Title Page

  • Retail Store

  • Client / Site

  • Conducted on

  • Prepared by: LZB Corporate Safety Specialist

  • Location
  • Personnel

Physical Inspection

  • Are vertically stored ladders secured from falling?

  • Ceiling clean and free from leaks?

  • Is there an extinguisher in the kitchen/break room area where cooking may occur?

  • Proper electrical cord usage?

  • Are lockers or safe storage of personal items made available/used?

  • Motion furniture safe from bumping or toppling items when reclined.

  • All fire extinguishers and electrical panels clear and accessible?

  • Are all exits clear and accessible

  • Wall hangings and shelved TLA secure from falling?

  • Stacked, leaned or displayed items safe from falling if bumped.

  • Rugs and rug tags laying flat on the floor to prevent tripping?

  • Are floor electrical plates found closed and unbroken?

  • Are non customer entryways secured and locked when not in use?

  • Showroom area free of tripping hazards?

  • Only non castered (wheeled) chairs made available to customers?

  • Is the alarm system properly working?

  • Have the extinguishers been inspected (punched) within the past year?

  • Fire protection system inspection current.

  • General housekeeping of offices, restrooms and back room (5S)

Program Audit

  • Do personnel know and use a designer code word for emergency situations?

  • TravCARE knowledge?

  • Weather/quake action plan?

  • Osha Log Posted (Feb through April Only)

Other Comments

  • Other Comments:

  • Misc Photos

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