Title Page

  • Store Photo

  • Document number

  • Conducted on

  • Conducted by

  • Store name/number

  • Location

Key on site store Questions

  • Store IST

Safe and legal

  • (CF) - Compliant - Overall temperature of sales floor and any Back Of House areas - Winter - between 18 and 20 degrees Summer - between 17 and 20 degrees

  • (CF) - Compliant - Has the technician signed in the stores visitors book.

  • (CF) - Compliant - Fire Alarm Record Book - All information which TM have a responsibility and an accountability to complete and sign off is correct and up to date time of visit. Weekly information to checked back for - 3 months. Quarterly information to checked back for - 12 months. Yearly Information to be checked back for - 3 years.

  • (CF) - Compliant - Water Log book is being completed each period, risk assessment up to date ( yearly), all information available for review time of visit. Reminders Stored Water Temperature to be at 60 degrees Flow temperature at the furthest tap from source to be a minimum of 50 degrees

  • Compliant - PAT testing of all electrical equiptment all up to date - max of 18 months window between inspection

  • (CF) - Compliant - Asbestos, present, information clearly identified, copy of register displayed near to the fire alarm panel, areas identified with warning triangles.

  • (CF) - Compliant - Sprinkler System, where on site being tested and recorded weekly, test card available for review, area clear, neat and tidy.

  • (CF) - Compliant - All lifts working at time of visit.

  • Compliant - Electrical Panels all secured, or clipped shut, access panels with no damage and all blanking plates in place. check to make sure nothing is being stored within the access area and where there are no barriers there is a minimum of 1 metre gap between the panels and product..

  • (CF) - Compliant - Travellator working time of visit.

  • (CF) - Compliant - Generator being tested weekly, over 1/2 tank of fuel present, access area free from rubbish, clean and tidy. Run time counter reading.

  • (CF) - Technicians Standards - where there is an UNDERCROFT present we have good access, good lighting, clean and tidy.

  • (CF) - Technicians Standards - Where we have a CHP System in place we have - good access, system working (if need be), area is clean and tidy with no rubbish being stored.

  • Technicians Standards - Burglar Alarm working time of visit.

  • ( CF) - Compliant - RENTOKILL - number of internal jobs recorded on Versiae for TM time of visit, the oldest job being no more than 14 days old.

  • (CF) - Compliance - Case Cleaning - Wall Chart in place and annotated correctly, all information recorded and displayed correctly on IMS.

  • Technicians Standards - Date of last full store refrigeration deep clean.

  • Compliant - Permit To Work Book - Review the quality of the information ( at least 3 x contractor entries) being recorded by our contractors time of visit, this to include - Completion of form Hours worked Detail of works completed. Detail when last completed and by whom.

  • Compliant - Hot Work Permit - Review detail of information being recorded and detail when last used and by whom.

  • (CF) - Technicians Standards - Workshop, clean and tidy with good access.

  • (CF) - Working Safely - Technicians Ladders - inspection label in place and being completed each month.

  • (CF) - Working Safely - Uniform, Appearance, Name Badge, and PPE ( goggles, hi vis vest, boots, ear defenders, Bump hat, helmet) all present and as required time of visit.

  • (CF) - Compliant - Does the technician have a copy of all the following information in his / her possession - Environmental Health and Safety Policy Statement. AON Insurance Document. VALIANT Insurance Document. Right Choices Poster.Compliant.

  • (CF) - Working Safely - Safety Passport available for review, all sections completed and signed of as required.

  • (CF) - Working Safely - Bronze Passport - Completion and good understanding of expectation in terms of the work processes.

  • (CF) - Working Safely - Risk Assessment PAD - available for use and being completed - recommendation is that the ST's should be filling in a minimum of 1 assessment per week - date of when last used.

  • (CF) - Technicians Standards - Is the technicians familiar with The Jason Anker story. Has the technician had the Right Choices Tool Box Talk and is fully aware of our safety vision.

  • (CF) - Compliant - Technicians Van - External damage / condition of body work, clean, tyres with legal limit, internally clean and tidy in both drivers and passengers area. Rear of the van again tidy and clean, log book in place and being completed as required.

All Externals, Landscaping, Car Parking, Trolley Bays, ATM's, Walkways, Building Fabrics, Lamp posts and Bollards.

