NEW-Polish Safety and Progress Report - XL RETAIL SERVICES

• Site Name

• Site Number

• Conducted on

  Date

• Prepared by

Polish Completion Progress Report - XL Retail Services

# Supervisor to update Hard Floor Coordinator on job status / progress # Issues identified to be included with appropriate action planning # Photos and supporting comments can be embedded throughout the report in each section

Supervisor conducting work

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Safety Compliance

• All team signed off on SWMS

  Compliant

  Non-Compliant

  N/A

• What type of PPE is required to be worn for this task?

• Are Safety Signs displayed on relevant Access Doors, staff areas and attached to barrier tape, barricades etc ? (Include photos.)

• What safety measures are in place to prevent team member from walking onto polish areas ?

• Test and Tag of equipment up to date ?

  Pass

  Fail

  N/A

• Please provide photos of the safety barricades

  Media

Mud Maps - Completion

• Was the map completed as planned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Completed Areas/Aisles ?

• Please provide photos:

  Media

• If not completed, why?

CURRENT ISSUES AND IMPACTS

• Relevant Polish Plan / Polish Map provided to polishing crew?

  Yes

  No

  N/A

• Store staff / night manager aware of planned works required?

  Yes

  No

  N/A

• Store Team Members remaining out of aisles planned for polish work?

  Yes

  No

  N/A

• Stock / movable items removed from planned areas by store team?

  Yes

  No

  N/A

• Equipment / product working effectively?

  Yes

  No

  N/A

Items that must be done

• Gondola legs detailed

  Yes

  No

  N/A

• Shark machine used under gondolas

  Yes

  No

  N/A

• Around Bollards Completed

  Yes

  No

  N/A

• Chrome Cleaned

  Yes

  No

  N/A

Hazards or Incidents to Report ?

• Any Hazards to report ?

  Yes

  No

  N/A

• Any Safety Incidents to report ?

  Yes

  No

  N/A

Actions required/Additional comments

• undefined

Site Representative name, signature and comments / feedback as needed

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