Title Page
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Please select the brand
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Select Restaurant Location
- 8201 Dillingham
- 8203 Umi
- 8204 McCully
- 8205 Kam IV
- 8206 Waipahu
- 8207 Waimanalo
- 8208 Kapiolani
- 8209 Wahiawa
- 8210 Kapahulu
- 8211 Kaneohe
- 8212 Kahului
- 8213 Stadium
- 8217 Waipio
- 8219 Kailua
- 8222 Kihei
- 8223 Hilo
- 8227 Bishop
- 8230 Moanalua
- 8233 Waimalu
- 8237 King/Kalakaua
- 8239 Mililani
- 8244 Piikoi
- 8245 Wailuku
- 8246 Kapolei
- 8249 Kunia
- 8251 Kona
- 8252 Waianae
- 8253 Lihue
- 8254 Ala Moana
- 8256 Niu Valley
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Select Store Location
- 182 Kailua
- 183 Kahala Mall
- 184 Pearlridge
- 350 Maui Marketplace
- 351 Piilani Village
- 352 Financial Plaza
- 443 Kapahulu
- 458 Waikiki Trade Center
- 466 Halekuai Center
- 480 Aiea Shopping Center
- 485 Ewa Town Center
- 504 Old Lahaina Center
- 519 Kona Coast Shopping Center
- 536 Airport Trade Center
- 541 Mililani Town Center
- 542 Prince Kuhio
- 544 Kukui Grove
- 545 Waikele
- 546 Koko Marina
- 547 Queen Kaahumanu
- 595 Keeaumoku
- 596 Kaneohe Bay
- 674 Kunia Shopping Center
- 711 Kapolei Parkway
- 729 Kamehameha Shopping Center
- 731 Mililani Shopping Center
- 747 Waimalu Plaza
- 751 Moanalua Shopping Center
- 765 Ward Gateway Center
- 797 Waianae Mall
- 1097 Ala Moana Makai Market
- 1368 Stadium
- 1386 Aston Waikiki
- 1421 Ala Moana Ewa Wing
- 1452 Maui Lani
- 1516 Pearlridge Uptown
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Conducted on
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Reason for audit?
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Audited by
Safety Audit
Postings
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Are the required Federal and Hawaii Labor Laws posters current and displayed in a prominent location?
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Is the OSHA 300 Log posted and properly used to log work-related injuries and illnesses?
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Is the OSHA 300A Annual Summary posted between February 1st and April 30th each year?
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Are emergency telephone numbers posted where they can be readily found in case of emergency?
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Is the previous Safety Audit posted or available?
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JACK ONLY: Is the Room Capacity posted for the dining area?
Items
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Is the 1st aid kit readily available, maintained, and replenished?
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Is a fully stocked Bodily Fluid kit/Biohazard Kit readily available?
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Are the Safety Data Sheets readily available?
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Is the necessary PPE present? (Gloves, goggles, apron, etc.)
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Are there wet floor signs available for use? Write the # in the notes.
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Are all ladders/step-ladders in good condition?
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Are Shoes for Crews shoe guards available?
Work Environment
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Is the circuit breaker panel clearly labeled and unblocked?
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Are the exit doors unblocked?
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Are the fire extinguishers properly mounted, charged, and inspected annually? Note last inspection date
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Are emergency lights working?
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Are all plugs and cords in good repair?
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Are changes in surface levels clearly marked? Note any uneven floors/carpets
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Is there ice buildup on freezer floor?
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If there is a slip resistant mat, is it in good repair?
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Are knives stored properly?
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Are work areas clearly illuminated?
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Is the work area clean and organized with walkways free of obstruction?
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Are grates or similar floor covers secured and designed so foot traffic or rolling equipment will not be affected?
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Is material on elevated surfaces piled/stacked in a manner to prevent tipping, falling, or collapsing?
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Is there at least 18 inches of clear space between stored materials and sprinkler heads?
Observations of Employees
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Employees are using proper lifting and carrying techniques
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Ladders/Step-ladders are used for high-reach items
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Employees have a “Clean as you go” mentality
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Non-slip shoes are worn by all employees
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Knives are handled and used appropriately
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Equipment is being cleaned properly
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Equipment with age-restrictions are handled by someone of appropriate age
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Box cutter is used properly
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Spills are cleaned up immediately; wet floor signs are used appropriately
MIC/PIC Knowledge Check
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Does the MIC/PIC know the fire evacuation procedure?
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Does the PIC know how to use the bodily fluid/biohazard kit?
Additional Comments
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Please note any additional comments or action required.
Signatures
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Review the audit results and any action required with the MIC/PIC.
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MIC/PIC Signature (For monthly RM/SM audits, only the auditor signature is required)
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Auditor Signature