NUSA Location Inspection V2

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• INSTRUCTIONS: Select topic and proceed to grade each topic on scale of 1 - 10 with 1 being the worst and 10 being the best. Simply slide the score ball/circle to desired position on score line. For those non scored topics, simply check as completed YES, NO or N/A.

STORE APPEARANCE

• Entrance Signage

• Entrance Area

• Store Appearance

• Store Cleanliness

• Trash Receptacles/Containers

• Lighting/Bulbs

• Climate Control System

• Ceiling Tiles & Vents

• Carpet & Flooring

• Paint & Wall Texture

• Access Doors/Gates

• Redemption Area & Display Cases

• Birthday Party Area

• Office Area

• Equipment Layout/Arrangement

• Plumbing

• Sinks

• Toilets

• Comments related to low scores

• Photos related to low scores

  Media

ADMINISTRATIVE/SECURITY

• Location License/Licenses current to date?

  Yes

  No

  N/A

• Money properly handled & secured?

  Yes

  No

  N/A

• Keys properly handled & secured?

  Yes

  No

  N/A

• Tokens properly handled & secured?

  Yes

  No

  N/A

• Merchandise properly handled & secured?

  Yes

  No

  N/A

• Tickets properly handled & secured?

  Yes

  No

  N/A

• Coupons, Gift Cards & other Marketing Materials properly handled & secured?

  Yes

  No

  N/A

• Safes operational & properly utilized?

  Yes

  No

  N/A

• Surveillance System functions properly?

  Yes

  No

  N/A

• Security Alarms function properly?

  Yes

  No

  N/A

• Employment & Human Resource Materials properly posted?

  Yes

  No

  N/A

SAFETY

• Stocked First Aid Kit?

  Yes

  No

  N/A

• Breakers functional?

  Yes

  No

  N/A

• Fire Extinguishers service to date?

  Yes

  No

  N/A

• Chemicals properly secured away from guests?

  Yes

  No

  N/A

• Emergency Exit Signage functional?

  Yes

  No

  N/A

• Emergency Lights functional?

  Yes

  No

  N/A

• Emergency Exit Alarms functional?

  Yes

  No

  N/A

• Dolly/Handcart safe & functional?

  Yes

  No

  N/A

• 4 Wheeler safe & functional?

  Yes

  No

  N/A

• Ladder safe & functional?

  Yes

  No

  N/A

• Shredder safe & functional?

  Yes

  No

  N/A

• Scale safe & functional?

  Yes

  No

  N/A

• Tools, Dolly, Handcart, Ladder, etc properly secured away from guests?

  Yes

  No

  N/A

• Shredders & Scales operational and positioned properly away from guests reach?

  Yes

  No

  N/A

• Drop Cords/Power Cords safe & functional?

  Yes

  No

  N/A

• Electrical Outlets safe & functional?

  Yes

  No

  N/A

• Storage & Shelving safe?

  Yes

  No

  N/A

EQUIPMENT

• Equipment Inspection completed?

  Yes

  No

  N/A

• Mgr Equipment Inspection Schedule up to date?

  Yes

  No

  N/A

• Equipment Access Panels Inspected for Security?

  Yes

  No

  N/A

• Games & Equipment safe to operate?

  Yes

  No

  N/A

• Equipment Pricing reviewed & addressed?

  Yes

  No

  N/A

• AAMA Stickers & Posters displayed?

  Yes

  No

  N/A

• Phone/Phones functional?

  Yes

  No

  N/A

OPERATIONAL

• Staff/Personnel

• Customer Service

• Tools, Parts, Supplies adequate?

  Yes

  No

  N/A

• Down Games & Repairs properly managed?

  Yes

  No

  N/A

• Redemption Orders & PPA's properly managed?

  Yes

  No

  N/A

• Cranes/Merchandiser Orders & Payouts properly managed?

  Yes

  No

  N/A

• Payroll Budgets properly managed?

  Yes

  No

  N/A

• Marketing Programs active in location?

  Yes

  No

  N/A

• Marketing Supportive Materials in stock & utilized?

  Yes

  No

  N/A

SUMMARY, SIGNATURES & DATES

• Date Inspection Completed

  Date
• Location Inspection Completed
  Address

• Location Photos

  Media

• Action Plan

• Signature of Inspector

  Sign

• Signature of Manager

  Sign