Information
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Document No.
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Conducted on
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MP Location #
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Location
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District Manager
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Store Director
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Assistant Store Director
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Auditor Name
Deli Department
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All floors in good condition,to include dry/free of debris/spills or trip hazards ? (OSHA 29 CFR 1910.22). {Points: 1.0}
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Are floor drains properly covered and free of debris to prevent water from leaking and causing a slip and fall?{Points: 1.0}
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Fire extinguishers are available, accessible, properly mounted and fully charged to meet OSHA and NFPA standards. Is store checking fire extinguishers monthly?OSHA 29 CFR 1910 Subpart L) . {Points: 1.0}
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Are team members wearing hair nets as required ? {3.0}
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Do all team members have there badge & Safety Law Book?<br>{Points: 1.0}
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Are Team members wearing company issued SFC non slip safety shoes? Points : {1.0}<br>
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Are team members lifting properly when bagging or picking items? Points : {1.0}
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Are Team members using carts to move heavy items? If so I must not be stuck above shoulder height in order to prevent injury?{Points: 1.0}
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Are Team members wearing cut resistant gloves when cutting food ? (No gloves should be worn while using bandsaw){Points: 10.0}
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Are team members who are working in customer service using the hot gloves? <br>{ This will prevent burn injury}{Points: 1.0}
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Are the blue steam gloves and bag cutter available in the department ? <br>{Points: 1.0}
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Are knives properly stored in NSF knife box when not in use in order to prevent an accident?<br>{Points: 1.0}
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Do all hand sinks have towels,soap and hot water? {113953.3 CRFC}<br>{Points: 1.0}
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Are team members washing their hands? { 113953.3 CRFC}<br>{Points: 1.0}
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Are tables, utensils and equipment clean ? {114117CRFC}<br>{Points: 1.0}
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Do red sanitation buckets have clean water ? Is sanitizer level between 200-300 ppm ? {114099.6 CFRC}<br>{Points: 1.0}
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Is the Food Safety station mounted & does it have the thermometer and policy book, to include probe wipes?<br>{Points: 3.0}
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Is the store properly cooling product in either of the following formats ( ice bath,small portions,rapid cool paddles,)? {3.0}
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Is the food temp sheet being filled out properly every 3 hrs? {114000.CRFC}<br>{Points: 10.0}
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All electrical switch panels are accessible with a 3 ft. clearance to meet safety standards and eliminate the potential of a serious fire hazard (OSHA 29 CFR 1910.303). {Points: 1.0}
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All electrical switch panels and circuit breakers should be labeled as to what they operate to meet FM Global and OSHA standards (OSHA 29 CFR 1910.303). {Points: 1.0}
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Electrical wiring, junction boxes, circuit panels, outlets, etc. are properly wired and covered to meet safety standards and eliminate serious electrocution hazards (OSHA 29 CFR 1910.303). {Points: 1.0}
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Is area free from personal belongings example ( purses, drinks, monster,red bull ) ? { 113977. (A) CRFC}<br>{Points: 1.0}
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Is all equipment properly functioning?<br>{Points: 1.0}
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Are coolers & freezers clean and organized with rotation dates , in order to prevent items from falling causing an accident? {Points: 3.0}
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Does the freezer have an axe attached to the door, in the event of an emergency?<br>{Points: 1.0}
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Do they have an ANSI approved stepstool in the Department? (Must be in good condition )<br>{Points: 1.0}
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First Aid are available and properly stocked with authorized products to meet OSHA safety standards (OSHA 29 CFR 1910 Subpart K & 1910.1030). {Points: 2.0}
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Does the department had a heavy-duty dishwasher apron and dishwasher gloves available for use?<br>{Points: 1.0}
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Are all plastic tubs with the ingredients properly labeled and organized to prevent from falling and causing an accident? {Points: 1.0}
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Are all cooking devices under the ANSUL chemical dispenser pole?{Points: 1.0}
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Are all the rubber /metal caps on the ANSUL chemical dispenser pole?{Points: 1.0}
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Is the blue steam gloves & safety glasses located next to deep fryer and available for use? ( gloves must be in good condition)<br>{Points: 1.0}
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Does the single stove have the crown (carnitas) to prevent pot from tipping over and causing an accident?<br>{Points: 1.0}
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Is pest control equipment operating in good condition & routinely checked? <br>{ Vector Lights must not be near food or equipment } {Points: 1.0}
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Are all P&G dispensers working properly ? Department must have Quat test strips available ? { 14107.CRFC}{Points: 1.0}
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Misc<br>{Points: 1.0}
Deli BBQ Station
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Is there a spatula available in order to deep cleaning the grill?<br>{Points: 1.0}
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Is there a steel Ash can available in barbecue area? ( must be used to put hot ash )<br>{Points: 1.0}
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Is there a barbecue grill cleaning brush available for use? ( must be in good condition)<br>{Points: 1.0}
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Are all hoods clean and free of grease? {Points: 1.0}
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Do they have barbecue grill hot gloves available for use in order to prevent burn injuries? ( must be in good condition){Points: 1.0}
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Is there a team member present cooking chicken to prevent a chicken fire ?<br>{Points: 5.0}
*Safety items
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Is the store conducting Safety training as required ? ( team members must take safety training before starting to work in dept)Points : {10.0}
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Is payroll coordinator returning all unused shoes to SFC ?{1.0}
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Is the safety accident board being updated daily?<br>Points : {5.0}
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Is the safety committee team pictures posted in break room?(all team members pictures must be current ) Points : {10.0}
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Are the safety committee forms properly filled out and recorded ? (Sign in sheet & safety log)<br>Points : {10.0}
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Do all safety committee team members have their segurito committee badges on?<br>Points : {5.0}
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Is the safety cart in the break room?( Must only be used for safety and cart must be in good condition)<br>Points : {1.0}
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Is all first aid kits properly stocked ? ( store should not have excessive supplies)Points : {10.0}
Misc
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Misc findings<br>Points : {1.0}
Management Signature
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Management Signature
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Auditor Signature
