Title Page

  • Conducted on

  • Prepared by

  • Location

Safety and Security Report

Equipment Testing

  • Portable Appliance Testing (PAT) Complete?

  • Last Date of PAT?

  • Emergency Lighting Testing (DP) Complete?

  • Last Date of Emergency Lighting Test?

  • Fire Alarm Testing (H6) Complete?

  • Last Date of Fire Alarm Testing?

  • Fire Extinguisher Testing Complete?

  • Last Date of Fire Extinguisher Testing?

  • Gas Safety Testing Complete?

  • Last Date of Gas Safety Testing?

Risk Assessments

  • Driver Checklist Completed (last 4 weeks)?

  • HACCP Completed (91 days, 13 rolling weeks)?

  • Accident Report Book Available?

  • Pest Control book available?

  • Date of last Pest control Visit

  • Asbestos Report Complete?

Dlearn Training Records

  • Number of team members who have completed the induction

  • Number of team members who have completed the driver training

  • Number of team members who have completed the food safety

  • Comments

Paperwork Check

  • H&S and Fire safety assessment completed?

  • Date of last Assessment

  • Insurance certificates available in store?

  • Driver Commitment completed and signed?

  • Store has the COSHH (QSR Store Master Binder) available?

  • Store has HSE Health and Safety Poster displayed?

Observations

  • Are all fire evacuation signs visible from all areas of the store?

  • The Team members know where the fire evacuation points are?

  • Does the store have a ladder? If so is the ladder suitable for the task?

  • Are the rodent traps flat to the floor and have access to both sides?

  • Does the store have working CCTV?

  • Are the floors, walls and ceilings free from hazards and obstructions?

First Aid Kit

  • Is there a First Aid Kit on site?

  • First Aid Kit should contain the following;

  • A leaflet giving general guidance on first aid

  • Individually wrapped sterile plasters (assorted sizes)

  • Sterile eye pads

  • Individually wrapped triangular bandages

  • Safety pins

  • Large sterile individually wrapped un-medicated wound dressings

  • Medium-sized sterile individually wrapped un-medicated wound dressings

  • Disposable gloves

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.