Super King Markets Safety & Compliance Audit Copy

• Super King Markets

• Conducted on

  Date

• Prepared by

• Location
  Address

Parking Lot

• ADA compliant?

  Yes

  No

  N/A

• Are handicap corrals free of clutter? Are pathways free of shopping carts, boxes, trash, etc?

  Safe

  At Risk

  N/A

• Painted crosswalk?

  Yes

  No

  N/A

• Painted handicap walk ways ?

  Yes

  No

  N/A

• Is parking lot in good condition? signs parking lot free of broken blacktop, sidewalks, Parking lot free of of any potential hazards?

  Yes

  No

  N/A

• Entrance to store clear of pallets? Do displays allow a 36" path to entry?

  Yes

  No

  N/A

• Shopping cart corral secure?

  Yes

  No

  N/A

• Parking lot free of shopping cart clutter? Is there a GL hazard?

  Yes

  No

  N/A

• Minimal debris in parking lot? (glass, trash, ect.)

  Yes

  No

  N/A

• Customer and employee restrooms are ADA compliant? Inspect dispenser heights, does restroom have a trash can in wall, if so no other trash can be in restroom.

  Yes

  No

  N/A

• Inspect aisles throughout store are aisles with a minimum of 36" pathway? This includes aisles with displays?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees wearing high visibility vests?

  Yes

  No

  N/A

• Employees push max of 6 carts at a time?

  Yes

  No

  N/A

• Employee using safety rope while pushing carts?

  Yes

  No

  N/A

• No horseplay/employees not "riding on carts"? (This includes use of cell phone or radio)

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

• Yes

  No

  N/A

Produce Department

Conditions

• Floor mats under areas of risk?

  Yes

  No

  N/A

• Floor mats under all sources of water spray? Veg sprayers, flowers.

  Yes

  No

  N/A

• Floor mats wet racks and hazard displays in good condition?

  Yes

  No

  N/A

• Floor is free from debris?

  Yes

  No

  N/A

• Produce bag stand is stable on floor/overhead?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees wearing non skid shoes?<br>

  Yes

  No

  N/A

• Employee using hand cart to stock merchandise?

  Yes

  No

  N/A

• Boxes on hand carts do not exceed height of shoulders on employee.

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Wet floor signs on display only when hazards exist at that time?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Was the safety huddle conducted? by whom?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Deli Service Counter

Conditions

• Floor is free of water, cheese, meat or any slip trip and fall danger?

  Yes

  No

  N/A

• Squeegee available for floors ?

  Yes

  No

  N/A

• Slicer contains proper guarding?

  Yes

  No

  N/A

• Slicer contains proper hand piece?

  Yes

  No

  N/A

• Slicer cords contain no exposed wiring?

  Yes

  No

  N/A

• Knife storage holders available ?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees wearing non skid shoes?<br>

  Yes

  No

  N/A

• Employees using a cut resistant glove any time a knife is being used?

  Yes

  No

  N/A

• Employees wearing cut resistant gloves when cleaning slicer?

  Yes

  No

  N/A

• Employees using slicer properly?

  Yes

  No

  N/A

• Employees "0" out slicer hand dial when slicer is not in use?.

  Yes

  No

  N/A

• Knives are put away when not in use, not laying around on tables are knives in special hold tray?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Was the safety huddle conducted? by whom?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Meat Department

Conditions

• Floor is free from slip, trip and fall dangers? look for excess debris/blood/chicken juice/sea food.

  Yes

  No

  N/A

• Squeegee available for floors ?

  Yes

  No

  N/A

• Are band saws in good condition? inspect band saw for visual damages.

  Yes

  No

  N/A

• Is grinder in good condition? inspect for grinder for visual damages.

  Yes

  No

  N/A

• Is zebra/slicer in good condition? inspect for visual damages.

  Yes

  No

  N/A

• Do all meat cutting machines have proper guards in place?

  Yes

  No

  N/A

• Are all guards brought down and all equipment secured when not in use? (Main violation band saw guard)

  Yes

  No

  N/A

• Do all band saws have meat push guards available?

  Yes

  No

  N/A

• Meat department equipped with knife holders?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Behaviors

• Employees wearing non skid shoes?<br>

  Yes

  No

  N/A

• Employees wearing cut resistant gloves when cutting meat?

  Yes

  No

  N/A

• Guard on band saw adjusted above meat when in use?

  Yes

  No

  N/A

• Guard on band saw completely down when not in use?

  Yes

  No

  N/A

• Are knives put away when not in use either on waist holder or on wall knife holder?

  Yes

  No

  N/A

• Are meat employees using carts and dollies to transport meat?

