Title Page

  • Store Name

  • Store No.

  • Visit Type

  • Conducted on

  • Prepared by

  • General Refrigeration Condition

Fishmonger

  • Is there a fish counter ?

  • What type of fish counter is installed?

  • Any visible sign of glass damage on counter

  • Is there a Ice Machine ?

  • Ice machine water filter - Does it have a date tags visible?

  • Do water filters need to be replaced?

  • Fish coldstore operating correctly?

  • Internal Door Release Operational ?

  • Personnel Trap Alarm Operational ?

  • Are coldstore curtains damaged?

  • Do they have a fish display freezer?

  • Additional information

  • Photo's

Fresh To Go

  • Is There a Fresh To Go Section ?

  • Is the Pizza Case Operational ?

  • Are all Sneeze Glasses in Place ?

  • Salad bar operating correctly?<br>

  • What type of gastronome grid does salad bar have?

  • If painted finish tick

  • Is painted finish damaged or in poor condition?

  • Fresh prep coldstore operating correctly?

  • Internal Door Release Operational ?

  • Personnel Trap Alarm Operational ?

  • Are coldstore curtains damaged?

  • Williams integrals operating correctly?

  • Do any Williams need door gaskets replacing?

  • Additional information

  • Photo's

Delicatessen

  • Does it have a Deli Display Counter ?

  • Is Deli operating correctly?

  • Does Deli have open cheese section?

  • Is open cheese section over stocked?

  • Does store have deli express island?

  • Deli coldstore operating correctly?

  • Is the Internal Door Release Operational ?

  • Personnel Trap Alarm Operational ?

  • Are coldstore curtains damaged?

  • Are Williams integrals operating correctly?

  • Do any Williams need door gaskets replacing?

  • Additional information

  • Photo's

Oven Fresh

  • Is there a Oven Fresh Section ?

  • Hot case operations correctly?

  • Any visual signs of glass damage on hot case?

  • Are any heat lamps faulty?

  • Do rear Perspex doors require replacing?

  • Does section have Williams pass through cases?

  • Are lights working in pass through cases?

  • Pie freezer coldstore operating correctly?

  • Raw Poultry coldstore operating correctly?

  • Personnel Trap Alarm Operational Issues ?

  • Internal Door Release Operational Issues?

  • Are coldstore curtains damaged?

  • Additional information

  • Photo's

Cake Shop

  • Is There a Cake Shop ?

  • Display case operating correctly?

  • Cake island operating correctly?

  • Williams integrals operating correctly?

  • Do any Williams require doors gaskets replacing?

  • Additional information

  • Photo's

Bakery

  • Does Store have

  • What DRP's installed?

  • Are DRP's leaking water?

  • Do any DRP's require door gaskets replacing?

  • Bakery Freezer coldstore operating correctly?

  • Bakery chiller coldstore operating correctly?

  • Internal Door Release Operational Issues?

  • Personnel Trap Alarm Issues ?

  • Are any coldstore curtains damaged?

  • Additional information

  • Photo's

Fresh Meat

  • Is there a Fresh Meat Counter ?

  • Meat serve over operating correctly?

  • Does counter have open section?

  • Meat chiller coldstore operating correctly?

  • Internal Door Release Operational ?

  • Personnel Trap Alarm Operational ?

  • Are any coldstore curtains damaged?

  • Additional items

  • Photo's

Produce

  • What Produce Integral Cases are there ?

  • Are Bonds tables operating correctly?

  • Are the Kapanalar Produce Cases Operating Correctly ?

  • Are Wells cases operating correctly?

  • What type of lighting on Produce Cases

  • Are they all operating correctly?

  • Does section have cool plates installed?

  • Do any condensers require cleaning in section?

  • Additional information

  • Photo's

Free From

  • Are Cases Operational

  • Condensers Clean

Fresh Food

  • Are cases operating correctly?

  • Do the cases have doors fitted?

  • Any Doors Missing or Damaged ?

  • Any Door Tensioner Faults Present ?

  • Do cases have weir screens fitted on air return?

