Cover Page

  • Store Name

  • Store Number

  • Facilities Manager

  • Store Manager

  • Conducted on

Works Required

Inspection Notes

  • 1. Works Required

  • Contractor

  • 2. Works Required

  • Contractor

  • 3. Works Required

  • Contractor

  • 4. Works Required

  • Contractor

  • 5. Works Required

  • Contractor

  • 6. Works Required

  • Contractor

  • 7. Works Required

  • Contractor

  • 8. Works Required

  • Contractor

  • 9. Works Required

  • Contractor

  • 10. Works Required

  • Contractor

Store Responsibilities

Store Responsibility Items

  • Action Item

Photos

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List of Areas

  • Car park and external areas

  • Customer shopping trolleys

  • Building external and mall area including signs

  • Selling area including change rooms

  • Auto service bay

  • Stockroom and loading dock

  • Cleaners Room

  • Plant Room

  • Staff room

  • Female locker room and toilets

  • Male locker room and toilets

  • Public toilets (if applicable)

  • Offices

  • Air conditioning

  • Fire protection equipment

  • Emergency and exit lighting

  • Emergency generator

  • Switchboards

  • Cash tube system

  • Alarm system

  • Switchboards

  • Verified log books (contractors) up to date

  • Verified log books (store responsibilities) up to date

  • Hazardous materials register available for viewing

  • Contractor sign in process being followed

  • Store maintenance reporting procedure in use

  • Store responsibility items

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.