RMM Store visit- Compliance check list issue 05

• Issue 01

• Store compliance check list

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

L8 Book

• Check summary of risk assessments and remedial actions

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Check section 12 defect action log book

  Select Compliant Non-Compliant

  • Compliant
  • Non-Compliant

• Check *Domestic Water Services Survey and Log Book Records* section 8 Record of improvements and repairs

  Select Compliant Non-Compliant

  • Compliant
  • Non-Compliant

• Check if the risk assessment has included the misting tables if applicable to the store

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Check section 10 of the water hygiene book for Microbiological and Legionella test results.

  Select Compliant Non- Compliant

  • Compliant
  • Non- Compliant

• Items marked non compliant please record actions taken

Fire

• Quarterly Emergency Light Test

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Quarterly Fire Alarm Panel Test

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Annual Fire Fighting Equipment Test Chubb certificate

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Bi-annual Automatic Fire Shutter Test (label fitted at fire shutters)

  Compliant

  Non Compliant

• Sprinkler Inspection

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Please add comments on the current condition of the sprinkler water tank.

• Ansul Fire Suppression Test (test date label fitted on main unit)

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Check for general fire safety hazards(blocked exits, fire doors propped open etc

  Compliant

  Non Compliant

• Items marked non compliant please record actions taken.

Refrigeration 13 weekly case clean

• Check cleaning records

  Select Compliant Non- Compliant

  • Compliant
  • Non- Compliant

• Please add feedback for store management team to action

Asbestos

• Check Asbestos Management Plan is available in signing in book

  Select Compliant Non- Compliant

  • Compliant
  • Non- Compliant

Certifications

• Check thorough Examination Certificates for Lifting equipment exclude mechanical handling equipment

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Check Gas Safety Certificate (boiler plant room)

  Select Compliant Non Compliant

  • Compliant
  • Non Compliant

• Portable Appliance Test Certificate (can be down loaded from store portal)

  Select Compliant Non-Compliant

  • Compliant
  • Non-Compliant

• Items marked non compliant please record actions taken.

Plant Room

• Refrigeration Gas bottles chained secure

  Select Yes No

  • Yes
  • No

• Please record from each Fgas sheet (sheet found on each pack) last date entry and quantity of gas used.

• Please enter the fixed leak detection last PPM date(found on bottom of Fgas sheet)

• Free from rubbish and retail equipment

  Select Yes No

  • Yes
  • No

• Plant Room doors locked

  Select Yes No

  • Yes
  • No

• Electrical panels all locked

  Select Yes No

  • Yes
  • No

• Water Tank Labelled and test date for last tank clean

  Select Compliant Non-Compliant

  • Compliant
  • Non-Compliant

• Loading Beams

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Eyebolts

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Items marked non compliant please record actions taken

Roof

• Fall arrest system

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Smoke vents

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Edge Protection

  Select Compliant Non-Compliant

  • Compliant
  • Non-Compliant

• Safe access to roof

  Select yes no

  • yes
  • no

• Lightening Protection

  Select compliant Non- Compliant N/A

  • compliant
  • Non- Compliant
  • N/A

• Items marked non compliant please record actions taken

Customer Toilets

• Finger Guards

  Select Poor condition Adequate Good condition

  • Poor condition
  • Adequate
  • Good condition

• Please add any additional information

Others

• SRA up to date

  yes

  no

• RAG building updated

  yes

  no

• Store General Manager or Deputy

  Sign

• SGM comments