Title Page

  • Store Name

  • Store Number

  • Conducted on

  • Prepared by

External

  • Signage - pylon

  • Signage - store attached

  • Trolley Bay

  • Line marking

  • Car park surface

  • Building painting

Store Entry

  • Auto doors - 1

  • Auto doors - 2

  • Auto doors - 3

  • Entry bifold / roller doors

  • Coles signage

  • Trolley bay

  • Floor tiles

  • Registers

  • EAS gates

  • Service Desk

  • Entry monitors

  • Air curtains

  • Public toilets

  • Other

Shop Floor

  • Floor tiles

  • Lighting - shop floor

  • Cash Transfer System

  • Telco area

  • Number of case lights not working

  • Shop floor CCTV cameras

  • Ceiling

  • Walls / pillars

  • Tank Safe

  • Other

Bakery

  • Donut machine

  • Oven 1

  • Oven 2

  • Oven trolleys

  • Canopy

  • Labeller

  • Bag Blower

  • Microwave

  • Water cooler

  • Freezer room - floor / coving / panels

  • Cool room - floor / coving / panels

  • Walls / ceiling

  • Drainage

  • Hot plate

  • Prover

  • 30qt mixer

  • 60qt mixer

  • Spiral mixer

  • Bread slicer

  • Bun Rounder

  • Bun Divider

  • Versatile moulder

  • Benches

  • Freezer shelves

  • Cool room shelves

  • Doors

  • Floor

  • Water meter

  • Other

Meat Prep

  • Auto wrapper

  • Manual wrapper

  • Tenderiser

  • Bandsaw

  • Floor

  • Cool room shelves

  • Walls / ceiling

  • Scales

  • Mincer

  • Bloom Box

  • Benches

  • Cool room - floor / coving / panels

  • Doors

  • Other

Deli Prep

  • Numbering system

  • Chicken warmer

  • Slicer 1

  • Slicer 2

  • Slicer 3

  • Fish case

  • Meat case

  • Floor

  • Freezer room - floor / coving / panels

  • Ice machine

  • Microwave

  • Scales

  • Chicken oven 1

  • Chicken oven 2

  • Canopy

  • Wrapper 1

  • Wrapper 2

  • Chicken case

  • Other case

  • Prep Room floor

  • Freezer shelves

  • Cool room shelves

  • Benches

  • Doors

  • Walls / ceiling

  • Other

Fresh Produce Prep

  • Floor

  • Benches

  • Cool room shelves

  • Wrapper

  • Scales

  • Paint condition

  • Cool room - floor / coving / panels

  • Doors

  • Air conditioning

  • Other

Staff Tea Room

  • Floor

  • Kitchenette

  • T.V.

  • Furniture

  • Domestic fridge

  • Paint condition

  • Hot water unit / Filter

  • Tables / chairs

  • Notice boards

  • Other

Stock Room

  • Floors

  • Stock room doors

  • External roller door 1

  • External roller door 2

  • External roller door 3

  • Electric Pallet Jack

  • Electric High-lift Jack

  • Goods lift 1

  • Goods lift 2

  • Passenger lift

  • CCTV cameras

  • Dock bumpers

  • Ice machine

  • Freezer room - floor / coving / panels

  • Cool room - other

  • Shelving

  • Rapid roller door

  • Cleaners room / cage

  • Dump room roller door

  • Storeman's desk

  • Bale press

  • Flat-top trolleys

  • Dock leveller

  • Scissor lift

  • Compactor

  • Compactor bin

  • Toilets

  • Insect zapper

  • Dairy cool room - floor / coving / panels

  • Milk cool room - floor / coving / panels

  • Scales

  • Other

Offices

  • Carpet

  • CCTV

  • Public Address system

  • Paint condition

  • Split A/C

  • Other

Toilets / Lockers

  • Male cubicles

  • Male lockers

  • Male basins

  • Paint condition

  • Male accessories

  • Urinals

  • Floor

  • Female cubicles

  • Female lockers

  • Female basins

  • Paint condition

  • Female accessories

  • Floor

  • Other

Plant Room

  • Overall condition

  • Generator

  • Roof access

  • Transfer switch

  • Refrigeration Maintenance PPM

  • Roof and gutters

  • Safety equipment & compliance

  • Hot water system

  • Grease trap size

  • Heat reclaim

  • Other

Cleaning Equipment

  • Scrubber - Tenant

  • Buffer - Pioneer

  • High-pressure washer

  • Vacuum cleaner

  • Scrubber PPM

Summary

  • Lessor history

  • Other comments

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.