Title Page
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Conducted on
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Prepared by
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Location
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CAMERA SYSTEMS CLEAR AND WORKING?
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DRY MOPPING PROCEDURES IN EFFECT?
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BATHROOM WET FLOOR SIGNS IN PLACE?
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ANY SHARP EDGES ON EQUIPMENT/CORNERS?
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STORAGE AREAS MAINTAINED IN SAFE MANNER?
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DOOR ENTRANCE PANIC BARS IN TACT?
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SAFETY GEAR IN TACT AND BEING USED?
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WIF/WIC PROPERLY FLOOR MATS/CAMERAS IN TACT?
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POU HINGES FACING CORRECTLY FOR EASE OF USE?
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DINING ROOM TABLES/CHAIR LEGS IN GOOD REPAIR?
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PARKING LOT/HANDICAP PARKING IN GOOD REPAIR?
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ANY IDENTIFIABLE TRIPPING HAZARDS INSIDE/OUT SIDE?
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ALL OSHA/SAFETY POSTERS/SDS SHEETS AVAILABLE?
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ALL HAZMAT CHEMICALS PROPERLY DESIGNATED?
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HAZMAT CERS AND BEP PLANS POSTED AND UP TO DATE?
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HAZMAT EE TRAINING PAGES SIGNED AND ON SITE?
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ANY NON-APPROVED CHEMICALS IN STORE?
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GRILL FLUE CLEAR OF BUILD UP?
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FRYER FILTRATION SAFETY EQUIPMENT AVAILABLE?
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ALL FRYER POUS ON WHEELS IN GOOD CONDITION?
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ALL FLOOR MATS IN GOOD CONDITION?
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EMPLOYEES WEARING APPROPRIATE FOOTWEAR?
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FIRE EXTINGUISHERS FILLED AND MOUNTED SAFELY?
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ALL STORE FORMS UP TO DATE AND ONSITE?
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EMPLOYEE QUESTIONS OR COMMENTS?
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ANY OTHER ISSUES/AREAS TO ADDRESS?