Safety Inspection Checklist

• Audit Title

• Conducted on

  Date

• Prepared by

• Client / Site

• Add location
  Address

Floors and Walking Surfaces

• Are the floor surfaces at the entrances in good condition? (no broken tile, loose mats, torn carpets, damaged thresholds, etc)

  Yes

  No

  N/A

• Are the floor surfaces in the main dining areas in good condition?

  Yes

  No

  N/A

• Is the floor being cleaned according to the schedule?

  Yes

  No

  N/A

• Floor mats and/or carpets in good condition throughout the store?

  Yes

  No

  N/A

• Steps or stairs in good condition, including handrails?

  Yes

  No

  N/A

• Walkways clear of obstructions such as boxes, material, or other hazards?

  Yes

  No

  N/A

• All employees wearing slip resistant shoes?

  Yes

  No

  N/A

• Appropriate cleaning agents used on the floors?

  Yes

  No

  N/A

• Ramps equipped with hand rails and in good condition?

  Yes

  No

  N/A

• Kitchen floor areas in good condition?

  Yes

  No

  N/A

• Kitchen, walk-in freezers or coolers have walkways free of obstructions, trash, etc?

  Yes

  No

  N/A

• Floor mats around fryers free of grease?

  Yes

  No

  N/A

• Floors around ice machines free of standing water and ice cubes?

  Yes

  No

  N/A

• Floors in the dining area free of spills or standing water?

  Yes

  No

  N/A

• Floor mats in front of ice machine in good condition?

  Yes

  No

  N/A

• Floors around soda machines free of sticky buildup?

  Yes

  No

  N/A

• Floor drains adequately covered and secure?

  Yes

  No

  N/A

• Comments

Ladder Safety

• Employees trained: No carrying items up a ladder, face the ladder, 3-point contact, etc.

  Yes

  No

  N/A

• Appropriate ladders available for the tasks required?

  Yes

  No

  N/A

• Step ladders or stools available in storage rooms?

  Yes

  No

  N/A

• Ladders properly stored when not in use?

  Yes

  No

  N/A

• Roof ladder locked to prevent access?

  Yes

  No

  N/A

Storage Rooms and Walk-In Coolers & Freezers

• Storage racks in good condition and strong enough to support the weight of the materials? (shelving not bent or sagging)

  Yes

  No

  N/A

• Storage racks secured to prevent tipping over?

  Yes

  No

  N/A

• Proper storage practices in place to prevent extending with heavy loads? (lighter materials such as paper products on the top shelves with heaviest items on middle shelves)

  Yes

  No

  N/A

• Floor surfaces in coolers and freezers textured to help prevent slips?

  Yes

  No

  N/A

• Floor surfaces free of ice buildup?

  Yes

  No

  N/A

• Doors of freezers equipped with functioning heating element?

  Yes

  No

  N/A

• Freezer and cooler door handles and seals functioning correctly to seal the doors closed?

  Yes

  No

  N/A

• Lighting adequate in the freezers and coolers?

  Yes

  No

  N/A

• Video surveillance equipment in place and working?

  Yes

  No

  N/A

• Comments

Material Handling

• Are dollies and/or push carts available to carry heavy or bulk items?

  Yes

  No

  N/A

• Wheeled casters for garbage cans in good condition?

  Yes

  No

  N/A

• Soda syrup box racks accessible and waist height?

  Yes

  No

  N/A

• Comments

Equipment/Appliance Safety

• Grease filtration system working properly?

  Yes

  No

  N/A

• Has the ANSUL system been inspected in the last 6 months?

  Yes

  No

  N/A

• Adequate PPE available to employees changing grease from the fryers? (gloves, etc.)

  Yes

  No

  N/A

• Box cutters limited to authorized personnel and properly stored when not in use?

  Yes

  No

  N/A

• All appliances in working order?

  Yes

  No

  N/A

• Trash compactor working properly?