  Yes

  No

  N/A

• Are meat meat employees using red sanitizer buckets to clean cutting tables and equipment?

  Yes

  No

  N/A

• Floors are free from cardboard?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Was the safety huddle conducted? by whom?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Bakery Department

Conditions

• Are decorators using proper fatigue mats on floor?

  Yes

  No

  N/A

• Are decorator fatigue mats in good condition?

  Yes

  No

  N/A

• Do bakers have oven mitts available? what is the mitt condition?

  Yes

  No

  N/A

• Are bakery carts in good condition? Inspect wheels on carts, when were they last serviced?

  Yes

  No

  N/A

• Floor is free from debris?

  Yes

  No

  N/A

• Squeegee available for floors and coolers?

  Yes

  No

  N/A

• Mixers contain guards?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees wearing slip resistant shoes?<br>

  Yes

  No

  N/A

• Employees wearing cut resistant gloves?

  Yes

  No

  N/A

• Employees use guards on mixers?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Was the safety huddle conducted? by whom?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Yes

  No

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Mixed nuts

Conditions

• Are floors free of slip, trip and fall hazards?

  Yes

  No

  N/A

• Are boxes organized no danger of boxes falling?

  Yes

  No

  N/A

• Are displays on floor secure any signs of damage?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees practice proper lifting techniques?

  Yes

  No

  N/A

• Floors are free from cardboard?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Was the safety huddle conducted? by whom?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Sales Floor

Conditions

• Are floors free of slip, trip and fall hazards?

  Yes

  No

  N/A

• Are boxes organized no danger of boxes falling?

  Yes

  No

  N/A

• Are displays on floor secure any signs of damage?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees practice proper lifting techniques when stocking items on sales floor?

  Yes

  No

  N/A

• Floors are free from cardboard?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• All items in over heads secure no dangers of falling product?

  Yes

  No

  N/A

• Are sales floor aisles equipped with expandable wet floor signs?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Warehouse -Receiving - Dock area

Conditions

• Step stools/ladders available in each walk-in coolers?

  Yes

  No

  N/A

• Step stools/ladders available in each walk-in coolers?

  Yes

  No

  N/A

• Squeegee available in eachs coolers?

  Yes

  No

  N/A

• Wheels on carts in good condition.

  Yes

  No

  N/A

• Coolers free from excess water?

  Yes

  No

  N/A

• Freezers free from ice?

  Yes

  No

  N/A

• Milk crates stored no more than 6 high?

  Yes

  No

  N/A

• Aisles clear from trip hazards?

  Yes

  No

  N/A

• Hazardous waste disposal segregation rack in place ? is Warehouse Manager following disposal program?

  Yes

  No

  N/A

• 15 minute flow eye wash station near forklift charging station?

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Behaviors

• Employees practice proper lifting techniques?

  Yes

  No

  N/A

• Employees wearing seatbelt on forklifts.

  Yes

  No

  N/A

• Employees observed driving slowly on forklifts / electric pallet jack?

  Yes

  No

  N/A

• Employees not standing on storage racks without fall protection?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Floors are free from cardboard?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• No overhead storage on top of walk-ins, mezzanines, ect?

  Yes

  No

  N/A

• All fire extinguishers are mounted to a wall and not placed on floor?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Does employee know the weekly topic? Audit 3 out of 6 employees.

  Yes

  No

  N/A

• Other?

  Safe

  At Risk

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Front End / Cashiers

Conditions

• Cashier using skid resistant shoes?

  Yes

  No

  N/A

• Cashier using proper fatigue mat?

  Yes

  No

  N/A

• Cashier counter organized and free of clutter?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Behaviors

• Cashier following safe lifting practices?

  Yes

  No

  N/A

• Cashiers working safe in GREEN POWER ZONE?

  Yes

  No

  N/A

• Has weekly topic been shared with cashier audit 3 out of 6 cashiers?

  Yes

  No

  N/A

• Employees demonstrating good behaviors (Pick it up, don't pass up)?

  Yes

  No

  N/A

• Does cashier have monitor and keyboard adjusted to avoid strains?

  Yes

  No

  N/A

• Courtesy clerks following safe practices while bagging items?

  Yes

  No

  N/A

• Fire exits free from obstructions?

  Yes

  No

  N/A

• Electrical panels free from obstructions?

  Yes

  No

  N/A

• Fire extinguishers contain current year on tag (2014/2015) with monthly signatures on back of tag?

  Yes

  No

  N/A

• Other

  Yes

  No

  N/A

Department Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

Store Manager Acknowledgement

Overall Store Grade

• Overall Grade

  Excellent

  Good

  Fair

  Needs Improvement

  Failed

• Store Manager Signature

  Sign