TFG Polish Safety and Progress Report

• Site Name

• Site Number

• Conducted on

  Date

• Prepared by

Polish Completion Progress Report - XL Retail Services

Supervisor conducting work

• Add signature

  Sign

Safety Compliance

• Have all team members signed into Coles Site Visitor Management App

  Compliant

  Non-Compliant

  N/A

• Do all team members have current and valid Coles Inductions

  Compliant

  Non-Compliant

  N/A

• Are all the team members signed off on SWMS

  Compliant

  Non-Compliant

  N/A

• What type of PPE is required to be worn for this task?

• What safety measures are in place to prevent team member from walking onto polish areas ?

• Are Safety Signs displayed on relevant Access Doors, staff areas and attached to barrier tape, barricades etc ? (Include photos.)

• Please provide photos of the safety barricades

  Media

• Test and Tag of equipment up to date ?

  Pass

  Fail

  N/A

• Are all machinery gas-powered? <br>Note that no liquid fuel machinery is to be used at Coles sites.

  Pass

  Fail

  N/A

Environmental Safety

• Are all floor polish chemicals properly labelled and stored in accordance with safety guidelines?

  Yes

  No

• Are Material Safety Data Sheets (MSDS) available and easily accessible for all chemicals used?

  Yes

  No

• Are spill containment measures in place and easily accessible?

  Yes

  No

Mud Maps - Completion

• Was the map completed as planned?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Completed Areas/Aisles ?

• Please provide photos:

  Media

• If not completed, why?

CURRENT ISSUES AND IMPACTS

• Relevant Polish Plan / Polish Map provided to polishing crew?

  Yes

  No

  N/A

• Store staff / night manager aware of planned works required?

  Yes

  No

  N/A

• Store Team Members remaining out of aisles planned for polish work?

  Yes

  No

  N/A

• Stock / movable items removed from planned areas by store team?

  Yes

  No

  N/A

• Equipment / product working effectively?

  Yes

  No

  N/A

Items that must be done

• Gondola legs detailed

  Yes

  No

  N/A

• Shark machine used under gondolas

  Yes

  No

  N/A

• Around Bollards Completed

  Yes

  No

  N/A

• Chrome Cleaned

  Yes

  No

  N/A

Waste Management

• Are used floor polish containers disposed of according to environmental regulations?

  Yes

  No

• Are all cleaning materials and equipment properly cleaned and stored after use to prevent contamination?

  Yes

  No

Hazards or Incidents to Report ?

• Any Hazards to report ?

  Yes

  No

• Any Safety Incidents to report ?

  Yes

  No

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• Yes

  No

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• Yes

  No

Actions required/Additional comments

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Site Representative comments / feedback as needed

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