  Yes

  No

  N/A

• Metal scoop used in the ice dispenser? (not a breakable material such as glass)

  Yes

  No

  N/A

• Heat resistant gloves used when using ovens?

  Yes

  No

  N/A

• Long hair tied back?

  Yes

  No

  N/A

• Dangling jewelry removed?

  Yes

  No

  N/A

• Cleaning mops, squeegees, brush, in good condition?

  Yes

  No

  N/A

• Floor "Caution - Wet Floor" signs in good condition and available?

  Yes

  No

  N/A

• Face shields and safety goggles provided where needed?

  Yes

  No

  N/A

• Comments

Chemical Safety

• Are all cleaning chemical properly stored?

  Yes

  No

  N/A

• Chemical properly labeled? (Pictograms, danger words: Danger/Warning, description of product)

  Yes

  No

  N/A

• PPE available as needed when using cleaning chemicals? (gloves, goggles, etc)

  Yes

  No

  N/A

• Are compressed gas cylinders properly secured with a chain?

  Yes

  No

  N/A

• Safety Data Sheets (SDS) available for all chemicals?

  Yes

  No

  N/A

• Comments

• Other Comments

Electrical Equipment

• Extension cords in good condition (no fraying or exposed wires) and equipped with ground prong?

  Yes

  No

  N/A

• Power cords of small appliances in good condition and equipped with ground prong?

  Yes

  No

  N/A

• Circuit breaker switches properly labeled?

  Yes

  No

  N/A

• Are unused switches in breaker boxes properly covered?

  Yes

  No

  N/A

• Face plates installed on all electrical receptacles and light switches?

  Yes

  No

  N/A

• All light fixtures contain bulbs and covered properly?

  Yes

  No

  N/A

• Comments

Fire/Life Safety

• Portable fire extinguishers properly wall mounted (not on the floor) and in strategic locations? (requiring no more than 75 feet of travel to the nearest extinguisher?)

  Yes

  No

  N/A

• Are portable fire extinguishers inspected properly? (Visual inspections monthly and annual inspections by a qualified technician)

  Yes

  No

  N/A

• Fire extinguishers appear in working order and properly charged?

  Yes

  No

  N/A

• Is there at least 3 feet of clearance around portable fire extinguishers?

  Yes

  No

  N/A

• All exits marked and properly illuminated?

  Yes

  No

  N/A

• All exits unlocked during business hours?

  Yes

  No

  N/A

• Non-exit doors marked "Not an Exit"?

  Yes

  No

  N/A

• Storage kept at least 18 inches from sprinkler heads (if building is sprinklered)?

  Yes

  No

  N/A

• At least 3 feet of clearance around main sprinkler valves (if building is sprinklered)?

  Yes

  No

  N/A

• ANSUL system inspected/serviced every 6 months?

  Yes

  No

  N/A

• Emergency lighting working properly?

  Yes

  No

  N/A

• Video surveillance throughout the restaurant working properly?

  Yes

  No

  N/A

• Comments

Recommended PPE

• Disposable vinyl gloves available for clean-up and restroom disinfecting?

  Yes

  No

  N/A

• Heat resistant gloves provided and in good condition?

  Yes

  No

  N/A

• Face shield, apron, gloves available for fryer cleaning?

  Yes

  No

  N/A

• Oven mitts provided and in good condition?

  Yes

  No

  N/A

• Proper gloves provided for handling of chemicals?

  Yes

  No

  N/A

• High visibility vests used by employees who work outside in the parking areas? (maintenance, cleaning, order runners, etc.)

  Yes

  No

  N/A

• Orange cones available to mark hazards and direct traffic in the parking area when necessary?

  Yes

  No

  N/A

• Comments

Other Safety Considerations

• First aid kit available and properly stocked?

  Yes

  No

  N/A

• Emergency flashlights available and in working condition?

  Yes

  No

  N/A

• Comments

Other Comments As Needed

• Comments

• Signature

  Sign

• Yes

  No

  N/A