  • Store Condition and Environment - Landscaping - neat, tidy, reflects what goods looks like in terms of overall appearance.<br>

  • (CF) - Store Condition and Environment - Trolley Bays all fit for purpose - % of bays damaged time of visit - anymore than 10% damage constitutes a RED.<br>

  • Store Condition and Environment - Condition of ATM Area, painting, lighting, condition of roof area where applicable.

  • Store Condition and Environment - Car Wash Area, Recycling Area, Timpson Area, all fit for purpose time of visit.

  • Click and Collect area - car park -

  • Store Condition and Environment - Click and Collect area - car park - condition of building fabrics, external decoration, bollards, car park lining, drainage, door, shutters, refrigeration all fit for purpose time of visit.

  • Working Safely - Car Park Surfaces - No immediate Health and Safety issues which are in need of immediate attention time of visit, this to include - all surfaces, lining, ACO drainage, slips and trips or any other dangerous issues identified.

  • Store Condition and Standards - Overall condition of car park surfaces which does not present an immediate Health and Safety issue along with any other concerns which need to be raised time of visit.

  • Store Condition and Environment - Condition of all lamp posts, bollards, wall and fenced areas within the car park or site boundary areas time of visit.

  • Store Condition and Environment - Where possible check main sign to ensure that it is working correctly, this to include ALL sight areas and external signage to the building as well.

  • Working Safely - overall condition of car park yellow / white lining time of visit.<br>

  • Store Condition and Environment - Condition of and all decoration to building externals, this to include guttering, walk ways, side access areas, rear of building, any misc. areas which are part of the site complex time of visit which TESCO MAINTENANCE need to maintain.

  • Store Condition and Environment - Is there any other issues in any external customer areas which need to be identified time of visit.

ALL INTERNALS INCLUDING - ENTRANCE AREAS, LOWER GROUND FLOORS, LOBBY AREAS, FOYER AREAS, AND SALES FLOOR AREAS.

ENTRANCE AREAS, LOWER GROUND FLOORS, LOBBY AREAS, FOYER AREAS

  • Working Safety - No immediate slip or trip issues with the entrance matting time of visit

  • Store Condition and Environment - All entrance doors working time of visit.<br>

  • Store Condition and Environment - Over door heater working grills clean and if there are filters these are clean and are dated and signed as required.<br>

  • Store Condition and Environment - Over all condition of entrance matting time of visit.

Shop Floor

  • Working Safely - Any immediate Health and Safety issues in the store as identified time of visit to the sales floor area, this to include - ceiling tiles, sales floor, and any non refrigeration water leaks as identified time of visit.

  • Store Condition and Environment - All store lighting with the exception of all Refrigeration working time of visit, where we have lamps not working approx number out - this to include all spot lights, counter lighting, F&F area

  • Store Condition and Environment - Overall Condition of Sales Floor time of visit - cracked, loose or damaged tiles.<br>

  • Store Condition and Environment - Overall Condition of ceiling tiles time of visit - cracked, loose or damaged which need to be replaced time of visit.

  • Store Condition and Environment - Ensure that all HVAC grills are clean and free from obstructions time of visit.

  • Store Condition and Environment - Overall Condition of All sales floor doors, WEMPLAS doors, or doors which open out into external areas.

  • Compliant - Ensure any external doors have no gaps which call allow for Pest access to the building.

  • (CF) - Working Safely - All Fire doors fit for purpose and working time of visit.

  • Store Condition and Environment - Overall Condition of Sales floor decoration, this to include - walls, corners, columns, lobby area, foyer area, checkouts and any other entrance / exits areas time of visit.

  • Store Condition and Environment - Overall Condition of customer services desk, money POD time of visit, this to include any associated warehouse storage areas as well

COUNTER AREAS - HOT CHICKEN, PIES, PIZZAS, MAIN DELI, MEAT AND FISH.

Overall area

  • Working Safely - Condition of flooring / Water leaks / Hand Dryer / Soap Dispensers in all of these Deli Counter areas including any back of house prep areas to all sections being fit for purpose.

  • Working Safely - All Insect-o-cutors working at time of visit.

Hot Chicken

  • Name and position of colleague providing feedback - Hot Chicken, Pies and Pizzas.

  • Store Condition and Environment - Hot Chicken, Pies and Pizzas - including all counter / oven lights working, ovens working and clean, Pizza packing machine working, extraction with clean filters, signage, sinks, taps, plugs, power wash units, fridges, and freezers all fit for purpose.

  • Store Condition and Environment - Decoration, Ceiling tiles and finishes Hot Chicken areas.

