Title Page

  • Store ID

  • Store Name

  • Conducted on

  • Prepared by

  • Location

Exterior Grounds - front parking lot and landscaping

  • Provide photos of parking lot

  • Provide photos of parking lot landscaping

  • Provide photos of exterior lighting fixtures and parking lot lights

  • Comments on Front Exterior

  • Punch list items

Exterior Back of Store - rear parking lot, shipping and receiving and employee entrance

  • Provide photos of rear parking and employee entrance

  • Provide photos of wall packs and security lighting

  • Provide photos of S/R area and Waste/Recycling areas

  • Comments on rear exterior areas

  • Punch list items

Exterior Front of Store - Exterior Walls, sidewalks, Employee Entrance (if so located), signage and features

  • Provide photo of storefront

  • Provide photos of all exterior signage including monument and pylon

  • Provide photos of Employee Entrance if located at front of store

  • Provide photos of trellis, footings, cleats and bollards

  • Provide photos of all front exterior light fixtures

  • Provide photos of all exterior windows

  • Comments on front exterior

  • Punch list items

Exterior Store Entrance

  • Provide photos of entrance doors and door switches

  • Comments on exterior entrance

  • Punch list items

Store Entrance and Cashier/CS area Interior

  • Provide photos of vestibule, interior doors, walk off mats,

  • Additional Comments on entry interior

  • Provide photos of cashier area, task lighting, accessories

  • Additional comments on Cashier area

  • Punch list items

Office

  • Provide photos of the office

  • Additional comments

  • Punch list items

Cashier Hold Area

  • Provide photos of Hold Area

  • Additional comments on Hold Area

  • Punch list items

Sales Floor

  • Provide photos of general lighting and specific fixtures / lamps

  • Additional comments on sales floor

  • Provide photos of slab

  • Comments on slab

Fitting Rooms

  • Provide photos of fitting room features

  • Additional comments

  • Punch list items

Shop

  • Provide photos of the shop areas

  • Additional comments on the shop

  • Punch list items

Community Room

  • Provide photos of Community Room

  • Additional commrnts

  • Punch list items

Customer Restrooms

  • Provide photos of restroom features

  • Additional comments on Customer Restrooms

  • Punch list items

Employee Breakroom

  • Provide photos on breakroom

  • Additional comments

  • Punch list items

Employee Restroom and Shower

  • Provide photos of the Employee restroom features

  • Additional comments

  • Punch list items

Warehouse Area

  • Provide photos of warehouse equipment and layout

  • Additional comments

  • Provide photos of dock equipment and features

  • Additional comments

  • Punch list items

Sprinkler riser and backflow

  • Provide photos of riser and backflow

  • Additional comments

Switch Gear / EMS

  • Provide photos of switchgear and Novar panel

  • Additional comments

  • Punch list items

Fire Burglar Alarm System

  • Provide photos of alarms

  • Additional comments

  • Punch list items

Roof

  • Provide photos of roof and HVAC equipment

  • Additional comments

  • Punch list items

Elevator

  • Provide photos of elevator

  • Additional comments

  • Punch list items

Meters

  • Provide photos of meters

  • 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.