Information

  • Store Number

  • Manager on Duty

  • DCE

  • Conducted on

  • Was store given a pre audit?

  • Did store pass their self audit?

  • What opportunities were recognized on self audit that needed correction?

  • Does this store have any minors?

Machinery / Minor Employment

  • AUTO FAIL: Signage on machinery: Trash compactors, freight elevators, forklifts and other similar equipment are properly labeled restricting operation by minors under 18.

  • AUTO FAIL: Machinery keys: keys for operating compactors/balers, freight elevators, forklifts and other similar equipment are not available to minors.

  • Photo: all assigned areas for photo colleagues and management must be in compliance with regulations and company procedures.

  • Delivery of merchandise: minors are prohibited from delivering merchandise/ prescriptions to customers and/or other cvs locations

  • Minor work schedule: verify minors' hours are scheduled within DOL state restrictions.

  • Minor name badges: all minors have M on their name tag<br>

Time Records

  • AUTO FAIL: Meal periods and rest breaks taken as required by policy and state law?

  • Term procedures (manager submitting ECF as date of last day worked?

  • Time cards signed

  • Bag checks (how long are employees waiting)

  • Payroll record keeping organized by week, boxed by year for 10 years labeled "manager only"

Payroll interview (AUTO FAIL)

  • FS Colleague 1

  • 1) ever performed any job duties off the clock?<br>2) do you take a lunch?<br>3) what happens if you don't take a lunch?<br>4) have you ever had issues being paid?

  • FS Colleague 2

  • 1) ever performed any job duties off the clock?<br>2) do you take a lunch?<br>3) what happens if you don't take a lunch?<br>4) have you ever had issues being paid?

  • RX Colleague 1

  • 1) ever performed any job duties off the clock?<br>2) do you take a lunch?<br>3) what happens if you don't take a lunch?<br>4) have you ever had issues being paid?

  • RX Colleague 2

  • 1) ever performed any job duties off the clock?<br>2) do you take a lunch?<br>3) what happens if you don't take a lunch?<br>4) have you ever had issues being paid?

Misc files

  • AUTO FAIL: I-9s. All colleagues hired after 11/6/85 to 12/1/12 kept active in separate folder

  • Medical folder separate for each colleague

  • Attendance tracking binder kept and locked

Personnel files

  • Active colleague files retained in locked cabinet and compliant?

  • Performance reviews compliant?

  • MyStore policies and sign offs compliant?

  • Handbook sign offs compliant?

  • State specific documents compliant?

  • Market specific documentation compliant?

  • Checklist data

Posters

  • Company posters present? Ethics, open door, contract policy, conveyor, harassment, lifescope, EEO, LOA, values, payroll..

  • Federal all-in-one & state posters present?

  • Workers compensation, PPO & procedures posters present?

Post audit

  • Audit score

  • Copy of Completed HR audit

  • Did audit pass? If no, what is the action plan?

  • Is followup audit required by DM?

  • Does manager have any associates with required training due or past due? If so, what is their time bound game plan to have everyone completed?

  • Any post comments?

  • Store Manager Signature

  • DCE Signature

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.