  • Store Condition and Environment - All scales, printers working.

Deli

  • Name and position of colleague providing feedback - Main Deli Counter.

  • Store Condition and Environment - Main Deli Counter - including all counter lights working, extraction with clean filters, signage, sinks, taps, plugs, power wash units, fridges, and freezers all fit for purpose

  • Store Condition and Environment - Decoration, Ceiling tiles and finishes Main Deli Counter areas.

  • Store Condition and Environment - All slicing machines and scales working.

Meat and fish

  • Name and position of colleague providing feedback - Meat and Fish Counter.

  • Store Condition and Environment - Meat and Fish counter including all counter lights working, ice machine working, signage, sinks, taps, plugs power wash units, fridges, freezers, small frozen fish unit working and any ad-hoc items all fit for purpose.

  • Store Condition and Environment - Decoration, Ceiling tiles and finishes Meat and Fish Counter areas.

  • Store Condition and Environment - All scales, printers working.

  • Store Condition and Environment - Any other issues within the counters area which need to be advised of time of visit.

BAKERY AREA.

  • Name and position of colleague providing feedback - Bakery Area.

  • Working Safely - Condition of flooring / Water leaks in this area no immediate health and safety issues time of visit.

  • Technicians Standards - Condition of flooring which is not an immediate working safely issue.

  • Working Safely - Condition of Hand Dryer / Soap Dispensers in this area all fit for purpose time of visit.

  • Working Safely - All Insectorcuters working at time of visit.

  • Store Condition and Environment - All lights working with no cover missing, all doors in good condition.

  • Store Condition and Environment - Decoration and Ceiling Tiles to the Bakery area.

  • Store Condition and Environment - All fridges and freezers working,<br>

  • Store Condition and Environment - All pancake and any hot plates working.

  • Store Condition and Environment - Water meter working.

  • Store Condition and Environment - L Sealer working.

  • prover

  • Store Condition and Environment - All Provers working.

  • Store Condition and Environment - All scales, printers working.

  • Store Condition and Environment - All ovens including, Rack, Deck and Tom Chandley working, clean and fit for purpose.

  • Store Condition and Environment - Bread Slicer Working.

  • Roll & Bread Plant

  • Store Condition and Environment - All roll and bread plant working time of visit.

  • (CF) -Working Safely - Bread and Roll Plant - All safety guards working and in place time of visit as confirmed by the store time of visit.

  • Store Condition and Environment - All mixers working, lid(s) all fit for purpose and free from damage.

  • Store Condition and Environment - Extraction working, filters clean at time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues within the Bakery area which need to be advised of time of visit.

CUSTOMER CAFE AREA.

  • CUSTOMER CAFE AREA.

  • Name and position of colleague providing feedback - Customer Cafe Area.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks, all fit for purpose, this to include food preparation areas as well.

  • Working Safely - Hand dryers / Soap Dispensers working time of visit.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, and all catering equipment fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues with the Customer Cafe Area which need to be advised of time of visit.

OPTICIANS AREA.

  • OPTICIANS AREA.

  • Name and position of colleague providing feedback - Opticians Area.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks all fit for purpose, this to include Optical treatment rooms as well.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, hand dryers and all other items all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues within the Opticians area which need to be advised of time of visit.<br>

PHARMACY AREA.

  • PHARMACY AREA.

  • Name and position of colleague providing feedback - Pharmacy Area.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks all fit for purpose, this to include Optical treatment rooms as well.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, hand dryers and all other items all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues within the Pharmacy area which need to be advised of time of visit.

PHONE SHOP AREA.

  • PHONE SHOP AREA.

  • Name and position of colleague providing feedback - Phone Shop Area.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks all fit for purpose, this to include Optical treatment rooms as well.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, hand dryers and all other items all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.<br>

  • Store Condition and Environment - Any other issues within the Phone Shop Area which need to be advised of time of visit.

PHOTO SHOP AREA.

  • PHOTO SHOP AREA.

  • Name and position of colleague providing feedback - Photo Shop Area.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks all fit for purpose, this to include Optical treatment rooms as well.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, hand dryers and all other items all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues within the Photo Shop Area which need to be advised of time of visit.

CLICK AND COLLECT AREA.

  • CLICK AND COLLECT AREA.

  • Name and position of colleague providing feedback - Click and Collect Area.

  • Store Condition and Environment - Condition of lights, flooring (which is not a health and safety issue), counter areas, sinks, hand dryers and all other items all fit for purpose.

