Information
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Audit Title
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Site
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Location
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Conducted on
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Prepared by
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Personnel consulted
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Document No.
Back Office
Previous Audits
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Has the last Audit been reviewed?
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Are there any outstanding items?
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Has the hazard awareness chart in the sign in folder been updated in the past year?
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Has the confined space audit been completed and filed in the stores sign in folder?
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Complete a Confined Space Audit.
Store Management Review
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Note any issues store management have that need to be reviewed during this audit?
Asset Management Records / Blue Cabinet
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Are the following folders available in the blue cabinet and up to date?
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Verified - Combined Services
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Verified - HVAC
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Verified - Water treatment
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Verified - Evacuation System
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Verified - Fire Alarm System
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Verified - Pump Sets
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Verified - Sprinkler Systems
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Electrical
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Emergency Lighting log book
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Mobile plant
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Fixed plant
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Racking
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Pest control
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Are there any Other folders available in the blue cabinet
Log book
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Note Additional Folder here
Offices
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Are there any issues in the back office.
Back Office Issue
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Back Office Issue
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Sketch
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Contractor
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Priority
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Status
General
Fire Protection Systems
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Is a Service Provider regularly testing and maintaining the following components to the relevant Service Agreement and appropriate State legislation:
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Portable Fire Extinguishers
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Are all fire extinguishers identified with signage to Australian Standards?
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Fire Hose Reels
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Are all Hose Reels identified with signage to Australian Standards?
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Are Fire Cupboards (fire hose reel storage, etc) clean and free from stored materials and rubbish?
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Fire Doors
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Fire Alarm System
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Fire Sprinkler System
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Are there any other Fire Safety Installation Issues
Fire safety Installation Issue
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Describe Issue
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Sketch
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Contractor
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Priority
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Status
Emergency Management
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Is the emergency evacuation plan clearly displayed in all areas and in correct orientation?
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Are the means of escape paths and emergency exits clear?
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Are there any other issues?
Emergency Management Issue
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Emergency Management Issue
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Sketch
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Contractor
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Priority
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Status
Electrical
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Is a service provide regularly maintaining the following services?
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Residual Current Devices?
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Test & Tag?
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Thermoscan of all distribution boards
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Emergency Lighting & Exit Signs?
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Is emergency lighting correctly operating and not damaged?
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Are power points being used appropriately (i.e. no double adaptors, etc)
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Is lighting satisfactory?
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Are all switchboards clear and free of obstructions?
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Check the following signage is correctly installed.
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Danger - Authorised Personell Only
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Check the following signage is correctly installed.
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Isololation Permit Required
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Are there any other electrical issues?
Electrical Issue
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Electrical Issue
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Sketch
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Contractor
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Priority
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Status
Selling Floor
Selling Floor
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Does all glazing have required markings to standards?
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Is there a travellator in the centre?
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Check a sample of customer trolleys for correct operation on the travellator
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Is the general presentation and cleanliness of assets satisfactory?
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Are floors and surfaces in good condition?
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Are stairways and aisles kept clear and useable?
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Are there any other issues?
Selling Floor Issue
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Selling Floor Issue
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Sketch
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Contractor
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Priority
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Status
Back of House
Reserves
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Is back of house racking to standards with SWL signage inplace?
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Is the line marking & signage adequate
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Are pathways clear from obstructions?
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Are there any other issues?
Back of House issue
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Reserves issue
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Sketch
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Contractor
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Priority
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Status
Loading Dock
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Is the loading dock up to current standards? Take photo
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Check the following signage is correctly installed.
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339-1 Receiving Hours
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Check the following signage is correctly installed.
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326-1 Parcel Pick Up / Receiving
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Check the following signage is correctly installed.
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326-5 Receiving
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Check the following signage is correctly installed.
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340-1 Target Personel Only
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Check the following signage is correctly installed.
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369-2 Receiving Bay Safety
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Check the following signage is correctly installed.
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329-LOH Danger, look out for walkie stackers
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Check the following signage is correctly installed.
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356-1 Vehicles give way
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Check the following signage is correctly installed.
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383-0 Look out for moving vehicles
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Check the following signage is correctly installed.
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385-1 Speed limit
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Are there any other issues?
Back of House issue
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Loading Dock issue
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Sketch
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Contractor
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Priority
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Status
Parcel Pickup
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Is parcel pick up location well identified and used correctly? Take photo.
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Check the following signage is correctly installed.
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339-3 Parcel Pickup
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Check the following signage is correctly installed.
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326-1 Parcel Pick Up / Receiving
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Check the following signage is correctly installed.
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326-4 CUSTOMER PARCEL PICK-UP LOADING SIGN
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Check the following signage is correctly installed.
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326-2 Parcel pickup conditions
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Check the following signage is correctly installed.
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357-W Customers to remain on blue hatching
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Check the following signage is correctly installed.
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340-1 Target Personel Only
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Check the following signage is correctly installed.
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329-LOH Danger, look out for walkie stackers
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Check the following signage is correctly installed.
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356-1 Vehicles give way
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Check the following signage is correctly installed.
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383-0 Look out for moving vehicles
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Check the following signage is correctly installed.
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385-1 Speed limit
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Are there any other issues?
Back of House issue
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Parcel Pickup issue
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Sketch
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Contractor
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Priority
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Status
Hazardous Substances / Cleaners Room
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Are hazardous materials or goods stored correctly?
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Are Material Safety Data Sheets (MSDS) available for all dangerous goods?
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Is the cleaners room neat and tidy?
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Are there any other issues?
Cleaning issue
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Cleaning issue
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Sketch
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Contractor
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Priority
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Status
Equipment
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Is all vertical transport in good condition, with all required signage and safety devices inplace?
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Check out of service equipment is correctly isolated and set aside ready for maintenance.
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Are all ladders well maintained?
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Is there motorised mobile plant onsite (Forklift, Walkie Stacker, Electric Pallet Jack, etc)
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Is plant in good condition with all safety devices inplace?
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Check the following signage is correctly installed.
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Authorised use only
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Check the following signage is correctly installed.
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Tip Over Signage
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Are all trolleys and stock handling equipment well maintained?
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Are there any other issues?
Equipment Issue
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Equipment Issue
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Sketch
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Contractor
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Priority
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Status
Plant Rooms
Plant Rooms
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Is the stores BMS operating correctly with appropriate times set?
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Is all HVAC plant operating correctly?<br>Are there any alarms present on the mechanical board?
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Are all restricted access areas locked, with appropriate signage?
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Check the following signage is correctly installed.
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Authorised Personnel Only
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Check the following signage is correctly installed.
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Hearing Protection
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Are ALL plant rooms neat and tidy, free from debris, trip hazards and not used for storage?
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Can all plant be safely accessed in line with working at height standards?
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Is the roof area free from debris and trip hazards?
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Are there any other issues?
Plant Issue
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Plant Issue
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Sketch
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Contractor
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Priority
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Status
Exterior
External signage
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Note any issues with External Signage
External Signage Issue
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External Signage Issue
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Sketch
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Contractor
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Priority
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Status
Building Exterior
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Note any External Issues
External Building Issue
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External Building Issue
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Sketch
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Contractor
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Priority
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Status
Summary
Other Hazards
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Are there any other issues not noted elsewhere in this report?
Other Issues
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Other Issues
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Sketch
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Contractor
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Priority
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Status
General Comment
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Are there any other general comments not noted elsewhere in this report.
General Comment
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Note any other general comments.
Sign - Off
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Audit Completed by
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Position