Health & Safety Inspection (Quarterly) - Grocery/Higher Ed

• Site conducted

  Select

• Locations Name and Number

• Conducted on

  Date

• Prepared by

• Location
  Address

• Health & Safety Inspection (Quarterly) - Kiosk / Retail

Kiosk/Sushi Preparation Area

• Select location Province

  Select Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon

  • Alberta
  • British Columbia
  • Manitoba
  • New Brunswick
  • Newfoundland and Labrador
  • Nova Scotia
  • Ontario
  • Prince Edward Island
  • Quebec
  • Saskatchewan
  • Northwest Territories
  • Nunavut
  • Yukon

• Is there a Health & Safety (green) binder available and readily available at the location?

  Yes

  No

• Is the binder up-to-date?

  Yes

  No

• Are teammates aware of where the binder is kept?

  Yes

  No

• Is the working environment (i.e., floors, walls, ceilings, countertops, tables, shelving, lighting, etc.) in good working condition (no health & safety concerns)?

  Yes

  No

• Select the working environments that were not in good working condition (were a health & safety concern)?

  Select Floors Walls Ceilings Countertops Tables Shelving Lighting Other

  • Floors
  • Walls
  • Ceilings
  • Countertops
  • Tables
  • Shelving
  • Lighting
  • Other

• Are all electricals appliances / equipment in good working condition (i.e., exposed wires, malfunctioning / damaged electronics, plugs are not wet / burnt, outlets are in good condition, etc.)?

  Yes

  No

• Select the electricals appliances / equipment that were not in good working condition (were a health & safety concern)?

  Select Exposed wires Malfunctioning/ damaged electronics Plugs wet/burnt Outlets in bad condition Other (Specify in notes)

  • Exposed wires
  • Malfunctioning/ damaged electronics
  • Plugs wet/burnt
  • Outlets in bad condition
  • Other (Specify in notes)

• Are all chemicals used properly labeled and legible?

  Yes

  No

• Are chemicals handled as per protocols (i.e., no mixing of chemicals, etc.)?

  Yes

  No

• Describe what protocol was not followed

• Is there easy access to a first aid kit available?

  Yes

  No

• Is there an emergency evacuation plan posted?

  Yes

  No

• Do teammates know where to locate the first aid kit?

  Yes

  No

• Teammates are aware of the emergency evacuation procedure?

  Yes

  No

• Is PPE available and in good condition (Kevlar gloves, mandolin hand guard, etc.)?

  Yes

  No

• Is PPE available in various sizes?

  Yes

  No

• Can you confirm the accessibility and availability of transport equipment, such as carts and trolleys, step ladders, and other utility items?

  Yes

  No

Storage Area

• Are shelves standing upright (i.e., no visible damage, are not tilting)?

  Yes

  No

• Is the working environment (i.e., floors, walls, ceilings, shelvings, lighting, etc.) in good working condition (no health & safety concerns)?

  Yes

  No

• Select the working environments that were not in good working condition (were a health & safety concern)?

  Select Floors Walls Ceilings Countertops Tables Shelving Lighting Other

  • Floors
  • Walls
  • Ceilings
  • Countertops
  • Tables
  • Shelving
  • Lighting
  • Other

• Are there any potential slips and/or falling hazards?

  Yes

  No

• Walk-in fridge/freezer ingredients are accessable (Doorway/shelves are not blocked)

  Yes

  No

• Is proper storage protocol being practiced (i.e., heavy objects stored on the bottom)?

  Yes

  No

• Chef trained in using freight elevator if one is utilized

  Yes

  No

  N/A

Other Health & Safety Concerns

• Are the proper footwear being worn (i.e., closed toe, low-heeled, non-slip, etc.)?

  Yes

  No

• Supervisor / Manager - Did you identify any health & safety hazards?

  Yes

  No

• What healthy and safety hazards were observed

• Teammate on-duty - Do you have any health & safety concerns?

  Yes

  No

• What healthy and safety hazards were observed