  • Working Safely - Condition of flooring time of visit, no slips and trips, no water leaks, all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tiles time of visit.

  • Compliant - Ensure any external doors have no gaps allowing Pest entry.

  • Store Condition and Environment - Any other issues within the Click and Collect Area which need to be advised of time of visit.

CHECKOUT AREA.

  • Name and position of colleague providing feedback - Checkout Area.

  • Store Condition and Environment - Check out equipment - ( including self scan and self service). All the following working, or fit for purpose - Belts. Gates. Bumper Trim. Fabrics to all units.

  • Store Condition and Environment - Any other issues within the Checkout Area which need to be advised of time of visit.<br>

CUSTOMER TOILET AREA.

  • Working Safely - Corridor and Access to Customer Toilet Area - No slips, trips, or water leaks and finger guards in place in this area time of visit.

  • Store Condition and Environment - Decoration to corridor leading to customer toilets areas, all lights working, decoration and finishes fit for purpose.

  • Store Condition and Environment - Condition of all ceiling tiles in this area time of visit.

  • Working Safely - Baby Changing Room Toilet Area - No slips, trips, water leaks, hand dryer, finger guards in place, and soap dispenser all in good condition time of visit.

  • Store Condition and Environment - Decoration to Baby Changing Room Area fit for purpose.

  • Store Condition and Environment - Baby Changing Room, including, all lights working, doors and locks, sinks, plugs, water dispenser, taps, mirror, toilet roll holder, baby changing matt, ceiling tiles and toilet cubicle all fit for purpose.

  • Working Safely - Men's and Ladies Toilet Area - No slips, trips, water leaks, hand dryer, finger guards in place, and soap dispenser all in good condition time of visit.

  • Store Condition and Environment - Decoration to Men's and Ladies toilet Areas fit for purpose.

  • Store Condition and Environment - Men's and Ladies Customer Toilets including, all lights working,signage, doors and locks, sinks, taps, plugs, mirror, toilet roll holder, toilet cubicles, coat hooks, ceiling tiles and all urinals fit for purpose.

  • Working Safely - Disabled Customer Toilet Area - No slips, trips, water leaks, hand dryer, finger guards in place and soap dispenser all in good condition time of visit.

  • Store Condition and Environment - Decoration to Disabled Customer toilet Areas fit for purpose.<br>

  • Store Condition and Environment - Disabled Customer Toilets including, all lights working, signage, doors and locks, sinks, taps, plugs, mirror, toilet roll holder, coat hooks, toilet, ceiling tiles and emergency pull cord all fit for purpose.

  • Store Condition and Environment - Are there any smells in the Customer Toilet Areas.

  • Store Condition and Environment - Any other issues within the Customer Toilet Area which need to be advised of time of visit.

SECURITY INFORMATION.

  • Name and position of colleague providing feedback.

  • Store Condition and Environment - No more than 3 cameras not working time of visit.

  • Working Safely - POD System fully operational at time of visit.

  • Store Condition and Environment - Security Stations sales floor / desk at entrance area / main security area back of house are all fit for purpose.

  • Store Condition and Environment - Decoration to this area including ceiling tile all fit for purpose.

  • Store Condition and Environment - Staff Stop and Search / Exit button fully operational.

  • Store Condition and Environment - Security Interview room fit for purpose recording etc.

  • Store Condition and Environment - All EAS / Security gates and barriers fully operational at time of visit.

  • Store Condition and Environment - Any other issues within the Store Security section which need to be advised of time of visit.

MANAGERS OFFICE / HR OFFICE / TRAINING ROOM / INTERVIEW ROOM.

  • Store Condition and Environment - Managers / HR Office, lights all working, air conditioning working with clean filters, ceiling tiles and all doors and locks fit for purpose.

  • Working Safely - Managers and HR Office - No water leaks, flooring slips and trips time of visit.

  • Store Condition and Environment - Decoration to the Managers and HR office areas.

  • Working Safely - Training Room - No water leaks, flooring slips and trips time of visit.

  • Store Condition and Environment - Training Room, lights all working, air conditioning working with clean filters, ceiling tiles and all doors and locks fit for purpose.

  • Store Condition and Environment - Decoration to the Training room areas.

  • Working Safely - Interview Rooms No water leaks, flooring slips and trips time of visit.

  • Store Condition and Environment - Interview Rooms, lights all working, air conditioning working with clean filters, ceiling tiles and all doors and locks fit for purpose.

