Physical Plant Inspection and Restaurant Hazard Assessment

• Site conducted

  Select

• Conducted on

  Date

• Store Number

• Location
  Address

• Prepared by

Parking Lot & Surrounding Property

• Lot Surface

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Car Stops (condition) <br>

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Curbing <br>

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Striping <br>

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• ADA Parking stall and signage

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Parking Lot Lights

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Trash Receptacles

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Outside Patio Area

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Fencing <br>

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Bike Rack

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Building Exterior

• Fascia

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Mansard (Trim and Shingles)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Soffit|Gutters|Downspouts

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Stucco/Siding

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Building Paint

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Walls

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Branding Panels

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Back Door/Slab

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Front Door/Slab

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Utility Doors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Exterior Windows

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Walkways

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Railings/Protective Poles

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Landscaping Appearance

• No Dead/Missing Plants

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Grass Areas/Ground Cover

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Edges/Containment Materials

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Dumpster Area

• Fence/Walls (Paint/Repair)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Gates (Paint/Repair)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Slab

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Hardware (Locks/Hinges)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Dumpster

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Grease Receptacle

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Drive Thru Lane and Service Area

• Concrete/Paving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Clearance Sign/Height Detector

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Preview Board

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Order Board

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• OCS

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Service Area

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Drive-Thru Window

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Guest Complaint Decal

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Operating Hours Posted

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Fly Fan

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Signs & Lighting

• Building Logo/Poles/Monument

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Building Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Marquee Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Directional/Other Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Banners/POP

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Dining Atmosphere

• Temperature (Comfortable)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Music Audible and Appropriate

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Fly Fans

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Exit signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Lighting/Ceiling

• Ceiling (Tile/Other)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Air Conditioning Vents/Returns

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Music Speaker Covers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Recessed/Ceiling Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Pendant Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Tables/Chairs/Booths

• Cushions (Booth/Chairs)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Table/Booth Tops (Defaced)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Table Bases

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Chairs (Legs/Backs/Sides)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• High Top Chairs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Booth Dividers/Frames/Legs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• High Chairs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Floors

• Tile

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coving (Tile/Rubber)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Grout

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Walls/Doors

• Wallpaper

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Paneling

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Doors and Frames

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Operating Hours Posted

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Door Closure

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Windows (Frames and Ledges)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Valances and Blinds

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Stone/Brick

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Pictures

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Dining Room Drink Station

• Coca Cola Self Serve Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Dining Room Ice Machine

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Counter Surface

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Napkins/Straw Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Drink Station Cabinet and Doors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Trash Receptacle

• Exterior (Chips/Dirt)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Magnetic Catch

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Interior

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Liner and Can

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Odor Free

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Men's Restroom

• Floors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Drains

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Walls (Tile/FRP/Other)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Ceiling

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lights/Cover

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Exhaust Vents

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Mirrors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Sink (Seal/Faucet/Plumbing)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Toilet/Urinal (Plumbing)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Hand Dryer/Paper Towel Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Soap Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Seat/Tissue Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Hand Rail (Secured to Wall)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Partitions

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Odor

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Doors/Locks

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Trash Cans

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Restroom Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Employee Handwash Sign

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Women's Restroom

• Floors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Drains

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Walls (Tile/FRP/Other)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Ceiling

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lights/Cover

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Exhaust Vents

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Mirrors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Sink (Seal/Faucet/Plumbing)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Toilet/Urinal (Plumbing)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Hand Dryer/Paper Towel Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Soap Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Seat/Tissue Dispenser

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Hand Rail (Secured to Wall)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Partitions

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Odor

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Doors/Locks

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Trash Cans

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Restroom Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Employee Handwash Sign

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Vestibule

• Restroom Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Doors

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Floor

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Walls

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Ceiling

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Vents

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lights/Covers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Exit Signs

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Front Counter

• Wall (Tile/Wallpaper/other)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Stainless

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Menu Board

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lights/Covers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Ceiling

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Floor/Coving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Counter Tops

