Information

  • Review Date

  • Store
  • Address
  • Review Completed By

Health & safety Board

  • Picture of Health & Safety Board

  • Is Current Month Safety Inspection (plus last 2 month's) posted?

  • Is Current Month Meeting Minutes (plus last 2 month's) posted?

  • Is Workplace Injury Poster posted ?

  • Is Company Health & Safety Policy poster posted? (signed by Chris Taylor and signed by GM)

  • Is the provincial Occupational Health and Safety Act posted?

  • Are the names of all Joint Health and Safety Committee Members posted?

  • Are the names of all First Aid Attendants listed and certificates posted?

  • Is First Aid Poster posted?

  • Is list of emergency numbers posted?

  • Are all Lift Truck training certificates posted?

  • Is the emergency evacuation plan with map posted for designated meeting place?

  • Is the map to the nearest hospital posted?

  • Are all province specific posters posted ? (AB - If you are injured at work) (ON - 1234 , ESA, Health & Safety at Work)

  • Are all JHSC certificates posted (1 Management & 1 Non-Management) [Ontario ONLY]

  • Additional Notes / Concerns

  • Add media

Equipment and Lift Trucks

  • List all Lift Trucks in the store (Wave/Big Joe/Pallet Stacker/JLG/Blue Giant)

  • Do all Lift Trucks (Wave/Big Joe/Pallet Stacker/JLG/Blue Giant) have up to date checklists?

  • If the store has a Big Joe OR JLG - are the harnesses in good condition ? (check expiration - should not be more than 5 years old)

  • If the store has a Big Joe - is the life line system in good condition? (check expiration - should not be more than 5 years old)

  • Have all Lift Trucks been inspected by an authorized technician in the last 12 months? (Check inspection label)

  • Are all lift trucks and equipment keys (compactor, baler) secured in a lock box daily and is a key log being used properly? <br>

  • Do all equipment (Ladders/Vertical Baler/Compactor/Pallet Jacks/Dock Leveller) have up to date checklists?

  • Are all ladders maintained in good condition , joints between steps and side rails tight, all hardware and fittings securely attached, and movable parts operating freely without binding or undue play?

  • Do all ladders have a chain and no "customer usage sign" present & in good condition?

  • The store does not have any A-frame ladders that are being used by blue shirts. (Answer - NO if the store has these ladders)

  • Have any defective lift trucks or equipment been locked out?

  • Managers are aware of Lock Out Tag Out Procedures? Locks and Tags are available and kept in a secure place

  • HUB Store - Field Agent A-frame and Straight Ladders are secured.

  • Are all customer carts in good condition?

  • Does all equipment have a clearly labeled, taped and dedicated parking space in the warehouse?

  • Does the Baler have the yellow "Caution - No One Under 18 years of age" decal posted in a visible location?

  • Do all Lift Trucks have the yellow "Certified Operators ONLY" decal posted in a visible location?

  • Are all floor decals for equipment posted and in good shape? Check "P-Dollies", "P-Big Joe

  • Additional Notes / Concerns

  • Add media

Store Exterior

  • Are all sidewalks & parking lot clear of debris (i.e. ice/snow, shopping carts) and damage?

  • Are all exterior lights working? (Ask Manager for confirmation)

  • Are all entrance and exit doors free of obstruction?

  • Additional Notes / Concerns

  • Add media

Store Interior

  • Are all passageways and aisles clear and free of obstruction ? Are all aisles and passageways clear with a minimum of 3 feet of clearance for wheel chair access?

  • Are all exit doors clear and free of obstruction ?

  • Is material on elevated surfaces (e.g. bulkouts) piled, stacked or racked in manner to prevent it from tipping , falling, collapsing, rolling or spreading?

  • Are all surface walkways even - no holes, cracks, or lifting tiles/carpet?

  • Are all toilets clean and sanitary?

  • No propane tanks or compressed gas cylinders present anywhere inside the building? (Answer - NO if there are)

  • Are all work areas adequately illuminated?

  • Are all overhead lights working?

  • Are entrance mats in good condition? (Ensure that they are not covering the front vestibule grills)

  • Are all cages on the floor placed in a non-hazardous manner?

  • Do all overhead cages placed on gondolas have a minimum of 2 U-bolts securing the cage to the gondola?

  • Additional Notes / Concerns

  • Add media

Electrical and Communication Rooms

  • Are all the electrical and communication rooms free of product and miscellaneous items?

  • Are all electrical and communication rooms locked and accessible only to authorized employees?

  • Do all electrical room doors and cages have the white "Danger - High voltage" decal posted in a visible location?

  • Additional Notes / Concerns

  • Add media

Car-Fi Bay

  • Is the Car-Fi Bay organized in a safe manner?

  • The CarFi Bay is free and clear of paint cans and random chemicals. (Answer - NO if they are present)

  • Additional Notes / Concerns

  • Add media

Fire Safety & Emergency Prepardness

  • Are all fire extinguishers mounted and in good condition?