  • Store Condition and Environment - Decoration to any Interview room areas.

CONFIDENTIAL OFFICE / FILE MAINTENANCE ROOM

  • Working Safely - Confidential Office / File Maintenance Room - No water leaks, condition of flooring slips and trips all fit for purpose time of visit.

  • Store Condition and Environment - Decoration and Ceiling Tiles to the Confidential Office / File Maintenance Room area.

  • Store Condition and Environment - Confidential Office / File Maintenance Room - All lights working, door locks working and condition of, A/C Working with clean filters.

  • Compliant - Ensure that any external doors have no gaps to them which can allow for Pest entry.

OFFICE CORRIDOR AREA.

  • Working Safely - Office Corridors and Staff entrance - no slips and trips, water leaks, condition of flooring all fit for purpose.

  • Store Condition and Environment - Office corridor and Staff entrance area - all lights working, doors and locks working, A/ C working with clean filters, entrance matting in good condition, mirrors all fit for purpose.

  • Store Condition and Environment - Decoration and Ceiling Tiles to the Office Corridor areas.

  • Compliant - Ensure that any external doors have no gaps to them which can allow for Pest entry.

  • Store Condition and Environment - Any other issues within the Ground Floor Areas of the building which need to be advised of time of visit.

CASH OFFICE AND SAFE ROOM.

  • Working Safely - Cash Office No water leaks, flooring slips and trips time of visit.

  • Store Condition and Environment - Cash office and Safe Room - all lights working, ceiling tiles, air conditioning working with clean filters all fit for purpose.

  • Store Condition and Environment - Decoration to Cash office and Safe room areas.

  • Store Condition and Environment - Cash office and Safe Room - all locks, emergency exit buttons and security systems fit for purpose.

  • Store Condition and Environment - Any other issues within the Cash Office Area of the building which need to be advised of time of visit.

STAFF RESTBITE AND SERVERY AREA.

  • Name and position of colleague providing feedback.

  • Working Safely - No Water Leaks, Flooring no Slip or Trips, Hand dryer and Soap Dispenser all fit for purpose.

  • Store Condition and Environment - All lights working, all doors and locks work, all air conditioning working with clean filters, extraction working with clean filters.

  • Store Condition and Environment - Decoration and Ceiling Tiles to both seating and food prep areas are fit for purpose.

  • Store Condition and Environment - All ovens, microwaves, fridges, freezers, hot plate, Gas Ovens, Fryer and a Toaster working time of visit.

  • Store Condition and Environment - All sinks, taps, and dishwasher working and fit for purpose.

  • Technicians Standards - Rotary toaster not on all the time

  • Store Condition and Environment - Counter area fit for purpose.

  • Store Condition and Environment - All tea machines, card machine and vending machines working.

  • Store Condition and Environment - Any other issues within the Staff Rest bite which need to be advised of time of visit.

STAFF / DISABLED TOILETS AND SHOWER ROOM IF APPLICABLE.

STAFF LADIES

  • Working Safely - Ladies Changing Room, No water leaks, flooring slips and trips or immediate Health and Safety issues time of visit.

  • Store Condition and Environment - Decoration to Ladies changing area including ceiling tiles time of visit all lights working.<br>

  • Working Safely - Ladies Toilet area, No water leaks, hand dryers, soap dispensers and flooring slips and trips time of visit all fit for purpose time of visit.

  • Store Condition and Environment - Ladies Toilet Area - all lights working, cubicles, doors and locks, toilet seats, flushes, taps, sinks, toilet roll holders, and all ceiling tiles all fit for purpose.

  • Store Condition and Environment - Decoration to Ladies Toilet area time of visit.

STAFF GENTS

  • Working Safely - Gents Changing Room, No water leaks, flooring slips and trips or immediate Health and Safety issues time of visit.

  • Store Condition and Environment - Decoration to Gents changing including ceiling tiles this area time of visit.

  • Working Safely - Gents Toilet area, No water leaks, hand dryers, soap dispensers and flooring slips and trips time of visit all fit for purpose time of visit.

  • Store Condition and Environment - Gents Toilet Area - all lights working, cubicles, doors and locks, toilet seats, flushes, taps, sinks, toilet roll holders, and ceiling tiles all fit for purpose.

  • Store Condition and Environment - Decoration to Gents Toilet area time of visit.

