Information

  • Document No.

  • Audit Title

  • Store Number and Name

  • Conducted on

  • ZSDM

  • Contractor

  • Last Visit

  • Store Manager Comments

Supermarket

  • 1 - Windows

  • 2 - Shop Entrance (including mats)

  • 3 - Trolley Bay

  • 4 - Customer Baskets

  • 5 - Checkout Area

  • 6 - Produce Area

  • 7 - Trading Floor - Front end

  • 8 - Trading Floor - Aisles

  • 9 - Trading Floor - Back Aisle (Backend)

  • 10 - Trading Floor - Edges

  • 11 - Trading Floor - Detail round Chromes / Feet etc

  • 12 - Trading Floor - Under Gondolas & under backs

  • 13 - Trading Floor - Fire Exit Doorway / Pillars

  • 14 - Trading Floor - Pillars

  • 15 - Runways

  • 16 - Deli including floor and walls up to 1.5 metres

  • 17 - Bakery including floor and walls up to 1.5 metres

  • 18 - Colour Coded Equipment Deli / Bakery

  • 19 - Stockroom / Warehouse

  • 20 - Cleaners Room

  • 21 - Wet Room

  • 22 - Cleaning Machine & Equipment

  • 23 - Offices

  • 24 - Corridors / Stairs

  • 25 - Toilets / Locker rooms including vents

  • 26 - Lunch / Tea Room

Coles Machine

Buffer

  • Metre Hours?

  • Last Metre Hours?

Scrubber

  • Metre Hours?

  • Last Metre Hours?

Liquorland

  • 1 - Liquorland Dwall including Welcome Strip - Standard of Clean

In-Store Booster

  • 1 - In Uniform

  • 2 - Working Well

  • 3 - Booster Cleaners Trolley

  • 4 - Communication Skills

  • 5 - Store Housekeeping

Trolley Performance

  • 1 - Is UTC handbook, complete with relevant contact details, available at service desk?

  • 2 - Can collectors and/or supervisors be contacted at all times when required?

  • 3 - Does the Contractor or Site Supervisor make regular contact (at least weekly) to discuss service performance?

  • 4 - Are all rostered collection hours being adhered to (check sign in book)?

  • 5 - Are collectors holding and displaying Coles induction cards on a lanyard and wearing a UTC name badge?

  • 6 - Is all rubbish being removed from trolleys?

  • 7 - Are damaged / non-compliant trolleys checked, tagged and removed from circulation?

  • 8 - Is the in-store trolley bay always sufficiently filled with available trolleys? (Confirm for large, small, parental trolley range and wheelchair trolley.)

  • 9 - Are all right trolleys in store? (coin locks, travelator wheels)

  • 10 - All trolleys properly collected and stored at the end of each shift?

  • 11 - Are all collectors well-presented and in uniform? (reflective vests or polo shirts with UTC logo always shown)

  • 12 - Are only 10 trolleys maximum ever pushed at once and are they properly secured with strap? (Maximum of 7 on travelators or slopes)

  • Vehicle site?

  • 13 - Do collectors properly secure trolleys on the trailer to minimise damage? (Vehicle sites only)

  • 14 - Is the trailer compliant? (electrics, reverse beeper, lights, tyres, bumpers, right trailer, pre-start of day checks completed and filed) (Vehicle sites only)

  • 15 - Is the vehicle complaint? (current roadworthy & rego) (Vehicle sites only)

Quick On-Site Review

  • 1 - Are the streets around the store clear of trolleys?

  • 2 - Are scattered trolleys loose in the car park?

  • 3 - Check trolley bays are not overflowing.

  • 4 - Are loose trolleys abandoned around entrances?

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.