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Support Poles

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Air Conditioner Vents

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Cup Dispensers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• General Appearance from Guest View

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Sanitizer Dispensers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• POS (Register/Monitor/cash Drawers)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Iced Tea Dispensers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coffee Machines

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Air Pots- Visible in Racks

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Drive Thru Area

• Drive-Thru Window Frame

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Headsets

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• POS (Register/Monitor/Cash Drawers)

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• DT POU

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Shake Machine

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Vita-Mixer-Splash Guard

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Kitchen Area and Equipment

• Floor

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Ceiling - T-Bar/Tiles

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Frybin

• Heating Elements

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Dividers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Freezer/Fridge

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Grill/Assembly Area

• Grill

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Dual Temp POU

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Assembly POU

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Fryer Area

• Proper Cleaning Sponge Available

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Doors Clean

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Physical Condition

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Filter Supplies and Cart

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Taco Station

• Freezer Drawers

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Dual Temp POU

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Toasters

• Teflon condition

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Proper cleaning sponge available

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Working Properly

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Cheese Pumps

• Operational

  Good

  Fair

  Poor

  N/A

• Clean

  Good

  Fair

  Poor

  N/A

Hydra Rinse

• Equipment and Chemicals on hand

  Good

  Fair

  Poor

  N/A

• Team Leader able to demonstrate Use

  Good

  Fair

  Poor

  N/A

Walk-in Cooler/Walk-in Freezer

• WIC Door/Frame/Heater

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIC Vinyl Curtain

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIC Shelving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIC Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIC Equipment

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIF Door/Frame/Heater

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIF Vinyl Curtain

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIF Shelving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIF Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• WIF Equipment

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Prep Area

• Prep sink

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• 3 Comp Sink

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Grid Shelving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• POU

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Coca Cola Rack/Compressor

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Water Filter System

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Back Door Area

• Mop Sink

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Shelving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Back Door

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Floor/Coving

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

• Lighting

  Standard

  N/A

  Critical Defect

  Needs Attention

  Needs Cleaning

Fire safety

• Fire extinguisher in their dedicated locations, inspected and recharged within the last year

  Yes

  No

  N/A

• Fire extinguisher inspection tag or paperwork present confirming date of last inspection

  Yes

  No

  N/A

• Automatic fire extinguishing system over cook area (Ansul System) fully charged and tag or paperwork present confirming date of last inspection

  Yes

  No

  N/A

• Hoods filters removed and cleaned as per a regular cleaning schedule

  Yes

  No

  N/A

• Hood exhausts turned on immediately upon arriving in the morning

  Yes

  No

  N/A

• Employees Trained on when/how to use fire extinguisher

  Yes

  No

  N/A

• Employee trained on when/how to use the automatic fire extinguisher system

  Yes

  No

  N/A

Postings and Support Materials Present

• Is "Safety and Health Protection on the Job" poster displayed?

  Yes

  No

  N/A

• Is the "Access to Medical and Exposure Records" poster Displayed?

  Yes

  No

  N/A

• Is the Emergency Evacuation Plan posted and a "designated meeting" spot marked?

  Yes

  No

  N/A

• Is name, number and directions to nearest approved industrial clinic posted?

  Yes

  No

  N/A

• Are all required OSHA (state/federal) posters displayed?

  Yes

  No

  N/A

• Is the SDS (Safety Data Sheet) right-to-know information binder present and current with the SDS of approved chemicals present

  Yes

  No

  N/A

• Is the Monthly Safety Training Calendar displayed on current month?

  Yes

  No

  N/A

• Are the Monthly Safety Training lesson plans and training records kept in the office and are appropriately signed up to current date?

  Yes

  No

  N/A

• Is the IIPP (Injury & Illness Prevention Program) binder present in the office and required pages properly updated?

  Yes

  No

  N/A

• Are the procedures for handling an employee or guest related incident clearly available in the office, along with the necessary paperwork to handle an incident?

  Yes

  No

  N/A

• Personal Protective Equipment Available and In Use

  Good

  Fair

  Poor

  N/A