Information

  • Store/Employee Appearance and Safety Inspection

  • Store Number

  • Conducted on

  • Prepared by

  • Employees on Duty

Exterior- 2 points each

  • Dumpster area (good repair, all lids closed,no leaks/spills, area clean)

  • Grounds maintenance(grass cut, weeds pulled,bushes/trees trimmed,no litter/cigarette butts/trash, no dead bushes, no ant hills)<br>

  • Building exterior/stairwell/emergency exit(clean, no wall stains,/dirt marks/open sign lit)

  • Snap frame posters/road side flags(displayed/clean)

Bay Area- 1 point each

  • Floors/walls/doors(clean, no wall stains,dirt marks, open sign lit)

  • Signage(clean, good repair, front/rear entry door signs, wall murals, bay banners)

  • POS podiums/gun racks/computer screens/equipment(clean,good repair, no food/drink,neat, organized)

  • Bay door panels/rear glass door(clean, glass clean, bay doors open above 40 degrees)

  • Water fountain(clean, good repair, no leaks)

  • Stair rails, catwalk platforms, and catch pans(clean, good repair, painted, no trash, towels)

Super Pro- 3 points each

  • Uniforms(neat, clean, oil resistant shoes, belts to side, grooming, no jewelry)

  • SuperPro safety(safety glasses, bump hat, pit cover closed and latched)

Restrooms/Lobby 2 points each

  • Floors/walls/baseboard/door(clean, in good repair, clean filters, proper temp)

  • Ceiling tiles/lights(clean, good repair, no missing/stained tiles

  • Windows/doors/window sills(clean, good repair, glass clean, no streaks)

  • Mirror/sink/toilet (clean, good repair, no leaks)

  • Chairs/magazines (clean, good repair, matching, organized)

  • Coffe/slushies(clean, fresh, full, in good repair,stocked)

  • Toilet paper/paper towels/soap/trash can (clean, properly stocked)

Operations/safety- 2 points each

  • Federal and Local posters/fire extinguishers(accurate info, charged, checked monthly, proper placement)/eye wash bottle(sealed bottle)/emergency exit signs(working)/caution signs

  • Managers desk/behind counter(clean, organized, no unapproved items)

  • Bottomside (clean, no spills, organized, well lit, no standing fluids, containment area)

Sign Off

  • On site representative

  • Auditor's signature

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.