Information

  • Franchise:

  • Location

  • Conducted on

  • Inspected By

  • Location
  • Contact/Email

Housekeeping

  • Are the aisles clear and at least three feet wide (free of trip hazards)?

  • Are the floors regularly cleaned, free of oil, grease, liquids and items that could cause trip/slip/fall?

  • Is all trash placed in proper containers?

  • Are all chemicals properly labeled?

  • Appropriate first-aid supplies maintained?

  • Do all wet areas have non-slip walk off mats?

  • Are emergency lights operational and checked regularly?

  • Are exits free from obstructions?

  • Are coolers/freezers/ice machines in good repair? (Free from slip hazards, holding proper temperature)

  • Lights in walk-in cooler/freezer operational and properly covered?

  • Are all food items properly labeled and covered?

  • Are gas cylinders properly secured to prevent tip over?

  • Is personal protective equipment available for employee use?

  • Face Shield

  • Apron

  • Gloves

  • Cut Gloves

  • Are electrical outlets in frequently wet areas equipped with GFCI (within 3’ of a water source)?

  • Are employees observed wearing appropriate footwear (closed-toe, slip-resistant soles)?

  • Walkways and surfaces free of holes, imperfections or slipping hazards?

  • Lighting over cooking area properly protected?

  • Housekeeping Comments

Appliances/Equipment

  • Are machine guards or equipment panels in place protecting employees from rotating or moving parts?

  • Is proper lockout/tagout followed for equipment maintenance and repair? Is the kit onsite?

  • Are electrical outlets, cords and appliances in good repair?

  • Are multi-plug adapters and extension cords being used in the drive-in?

  • Are all equipment and appliances plugged directly into a wall outlet?

  • Are there any broken or missing knobs on any equipment or appliances?

  • Appliances/Equipment Comments

Property Exterior

  • Are power strips being used for audio/visual equipment only?

  • Are parking areas in good repair and free from pot holes, trip/fall hazards and debris?

  • Is proper safety & security signage in place and visible?

  • Are drains/downspouts drapes clear and free from debris?

  • Are dumpsters kept neat and clean with the gate secured?

  • Is the back door secure at the time of visit?

  • Is roof access controlled?

  • Are all exterior non-exit doors locked (i.e. storage rooms, mechanical room, etc.)?

  • Are changes in levels clearly marked?

  • Are hanging signs, awnings or other exterior accessories safety secured?

  • Is the restroom floor dry, clean and not slippery?

  • Property Exterior Comments

Loss Prevention and Management Strategies

  • Does store support Transitional Return to Work for injured employees?

  • Are reports filled out for all appropriate reasons? (Accidents, injuries involving employees/guests, guest reports of food quality issue, vehicle damage, property damage, etc.)

  • Does location have accident/incident reporting forms available?

  • Loss Prevention and Management Strategy Notes

Security

  • Are cash management procedures followed to reduce the amount of cash on hand?

  • Is cash transferred to the bank regularly, but not on a set, predictable schedule?

  • Security Comments

Employee Training

  • Are all new employees informed and properly trained in the correct usage of workplace chemicals?

  • Are employees informed as to where SDS sheets are located? Are they readily accessible 24 hours per day?

  • Are employees instructed how to safely move and lift objects?

  • Are employees trained to recognize and respond to slip and fall hazards?

  • Is training or proper lockout/ tag out procedures covered with employees?

  • Is basic fire safety training conducted as part of all new hire orientation?

  • Do all employees understand their responsibility concerning workplace safety?

  • Are all employees trained in procedures to follow during and after a robbery?

  • Are employees trained in proper use of automatic and portable fire extinguishers?

  • Are employees trained in how to report accidents and injuries?

  • Employee Training Comments

Skating

  • Were employees observed skating at the time of visit? (Document weather conditions if so.)

  • Are visual inspections of work areas completed each day prior to skating?

  • Are no skate zones enforced?

  • Are car-shop crossing signs in place?

  • Are concave mirrors used in the drive-thru?

  • Skating Comments

Fire Safety

  • Are hoods and filters clean/free of grease accumulation at the time of inspection?

  • How often are filters removed and cleaned?

  • Are cooking hoods/ducts cleaned and serviced by an outside vendor?

  • How often?

  • Date of last service by outside vendor:

  • Is the engineered fire extinguishing system (Ansul) above the cooking area inspected/documented every 6 months?

  • Date of last inspection:

  • Are Ansul heads properly capped to prevent grease build-up?

  • Are fire extinguishers fully charged and checked each month to ensure they are mounted properly, immediately accessible, have a full charge and pin is in place?

  • Are cable restraints (safety chains) in place and connected on both ends at grill and fryer?

  • Are exits and entire pathway to exits clear and unobstructed?

  • Are exits marked with illuminated signs and lighting are checked and operational?

  • Are electrical panels clear from debris and obstructions for 36 inches on each side?

  • Are soiled oil rags disposed of in approved self-closing fire proof safety cans?

  • Are all flammables and combustibles are stored away from hot grease and ignition sources?

  • Grease build-up identified at time of visit?

  • Electrical Outlets

  • Cords

  • Hoods

  • Filters

  • Walls

  • Other:

  • Are flammable liquids inside the building properly stored in UL approved safety cans?

  • Fire Safety Comments

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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.