Title Page

  • Conducted on

  • Prepared by

  • Location
  • CAMERA SYSTEMS CLEAR AND WORKING?

  • DRY MOPPING PROCEDURES IN EFFECT?

  • BATHROOM WET FLOOR SIGNS IN PLACE?

  • ANY SHARP EDGES ON EQUIPMENT/CORNERS?

  • STORAGE AREAS MAINTAINED IN SAFE MANNER?

  • DOOR ENTRANCE PANIC BARS IN TACT?

  • SAFETY GEAR IN TACT AND BEING USED?

  • WIF/WIC PROPERLY FLOOR MATS/CAMERAS IN TACT?

  • POU HINGES FACING CORRECTLY FOR EASE OF USE?

  • DINING ROOM TABLES/CHAIR LEGS IN GOOD REPAIR?

  • PARKING LOT/HANDICAP PARKING IN GOOD REPAIR?

  • ANY IDENTIFIABLE TRIPPING HAZARDS INSIDE/OUT SIDE?

  • ALL OSHA/SAFETY POSTERS/SDS SHEETS AVAILABLE?

  • ALL HAZMAT CHEMICALS PROPERLY DESIGNATED?

  • HAZMAT CERS AND BEP PLANS POSTED AND UP TO DATE?

  • HAZMAT EE TRAINING PAGES SIGNED AND ON SITE?

  • ANY NON-APPROVED CHEMICALS IN STORE?

  • GRILL FLUE CLEAR OF BUILD UP?

  • FRYER FILTRATION SAFETY EQUIPMENT AVAILABLE?

  • ALL FRYER POUS ON WHEELS IN GOOD CONDITION?

  • ALL FLOOR MATS IN GOOD CONDITION?

  • EMPLOYEES WEARING APPROPRIATE FOOTWEAR?

  • FIRE EXTINGUISHERS FILLED AND MOUNTED SAFELY?

  • ALL STORE FORMS UP TO DATE AND ONSITE?

  • EMPLOYEE QUESTIONS OR COMMENTS?

  • ANY OTHER ISSUES/AREAS TO ADDRESS?

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.