  • Any weir screens missing some or damaged?

  • Night Blinds operational ?

  • Does section have any of the following Destrat fans or Cold Air Retrieval?

  • Are they operating correctly?

  • Type of Case Lighting

  • General Case Condition

  • Additional information

  • Photo's

Frozen

  • Are cases operating correctly?

  • Any door gaskets faulty?

  • Any door tensioner faults present?

  • Any visible signs of door frame heater faults?

  • Does section have de-stratification fans fitted?

  • Are they operational?

  • Do cases have under case fans fitted?

  • Are they operational?

  • Type of Case Lighting

  • General Case Condition

  • Additional information

  • Photo's

Sandwiches

  • Has section been converted to new modular layout?

  • Are cases operating correctly?

  • Do cases have doors fitted?

  • Additional information

  • Photo's

Food to Go

  • Is Case Operational

  • Are there any lamps out

Customer Restaurant

  • Is there a Customer Restaurant

  • Display case type?

  • Display case operating correctly?

  • Display case lighting operational?

  • Do they have a freezer coldstore?

  • Do they have chilled coldstore?

  • Are coldstores operating correctly?

  • Any Internal Door Release Issues

  • Any Personnel Trap Alarm issues

  • Williams storage cases operating correctly?

  • Any door gaskets require replacing?

  • Additional information

  • Photo's

Staff Room

  • Display case type?

  • Display case operating correctly?

  • Display case lighting operational?

  • Williams storage cases operating correctly?

  • Any door gaskets require replacing?

  • Additional information

  • Photo's

Coldstore (Main)

  • Are they operational ?

  • Any fabric damage to rooms?

  • Any lighting issues?

  • QFF reading correctly in freezer rooms?

  • Any Internal Door Release Issues ?

  • Any Internal Trap Alarm Issues ?

  • Any door curtain issues?

  • Is there a door switch on Main Freezer Coldroom

  • Is Door Switch operational

  • General Coldroom Condition

  • Additional information

  • Photo's

Plant Room

  • Plant room door locked?

  • Is door displaying the correct COSH data sheet?

  • Any alarms present on entering plant room?

  • Any compressors found switched off?

  • Any compressors switched off in software?

  • Are compressor inverters operating correctly?

  • Oil levels good on plant?

  • All pressures displaying correctly?

  • F-Gas data sheets available to review?

  • Are electrical panel cooling fans operating correctly?

  • General Condition of Plant

  • Additional information

  • Photo's

Condensers & Gas Coolers

  • Do any condensers or gas coolers require cleaning?

  • Any fan motors visibly faulty or switched?

  • Any fan motors removed?

  • Any access issues?

  • General Condition of Condensers

  • Photo's

  • Additional information

Refrigerant

  • What leak detection system is installed?

  • Leak detection operational?

  • Real zero caps fitted?

  • PRVS - do they have date labels

  • PRVs do they need to be replaced

  • PRV installation Date

  • What refrigerants are being used on site?

  • If any Refrigerant Bottles on site are they safely secured ?

  • Additional information

  • Photo's

PFS

  • Is there a PFS

  • Case type?

  • Are they operating correctly?

  • Condensing unit requires cleaning?

  • Condensers require cleaning?

  • Do cases have doors?

  • Is there a Food To Go Section

  • Is Food to Go operational

  • Are there any Lamps out

  • Is PFS linked to alarm monitoring system in store?

  • Additional information

  • Photo's

Integral Cases

  • Number of integrals that are monitored?

  • Number of integrals that are non monitored?

General Items

  • Any coldstore doors left open on walk?

  • Any alarms present on monitoring system?

  • Any equipment isolated on alarm panel?

  • Any asset alarms

  • Any water leaks on sales floor on visit?

  • Front doors to store set permanently open?

  • Is drawing up to date?

  • Is there any redundant cases in warehouse or loading bay

  • Additional information

  • Photo's

Miscellaneous

  • Additional information

  • Photo's

Store Team

  • How would you rate the service from refrigeration contractor?

  • Store Team Representative

  • Additional 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.