STAFF DISABLED

  • Working Safely - Disabled Toilet area, No water leaks, hand dryers, soap dispensers and flooring slips and trips time of visit all fit for purpose time of visit.

  • Store Condition and Environment - Disabled Toilet Area - all lights working, cubicles, doors and locks, toilet seats, flushes, taps, sinks, toilet roll holders, and ceiling tiles are all fit for purpose.

  • Store Condition and Environment - Decoration to Disabled Toilet area time of visit.

  • Does the Store have Shower area?

SHOWER AREA

  • Working Safely - Shower area, No water leaks, hand dryers, soap dispensers and flooring slips and trips time of visit all fit for purpose time of visit.

  • Store Condition and Environment - Shower Area - all lights working, cubicles, doors and locks, toilet seats, flushes, taps, sinks, toilet roll holders, and ceiling tiles are all fit for purpose.

  • Store Condition and Environment - Decoration to Shower area time of visit.

  • Store Condition and Environment - Any other issues within the Staff Toilet Areas which need to be advised of time of visit.

COMMUNITY ROOM WHERE APPLICABLE.

  • Does the store have a COMMUNITY ROOM

  • Working Safely - Community Room - No water leaks, condition of flooring slips and trips, hand dryer and soap dispenser all fit for purpose time of visit.

  • Store Condition and Environment - Community Room including - A/C working with clean filters, lights working, doors and locks working, Tea / Coffee / Water machine working, fridge and all cupboards all working time of visit.

  • Store Condition and Environment - Decoration and Ceiling Tiles to the Community rooms areas.

  • Compliant - Ensure that any external doors have no gaps to them which can allow for Pest entry.

  • Working Safely - Community Room - Toilet or Baby Changing Room - No water leaks, condition of flooring slips and trips, no missing ceiling tiles, hand dryer and soap dispenser all fit for purpose time of visit.

  • Store Condition and Environment - Community Room - Toilet and or Baby Changing facilities - condition of toilet, sink, Taps, toilet roll holder, seat, cubicle, decoration and finishes, emergency pull cord, baby changing matt, all working time of visit.

  • Store Condition and Environment - Any other issues within the Community Room and adjacent room areas which need to be advised of time of visit.

REAR YARD AREAS AND UNLOADING BAY

  • Name and position of colleague providing feedback - Rear Yard and Unloading Bay Area.

  • Working Safely - Condition of flooring slips and trips unloading bay, water leaks, traffic light system, concrete surfaces, Armco barriers, ACO drainage / gullies and other drainage systems all fit for purpose at time of visit.

  • Technicians Standards - Condition of flooring slips and trips unloading bay, water leaks, traffic light system, concrete surfaces, Armco barriers, ACO drainage / gullies and other drainage systems all fit for purpose at time of visit, any non Working Safely issues identified time of visit.

  • Working Safely - Condition of any white or yellow lining rear yard area time of visit.

  • Store Condition and Environment - All lights working unloading bay and rear yard, condition of rear yard fencing / walls and all bollard rear yard insitu.

  • Store Condition and Environment - Decoration and Condition of Ceiling Tiles to Unloading and Rear Yard areas time of visit.

  • Store Condition and Environment - All shutters, Wemplas doors, locks and alarms all working time of visit.

  • Store Condition and Environment - All dock levellers and scissor lift working, any pits and underneath areas free from rubbish, check that any safety barriers are in full working order / emergency cuts off are all fit for purpose.

  • Store Condition and Environment - All door curtains working and in good condition.<br>

  • Compliant - Ensure that any external doors have no gaps to them which can allow for Pest entry.

  • Store Condition and Environment - Back Yard gate fully operational.

  • Store Condition and Environment - Any other issues within the Rear Yard and Unloading Bay Area which need to be advised of time of visit.

ROOF AREAS AND PLANT ROOMS

ROOF AREAS

  • IMAGES OF ROOF AT TIME OF INSPECTION AT LEAST 2.

  • Working Safely - All roof access lighting and roof lighting working time of visit.

  • Working Safely - If applicable is there a roof man safe system in place.

  • Working Safely - Roof flooring, no slips or trips, ponding on walk ways, drains and gullies clear, and free from vegetation

  • Store Condition and Standards - Condition of roof surfaces, ponding, ACO drains clear and free flowing, clear and rubbish free.

  • Working Safely - Condition of and suitability of installed Walkways and installed step overs time of visit, are they in place and correct for roof access layout.

