Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • RFM

  • Name of store Representative

Vertical Movement

  • Are all lifts operational

  • Are all lift emergency call systems working correctly

  • Are all scissor/tail lifts operational

  • Are all escalators running and without faults

  • Are all goods lifts operational

Doors and Shutters

  • Are all auto doors operational and without fault<br>

  • What is the condition of the auto door

  • What is the condition of manual doors

  • Are all emergency exit doors in operational and in good condition

  • Are loading bay doors operational and in good condition

  • Are all roller shutter doors operational and in good condition

Fabric and Structure

  • What is the condition of the store entrance from the outside, list all poor areas<br><br>To include entrance flooring and note any slip hazards<br><br>Decor and Signage

  • What is the condition of barrier matting ( take photograph )

  • What is condition of secondary matting ( take photograph )

  • What is the condition of food hall flooring

  • What is condition of food hall decor including doors, columns and walls

  • Is food hall lighting in good condition and meeting SLA

  • What is the condition of GM flooring

  • What is condition of GM sales areas decor including doors, columns and walls

  • Is the GM sales floor/s lighting in good condition and meeting SLA

Customer Cafe

  • What is the general appearance of the cafe from customer perspective

  • What is the condition of servery counter

  • What is the condition of flooring both customer facing and back stage

  • What is the condition of decor

  • Is cafe lighting in good condition and meeting SLA

  • Is the catering equipment all working and in good condition, are there any repeated failures.<br><br>

  • Is there any equipment that needs to be replaced or capacity increased due to demand

  • Is the temperature in the cafe comfortable and all a/c systems operational

  • List any equipment that needs to be replaced

  • Add equipment
  • Take photograph of poor facilities

Customer Toilets

  • What is the general appearance of the toilets from customer perspective

  • Is the ventilation or extract functioning and keeping stale smells under control

  • What is the condition of decor including flooring

  • Is all the sanitary equipment working and in good condition

  • Has the store had any repeated jobs e.g. Blockages

  • Is there any F&P requirements

  • Take photograph of poor facilities

Staff Toilets

  • Is the ventilation or extract functioning and keeping stale smells under control

  • Is all the sanitary equipment working and in good condition

  • What is the condition of decor including flooring

  • Is all the sanitary equipment working and in good condition

  • Has the store had any repeated jobs e.g. Blockages

  • Is there any F&P requirements

  • Take photograph of poor facilities

Fire Alarm, Emergency Lighting and Sprinklers

  • Is the fire alarm panel clear of faults

  • If faults exist list the ms number

  • Is the sprinkler panel in a steady state and clear of faults

  • If faults exist list the ms number

  • Are all emergency lights functioning, check book b for any SME notes

  • If faults exist list the ms number

  • Are all emergency exits operational

  • If faults exist list the ms number

  • Is store carrying out sprinkler tests

  • Is the back up diesel pump being tested

  • If applicable are dedicated smoke extract systems being tested

HVAC

  • Is HVAC data manager working ok

  • Are all boilers operational

  • Are all chillers operational and coils clean

  • Are all gas fired appliances working correctly and in sound condition

  • Are all AHU's working

  • Random check one Ahu

  • Are all drip trays free from debris and drainage running

  • Are all compressors functioning and free of faults

  • Are external panels and doors including handles in good condition and in working order

  • Are all gas burners running

  • Are all motors running and belts in good condition

  • Are filters installed correctly and in good condition

  • Are all damper actuators in position and operating

  • Are coils clean and free from debris

SME Functions in conjunction with Book B

  • Verify monthly water checks completed and results logged

  • Verify that weekly low use age outlets have been flushed and recorded

  • Has quarterly a/c servicing been carried out

  • Have bakery hygiene checks been completed

  • Verify all ladders have been checked and labels are current

Back stage

  • What is the condition of ware house flooring

  • Take photograph of poor facilities and describe location

  • What is the condition of office flooring

  • Take photograph of poor facilities and describe location

  • What is the condition of decoration

  • Take photograph of poor facilities and describe location

  • What is the condition of back stage lighting

  • Take photograph of poor facilities and describe location

Store Engagement

  • How proactive is store SME

  • How is SME for first time fix

  • How are store lighting teams performing

  • Is the store logging and chasing jobs via Reach and RDM

  • Are all engineers logging in and advising store of works they are here to do

  • Are all engineers opening and closing jobs

  • How do store find the RDM function

  • Are there any contractors who give poor customer service and cause repeat jobs

External

  • What is the condition of loading bay floor including painted guide lines

  • Take photograph of poor facilities and describe location

  • Is all drainage free from debris and free running

  • Take photograph of poor facilities and describe location

  • Are all footpaths, fire exits and general walkways in good condition

  • Take photograph of poor facilities and describe location

  • What is the condition of shop front decoration, include pavement, frames, glazing and signage

  • Take photograph of poor facilities and describe location

  • What is the condition of the roof areas, gullies, edge protection, walkways, access ladders and door ways.

  • Take photograph of poor facilities and describe location

Refrigeration and Food Hall

  • Is food hall temperature acceptable, verify with store and note customer feedback

  • If applicable verify cold aisle heaters are working

  • Are cases in food hall in good condition, note any damage, leaks, ice build up etc

  • Are evaporator and condenser coils clear of debris and not corroded

  • Are all condenser fans operational

  • Is there any oil build up underneath compressors

  • Is pipe work in good condition and any lagging also in good order, with correct labelling including F Gas info.

  • Is there any evidence of staining around pipe joints

  • Are ventilation fans operational in pack/plant housings

  • In either cold room or back stage freezers is there any ice build up on evaporators or structure

  • Are any door seals leaking

  • Is there evidence of water leaking onto cold/freezer room floors that is a risk to operators

  • Are all condensate trays and or pumps free of debris and running clear

Generator

  • Are there any faults would prevent generator running

  • Is there any evidence of fuel or water leaks

F&P

  • List the items for inclusion onto either immediate or future F&P

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.