JIB/JJC Hawaii Safety Audit

• Please select the brand

  Jack in the Box

  Jamba Juice

• Select Restaurant Location

  Select 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

  • 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

• Select Store Location

  Select 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

  • 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

• Conducted on

  Date

• Reason for audit?

  Monthly Manager Audit

  Quarterly DM Audit

  Post-Accident Audit

• Audited by

Postings

• Is the required OSHA workplace poster current and displayed in a prominent location?

  Yes

  No

  N/A

• Is the OSHA 300 Log posted and properly used to log work-related injuries and illnesses?

  Yes

  No

  N/A

• Is the OSHA 300A Annual Summary posted between February 1st and April 30th each year?

  Yes

  No

  N/A

• Are emergency telephone numbers posted where they can be readily found in case of emergency?

  Yes

  No

  N/A

• Is the safety policy posted?

  Yes

  No

  N/A

• Is the Safety Tips section of the newsletter posted?

  Yes

  No

  N/A

• Is the previous Safety Audit posted or available?

  Yes

  No

  N/A

• JACK ONLY: Is the Room Capacity posted for the dining area?

  Yes

  No

  N/A

Items

• Is the 1st aid kit readily available, maintained, and replenished?

  Yes

  No

  N/A

• JACK ONLY: Is a Bodily Fluid kit readily available?

  Yes

  No

  N/A

• Are the Safety Data Sheets readily available?

  Yes

  No

  N/A

• Is the necessary PPE present? (Gloves, goggles, apron, etc.)

  Yes

  No

  N/A

• Are there wet floor signs available for use? Write the # in the notes.

  Yes

  No

  N/A

Work Environment

• Is the circuit breaker panel clearly labeled and unblocked?

  Yes

  No

  N/A

• Are the exit doors unblocked?

  Yes

  No

  N/A

• Are the fire extinguishers properly mounted, charged, and inspected annually? Note last inspection date

  Yes

  No

  N/A

• Are emergency lights working?

  Yes

  No

  N/A

• Are all plugs and cords in good repair?

  Yes

  No

  N/A

• Are changes in surface levels clearly marked? Note any uneven floors/carpets

  Yes

  No

  N/A

• Is there ice buildup on freezer floor?

  Yes

  No

  N/A

• If there is a slip resistant mat, is it in good repair?

  Yes

  No

  N/A

• Are knives stored properly?

  Yes

  No

  N/A

• Are work areas clearly illuminated?

  Yes

  No

  N/A

• Is the work area clean and organized with walkways free of obstruction?

  Yes

  No

  N/A

• Are grates or similar floor covers secured and designed so foot traffic or rolling equipment will not be affected?

  Yes

  No

  N/A

• Is material on elevated surfaces piled/stacked in a manner to prevent tipping, falling, or collapsing?

  Yes

  No

  N/A

• Is there at least 18 inches of clear space between stored materials and sprinkler heads?

  Yes

  No

  N/A

Observations of Employees

• Employees are using proper lifting and carrying techniques

  Yes

  No

  Action Not Observed

• Ladders/Step-ladders are used for high-reach items

  Yes

  No

  Action Not Observed

• Employees have a “Clean as you go” mentality

  Yes

  No

  Action Not Observed

• Non-slip shoes are worn by all employees

  Yes

  No

  Action Not Observed

• Knives are handled and used appropriately

  Yes

  No

  Action Not Observed

• Equipment is being cleaned properly

  Yes

  No

  Action Not Observed

• Equipment with age-restrictions are handled by someone of appropriate age

  Yes

  No

  Action Not Observed

• Box cutter is used properly

  Yes

  No

  Action Not Observed

• Spills are cleaned up immediately; wet floor signs are used appropriately

  Yes

  No

  Action Not Observed

MIC/PIC Knowledge Check

• Does the MIC/PIC know the fire evacuation procedure?

  Yes

  No

  N/A

• JACK ONLY: Does the PIC know how to use the bodily fluid kit?

  Yes

  No

  N/A

Additional Comments

• Please note any additional comments or action required.

Signatures

• Review the audit results and any action required with the MIC/PIC.

• MIC/PIC Signature (For monthly RM/SM audits, only the auditor signature is required)

  Sign

• Auditor Signature

  Sign