assessment completed?
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Date of last Assessment
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Insurance certificates available in store?
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Driver Commitment completed and signed?
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Store has the COSHH (QSR Store Master Binder) available?
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Store has HSE Health and Safety Poster displayed?
Observations
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Are all fire evacuation signs visible from all areas of the store?
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The Team members know where the fire evacuation points are?
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Does the store have a ladder? If so is the ladder suitable for the task?
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Are the rodent traps flat to the floor and have access to both sides?
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Does the store have working CCTV?
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Are the floors, walls and ceilings free from hazards and obstructions?
First Aid Kit
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Is there a First Aid Kit on site?
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First Aid Kit should contain the following;
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A leaflet giving general guidance on first aid
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Individually wrapped sterile plasters (assorted sizes)
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Sterile eye pads
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Individually wrapped triangular bandages
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Safety pins
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Large sterile individually wrapped un-medicated wound dressings
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Medium-sized sterile individually wrapped un-medicated wound dressings
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Disposable gloves