MMA PREVENT Hospitality Copy

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Slips Trips Falls

• All employees required to wear Anti-Slip Shoes

  Safe

  At Risk

  N/A

• Controls in place to control spills? mops, wet floor signs, fans, etc.

  Safe

  At Risk

  N/A

• Areas of concern with low coefficient of friction? pool decks, entrances, etc. Slip Meeter Testing?

  Safe

  At Risk

  N/A

• Clear Walkways & Hallways?

  Safe

  At Risk

  N/A

• 1/4 inch of elevation change can create a trip. Areas in need of repair? potholes, carpet fraying, Damaged Tile?

  Safe

  At Risk

  N/A

• Cameras Facing Exterior / Parking Lot?

  Safe

  At Risk

  N/A

• Paint on Curbs (Bright Color with Slip Resistant Paint)?

  Safe

  At Risk

  N/A

• Using Broadcast Spreader to apply Sand & Salt relating to snow/ice removal?

  Safe

  At Risk

  N/A

• Snow Log to Document Shoveling / Sanding / Salting

  Safe

  At Risk

  N/A

Amenities / Gym / Breakfast Room / Bistro

• All object & Decorations secured against movement?

  Safe

  At Risk

  N/A

• Floor Clean, Clear, & Dry?

  Safe

  At Risk

  N/A

• Equipment in Working Order, Preventative Maintenance?

  Safe

  At Risk

  N/A

Vehicle Safety

• Motor Vehicle Record Check for all Drivers, Annual followup?

  Safe

  At Risk

  N/A

• Minimum Age 21 for all Drivers

  Safe

  At Risk

  N/A

• Drug Test

  Safe

  At Risk

  N/A

• Maximum 14 Hour Days (DOT 11 Hours Driving)

  Yes

  No

  N/A

• Road Test, Ride Along, Cell Phone Use

  Safe

  At Risk

  N/A

• Driver Training?

  Safe

  At Risk

  N/A

Kitchen, back of house housekeeping

• Storage of goods?

  Safe

  At Risk

  N/A

• Room to move about near fryers, stoves, etc?

  Safe

  At Risk

  N/A

• Cutlery stored properly?

  Safe

  At Risk

  N/A

• Meat slicer training? Glove use?

  Safe

  At Risk

  N/A

• Hobart guard being used?

  Safe

  At Risk

  N/A

Electrical Hazards

• Clearance 3 feet in storage rooms?

  Safe

  At Risk

  N/A

• Extension cords, ground pin, good condition?

  Safe

  At Risk

  N/A

Manual Material Handling

• Material Handling Carts (Housekeeping)

  Safe

  At Risk

  N/A

• Team Lifts for Heavy or Awkward Objects

  Safe

  At Risk

  N/A

• Lifting Training?

  Safe

  At Risk

  N/A

• Trash Cans on Rolling Wheels?

  Safe

  At Risk

  N/A

• Spring Loaded Linen Carts - Reducing bending to reach bottom of the cart

  Yes

  No

  N/A

POOL/SPA/FITNESS:

• Surfaces Slip Resistant?

  Safe

  At Risk

  N/A

• Locked Entrance?

  Safe

  At Risk

  N/A

• Life Saving Equipment (Ring Buoy, Shepard's Crook, Depth Marking)

  Safe

  At Risk

  N/A

• No Life Guard On Duty Signage?

  Safe

  At Risk

  N/A

• Pool Chemicals Labeled? Locked from access?

  Safe

  At Risk

  N/A

• SPA Shutoff Switch

  Safe

  At Risk

  N/A

• Emergency Phone Available?

  Safe

  At Risk

  N/A

• Anti Suction Drains

  Safe

  At Risk

  N/A

• Training For Employees?

  Safe

  At Risk

  N/A

Food-borne Illnesses

• ServSafe Training for employees?

  Safe

  At Risk

  N/A

• Hand Washing Facilities located near Food Prep Areas. Employees using proper hand washing techniques?

  Safe

  At Risk

  N/A

• Proper Labeling of Food Prep Dates & Times?

  Safe

  At Risk

  N/A

• Proper Storage of Food?

  Safe

  At Risk

  N/A

• Regular Cleaning of Kitchen Equipment (Including Beer Tap Lines)

  Safe

  At Risk

  N/A

• Labeling of Ingredients for Allergy Identification (Nuts, Shellfish, etc)?

  Safe

  At Risk

  N/A