Title Page

  • Site conducted

  • Conducted on

  • Prepared by

Externals - Building Fabric

  • Building externals to be free from damage to fabric and cladding inc all outbuildings

  • External building lighting is off during daylight and free from damage

  • Building walls cable containment is secure and free from any damage

  • Doors and walls are in good condition and free from graffiti

  • Glazing to be secure and free from damage

  • Guttering free from leaks and vegetation growth build up

  • Cash Point Machine Shrouds in place, secure and free from damage

  • Building Emergency Exits are clear with no trip/slip hazards present

  • Landscaping - treelines and shrubbery not encroaching onto building/footpaths. Leaf build up to be cleared.

  • Any other building fabric issues to report

Customer Facing Areas - Foyer/Draught Lobby Entrance

  • Primary matting & entrance threshold strip is complete/secure and does not present a trip hazard

  • Floors, walls, ceilings are free from damage

  • Lighting is fully operational

  • Auto sliding/swing doors fully operational

  • Glazing free from damage

  • Door air curtain heaters to be fully operational and in good condition

  • Perimeter protection railings/posts are secure

  • Electrical accessories and conduits are free from damage

Customer Facing Areas - Customer entrance Foyer, Checkouts / Self scan/scan and go

  • Automated Pedestrian Gates ensure safe, secure, operational and in good condition

  • EAS Barriers ensure safe, secure, operational and in good condition

  • Any other barriers ensure safe, secure, operational and in good condition

Customer Facing Areas - Toilets

  • Toilet Door Finger Guards present and intact.

  • Floors, ceilings & wall tile/cladding free from damage

  • Taps and pipework to be free from leaks and secure. Taps not left running/dripping

  • Electrical Fixtures, fittings, light switches, sockets and conduits to be free from any damage

  • Hand dryers are operational

  • Extracts are fully operational

  • Cubicle door furniture is secure, operational and free from damage

Customer Facing Areas - Sales Floor

  • Lighting to be fully operational

  • Sales floor temperatures normal

  • Floors, walls & ceilings are free from damage

  • Batter through doors fully operational & free from damage

  • Shelving Kickplates are present where applicable and in good condition

  • Electrical accessories and conduits are free from damage no extension leads in use

  • Refrigeration case lighting is operational and free from any damage

  • Refrigeration case risers to be in place, secure and in good condition

  • Refrigeration case bump trim is in good condition/kick plates secure

Customer Facing Areas - Restaurant

  • Lighting to be fully operational

  • Temperatures normal within seating areas

  • Floors, walls & ceilings are free from damage

  • Electrical accessories to fixtures, fittings, light switches, sockets and conduits are free from damage

  • Taps and Pipework to be free from leaks and secure. Taps not left running/dripping

Customer Facing Areas - Bakery/Counters

  • Lighting to be fully operational

  • Floors, walls & ceilings are free from damage

  • Cold rooms - Strip curtains are in place and doors are free from damage

  • Batter through doors are free from damage

  • Taps and Pipework to be free from leaks/drips and secure including detergent chemical dosing connection points

  • Electrical accessories fixtures, fittings, light switches, sockets and conduits to be free from damage

Back of House Areas - Back Ups

  • Floors, walls & ceilings are free from damage

  • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

  • Lighting to be fully operational

  • Cold Rooms - Strip curtains are in place and doors are free from damage

  • Cold Rooms are free from ice build up

Back of House Areas - Warehouse inc Home Shopping

  • • Floors, walls & ceilings are free from damage

  • • Protection posts, bollards & barriers to be intact and free from damage

  • • Lighting to be fully operational, including traffic management indication

  • • Batter through doors are free from damage and fully operational

  • • Cold Rooms - Strip curtains are in place and doors are free from damage

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

Back of House Areas - Yard

  • • Drainage and ACO to be free from damage and accessible . ACO to be clear of visible silt build up

  • • Yard surface to be free from pot holes

  • • Lighting including traffic management system to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

  • • Protection posts, bollards & barriers to be intact and free from damage

  • • Landscaping is not overgrown and impacting on access to areas

Colleague Areas throughout the store - Entrance

  • • Fabric Condition - Floors, walls & ceilings are free from damage

  • • Lighting to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

Colleague Areas throughout the store - Stairwell

  • • Stairwell nosing's secure

  • • Fabric Condition Floors, walls & ceilings are free from damage

  • • Lighting to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

Colleague Areas throughout the store - Offices

  • • Fabric Condition - Floors, walls & ceilings are free from damage

  • • Lighting to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

Colleague Areas throughout the store - Restaurant/ Canteen

  • • Fabric Condition - Floors, walls & ceilings are free from damage

  • • Lighting to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage • Taps and Pipework to be free from leaks and secure. Taps not left running/dripping

Colleague Areas throughout the store - Toilets

  • • Door Finger Guards present and intact.

  • • Fabric Condition Floors, ceilings & tiles are free from damage

  • • Taps and pipework to be free from leaks and secure. Taps not left running/dripping

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

  • • Hand dryers are operational

  • • Extracts ventilation is fully operational

  • • Cubicle door furniture is operational and free from damage

Other Areas - Plant Room inc External / Internal & Service/Switch rooms

  • • Plant room doors are locked with correct signage present.

  • • Lighting to be fully operational

  • • Electrical accessories to fixtures, fittings, light switches, sockets and conduits to be free from damage

  • • Plant room / storage areas are clean, tidy and any flammable items (i.e. Paint, aerosols) are locked in a chemical cabinet.

  • • Oil storage, is storage suitable, drums positioned on drip trays, if outside are drums covered and positioned on drip trays.

  • • Parts should be stored appropriately and no debris, should not be left on the floor & stored correctly with good levels of organisation and clear segregation between storage and equipment. Good standards of housekeeping in place

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.