  • Is the emergency preparedness binder readily accessible?

  • Is the fire prevention plan readily available?

  • Additional Notes / Concerns

  • Add media

Stairs/Escalators/Elevators (If not applicable at the location - Mark NA for each)

  • Are all stairways / escalator and landings clear and unobstructed?

  • Are all stairways and escalators adequately lit?

  • Additional Notes / Concerns

  • Add media

Warehouse

  • Are shelves and racks in good condition? Note down any noticeable dents and take pictures.

  • Is all racking secured? (to the floor or to the wall)

  • Are all cages stacked in a non-hazardous manner ?

  • There is no overhanging product or displays / supplies from the overhead racking.

  • Is the white & blue "Notice - Safety Shoes REQUIRED in this area" decal posted in a visible area of the warehouse AND are the toe caps located directly below this sign?

  • Additional Notes / Concerns

  • Add media

Personal Protective Equipment & Infection Control

  • Are protective safety glasses available for employee use in the warehouse? Observe employee use

  • Are protective gloves readily available for employee use in the warehouse? Observe use by employees.

  • Are all Product Process Employees wearing Steel Toe shoes?

  • Are steel toe protectors available for non-PP employees?

  • Are all eye wash bottles full and not expired?

  • Is the spill kit readily accessible and in good condition?

  • Is the sharps disposal container readily accessible and in good condition? (available in warehouse , washrooms or LP office)

  • Check 3 Hand Sanitizers. Are they working and dispensing foam/gel ?

  • Employees are wearing safety vests when doing carryouts and going outside the store for work functions?

  • Is the plumbed eye wash station in the warehouse functioning and not blocked from quick employee access? (Mark NA if the store does not have a plumbed eye wash station in the warehouse)

  • Are steel toe caps available for employee use? (Mainly for employees needing safety footware for limited use)

  • Additional Notes / Concerns

  • Add media

Hazardous Chemicals

  • Are all chemical and toxic substances (cleaning supplies) kept in specific area in the warehouse or cleaning room? Visually check containers for leaks and spills

  • Are all SDS sheets for the cleaning chemicals readily available?

  • Are there no paint cans in the store?

  • Additional Notes / Concerns

  • Add media

Thermal Events and Compressed Gases

  • Are there 2 Cold Fire Cans available in the store? (1 in Geek Precinct, 1 near PP desk in the warehouse)

  • Is there is a bottle of absorbent available in the store? (Should be placed beside the Cold Fire Can in the warehouse)

  • Is there a UN bin available in the store? (Should be placed beside the Cold Fire Can & absorbent in the warehouse)

  • Is the required PPE for handling compressed gas leaks readily available to the PP and Ops employees? (Safety goggles, neoprene gloves)

  • Is the SDS for the Sodastream CO2 Cylinders posted and readily available in Ops and PP areas?

  • Additional Notes / Concerns

  • Add media

First Aid Requirements

  • Is the First Aid Binder available with appropriate contents?

  • Are the GM , AM (SM & OPPM for S1&S2) , Mobile Manager (Mobile Lead for S4) , Supervisors and all key holders First Aid Certified?

  • Are all First Aid Kits stocked and in good condition? (general observation)

  • Additional Notes / Concerns

  • Add media

Visitors Log

  • The store has a visitor Log binder with a Best Buy cover sheet and visitor log sheets ?<br>

  • The visitor Log binder contain at least 5 badges ?<br>

  • The visitor Log binder has been used in the past 2 weeks ?<br>

  • Additional Notes / Concerns

  • Add media

Knowledge & Culture

  • Ask 1 employee - "Where is the store's Health and Safety Board Located"? Did the employee know? [Correct Response - HUB]

  • Ask 1 supervisor or manager - "Where is the company's Health & Safety Policy located ? Did he/she know ? [Correct Response - H&S Board and ETK]

  • Ask 1 employee to name two certified employees in the store. Did the employee answer correctly?

  • Ask 1 employee - "Do you know how to report an injury?" Did the employee answer correctly? [Correct response - Inform MOD and follow steps on Injury Reporting poster on H&S Board]

  • Ask 1 employee - "Name 2 employees on the Joint Health and Safety Committee in the store". Did the employee know ?<br>

  • Ask 1 employee - Where is the store's meeting point in the event of an emergency evacuation?

  • Ask 1 employee - "Do you know how to safely handle chemical supplies?" Did the employee know proper use of PPE?

  • Ask 1 employee - "What was the safety topic disucssed at the morning blueprint or the last blueprint you attended?" (Answer - NO if the employee is not able to answer or a topic was not discussed)

  • Is the store over 95% in E-learning completion for H&S Compliance quizzes?

  • Additional Notes / Concerns

  • Add media

Additional Notes

  • Additional Notes / Miscallaneous

  • Add media

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.