Title Page

  • Conducted on

  • Prepared by

  • Location
  • List the date and time you’re completing the survey

  • What is your name?

  • What store are you in?

  • 1. Is the exterior perimeter clean?

  • 2. Is the retail sales floor swept and free of debris?

  • 3. Is the toy bagwall 80% full?

  • 4. Is the hardgoods bagwall 80% full?

  • 5. Is the showcase/boutique/queue area 80% full and merchandised?

  • 6. Replenishable goods - SHEETS 80% full?

  • 7. Replenishable goods - JEWELRY 80% full?

  • 8. Replenishable goods - BATTERIES 80% full?

  • 9. Replenishable goods - READERS/SUNGLASSES 80% full?

  • 10. Replenishable goods - PHONE ACCESSORIES 80% full?

  • 11. Replenishable goods - TOOLS 80% full?

  • 12. Is furniture full and in a designated aisle?

  • 13. Are the gondola shelves 80% full?

  • 14. Are the endcaps 80% full?

  • 15. Is kaizen evident in the production room?

  • 16. Are the production workstation clean and organized?

  • 17. Is the donation area clean?

  • 18. Is the managers office clean and orderly?

  • 19. Is the break room clean and orderly?

  • 20. Are the bathrooms clean with supplies, check off sheet in place and used?

  • 21. Are employees wearing their uniform?

  • 22. Did you observe the 10' rule?

  • Additional comments?

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.