Title Page

  • Month

  • Store

  • Conducted on

  • On Arrival at Branch—
    • Sign Visitors book
    • Advise Manager of your attendance and discuss facilities issues, e.g. quoted works, 3rd Party supplier issues
    • Action any requirements via help desk or supervisor
    • Agree priorities for day with Manager

  • Pre Work Checks
    • Ensure you know the emergency procedures for the site, including the fire evacuation arrangements, first aid arrangements and where to report accidents
    • Ensure you have got safe access to the workplace, adequate lighting, and are you protected from moving parts of client’s machinery or from being struck by vehicles. Ensure the work areas and access routes have had appropriate means of segregation put in place.
    • Ensure you consult the store asbestos register and establish that you will not disturb any ACMs.
    • The assessments noted below against the PPM tasks are not exhaustive and or may not cover all tasks in full. Therefore please ensure that they are reviewed for applicability before work commences. Where the assessment is not adequate works must not proceed until advice has been sought from the H&S dept.

Pavement appeal

  • All signage and carpark lighting , carpark surface drains, gates fences etc

Shop floor

  • Check condition shop floor , expansion joints and lighting

Butchery

  • Check flooring, lighting and plumbing

Goods in

  • Check condition of strip curtains, lighting and flooring

Toilets staff & customer

  • Check plumbing , lighting and flooring

Emergency light flick test .

  • Report and fix any failed fittings

Signatures

  • Technician signature

  • Manager signature

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.