  • Technicians Standards - Condition of roof areas which are not part of walks ways, no rubbish or debris insitu, ponding on non walk way areas condition of, any vegetation which needs to be removed time of visit.

HVAC PLANT ROOMS

  • Technicians Standards - Water tank room - clear access, clean and tidy, salt in place and in softener units ( IF REQURED), door locked any relevant signage in place.

  • Technicians Standards - Condition of Sprinkler room time of visit<br>

  • Technicians Standards - Boiler Room - clear access, clean and tidy, door locked any relevant signage in place, check temp of boiler us not set any higher than 65 degrees time if visit.

REFRIGERATION PLANT

  • Working Safely - All Refrigeration Plant - clear access, doors lock, clearly labelled, when not on the roof no water leaks and inspect condition of decoration and finishes - Are there diagrams in place detailing all relevant information.

ELECTRICAL PLANT ROOMS

  • Working Safely - All electrical plant rooms / switch gear rooms, locked, free from debris, clearly labelled, no fire hazards, no water leaks.

OTHERS

  • Store Condition and Environment - Any other issues within the Roof Area, Electrical Plant Room Area, Boiler Room, Water Tank Room, Refrigeration Plant Room area, HVAC Area which need to be advised of time of visit.

  • Store Condition and Environment - Any other issues or Rooms not already identified above which are either a Health And Safety, Compliant, Store Condition, or Technicians Standards issue which have been identified as part of the store visit.

CLEANERS AREA.

  • Working Safely - Flooring no slips and trips, all drainage free flowing and in good condition.

  • Working Safely - All Insect-o-cutors working at time of visit.

  • Store Condition and Environment - all lights working, extraction clean, sink and taps all fit for purpose.

  • Store Condition and Environment - Decoration and Condition of Ceiling Tiles to cleaners areas.

  • Store Condition and Environment - Any other issues within the Cleaners Area which need to be identified as part of the store inspection.

DOTCOM AREA.

  • Does the store have a DOT COM?

  • Name and position of colleague providing feedback - DOTCOM Area.

  • Working Safely - Flooring slips and trips, water leaks, ceiling tiles.

  • Store Condition and Environment - All lights working, doors and locks fit for purpose.

  • Store Condition and Environment - Decoration and Condition of all Ceiling Tiles to all DOTCOM areas time of visit.

  • Store Condition and Environment - Flooring damage which is not an immediate health and safety issue.

  • Working Safely - All heating in this area working as should time of visit. area temp -

  • Working Safely - Cold Room - all lights working, no water leaks, door release fully operational and all fit for purpose.

  • Technicians Standards - Cold Rooms - Condition of any door curtains which are in place, fabrics to walls and any columns time of visit.

  • Working Safely - Freezer - all lights working, no water leaks, door release fully operational, condition of ice build up all fit for purpose.

  • Technicians Standards - Freezers - Condition of any door curtains which are in place, fabrics to walls and any columns time of visit.

  • Compliant - Ensure that any external doors have no gaps to them which can allow for Pest entry.

  • Technicians Standards - Condition of any compound or fencing area, bollards or ARMCO Barriers all in place and fit for purpose time of visit.

  • Working Safely - DOTCOM yard - all lighting works, condition of walk way surfaces slips and trips, water leaks, power points, roof leaks, Tarmac surfaces all fit for purpose.

  • Working Safely - Condition of either white or yellow lining rear yard areas.

  • Store Condition and Environment - Any other issues within the DOTCOM Area which need to be advised of time of visit.

WAREHOUSE / COWSHED AND OTHER BACK OF HOUSE AREAS IDENTIFIED TIME OF VISIT.

  • Name and position of colleague providing feedback - WAREHOUSE / COWSHED and other BACK OF HOUSE Areas.

  • Working Safely - Cold Rooms - All tops free from clutter and not being used for storage, all lights working, doors working freely, emergency exit button working / alarm working, floor in good condition with no leaks.

  • Technicians Standards - Cold Rooms - Condition of any door curtains which are in place, door seals, fabrics to walls and columns time of visit all being fit for purpose.

  • Working Safely - Frozen Foods - All tops free from clutter not being used for storage, all lights working, doors working freely, emergency exit button working / alarm working, floor in good condition and no leaks with minimal ice build up.

  • Technicians Standards - Frozen Foods - Condition of any door curtains which are in place, door seals, fabrics to walls and columns time of visit all being fit for purpose.

  • Store Condition and Environment - All lights in both Warehouse and Cowshed working.<br>

  • Store Condition and Environment - Decoration, Ceiling Tiles and finishes to walls Warehouse and Cowshed.

  • Working Safely - Warehouse and Cowshed - flooring condition of and no slips and trips, water leaks, roof leaks.

  • Store Condition and Environment - Review the condition of any white / yellow / hatched lining within the warehouse and DOTCOM area.

  • (CF) - Technician Standards - Condition of any ad-hoc plant room areas as shown time of visit.

  • Compliance - Condition of any over door heaters, working, clean filters which have been signed and dated

  • Store Condition and Environment - All locks and condition on all doors fit for purpose.

  • Working Safely - All secure lock up areas including BWS ETC, locks working, no water leaks, flooring in good condition, no slips or trips, decoration and finishes.

  • Does the store have Curtain stips

  • Technicians Standards - Curtain strips in place and they are in use they on any external doors they are in good order and they over lap to prevent pest entry to the building.

  • (CF) - Working Safely - Ensure that any external doors have no gaps to them which can allow for Pest entry.

  • Store Condition and Environment - Any other issues or Rooms not already identified above which are either a Health And Safety, Compliant, Store Condition, or Technicians Standards issue which have been identified as part of the store visit.

  • Store Condition and Environment - Any other issues within the Warehouse and Cowshed Area which need to be advised off time of visit.

ENERGY AND OTHER MISC ITEMS.

  • Store Condition and Environment - Energy Board Working.

  • Store Condition and Environment - Does the store have any heating or cooling units in hire time of visit and if so where.

  • Store Condition and Environment - Is the store lighting (including all spot lights) dimmed before 8.00am and then dims down again at 9.00pm.

  • Store Condition and Environment - Are there any main AHU's which are set in "hand" and not "auto" time of visit and which ones.

  • Store Condition and Environment - Any dampers which are accessible are they slightly open, typically a coin widths gap during the colder weather.

  • (CF) - Store Condition and Environment - All condenser free from debris and clean?

  • (CF) - Compliance - All Main Air Handling units - good access, clean filters with dates showing, no noisy belts, clearly labelled up, where these are not on the roof then no water leaks, inspect all decoration and finishes.

  • Technicians Standards - Check for any ice build up on pipe work / or exposed pipes time of visit.

  • Technicians Standards - Check all compressors to ensure no ice build up time of visit.

  • Technicians Standards - Check all Refrigeration invertors where in use are working and on auto time of visit.

  • Technicians Standards - Staff RESTBITE - Cooker extract fan, Cheetah Controller working both lights green and blue on and working time of visit.

  • Technicians Standards - Bakery - Cooker extract fan, Cheetah Controller working both lights green and blue on and working time of visit.

  • Technicians Standards - Hot Chicken Prep Area - Cooker extract fan, Cheetah Controller working both lights green and blue on and working time of visit.

  • Store Condition and Environment - Any other issues within the Store which need to be advised off time of visit.

CASE MAINTENANCE

PRODUCE AREA.

  • Case Photos

  • Store Condition and Environment - PRODUCE CABINETS - Cabinet Type and Approx age.

  • (CF) - Compliant - Produce Case Cleaning, Cabinet lighting, and fabrics to all units including bump rail and missing McQue Corners all fit for purpose and compliant time of visit.

  • (CF) - Working Safely - PRODUCE - No Water Leaks to this area time of visit, and where there are how long this has been like it for.

PROVISION AREA.

  • Case Photos

  • Store Condition and Environment - PROVISIONS CABINETS - Cabinet Type and Approx age.

  • (CF) - Compliant - Provision Case Cleaning, Cabinet lighting, and fabrics to all units including bump rail and missing McQue Corners all fit for purpose and compliant time of visit.

  • (CF) - Working Safely - PROVISIONS - No Water Leaks to this area time of visit, and where there are how long this has been like it for.

FROZEN FOODS.

  • Case Photos

  • Store Condition and Environment - FROZEN FOODS CABINETS - Cabinet Type and Approx age.

  • (CF) - Compliant - Frozen Foods Case Cleaning, Cabinet lighting, and fabrics to all units including bump rail and missing McQue Corners all fit for purpose and compliant time of visit.<br>

  • (CF) - Working Safely - FROZEN FOODS - No Water Leaks to this area time of visit, and where there are how long this has been like it for.

Sign off

Audit Conducted by.

  • Name of Auditor

  • Signature of Auditor

  • Name of Technician.

  • Signature of Technician

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.