Information

  • Audit Title:

  • Conducted on:

  • Prepared by:

  • Location

Workplace Audit

1.0 Exterior/Parking Lot

  • 1.1 Are parking areas well lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 1.2 Are parking areas free of snow, ice, or other obstructions?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 1.3 Are sidewalks and pavements clear of potholes, debris, or other obstructions?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

2.0 Entrances

  • 2.1 Are all entrances well lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 2.2 Are the doors free of sharp objects?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 2.3 Are threshold plates on doors secured? No protruding screws?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 2.4 Are there solid glass markers to alert guests?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

3.0 Guest Area

  • 3.1 Are guest areas well lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 3.2 Are floors free of slip hazards?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 3.3 Are changes in floor elevation clearly identified?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 3.4 Are signs used to indicate that floors are wet while mopping?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

4.0 Front Counter

  • 4.1 Is the front counter area well lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 4.2 Is the floor free of tripping hazards and obstructions? (ie. waxies, boxes, etc.)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 4.3 Are bagel cutters being used properly?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 4.4 Are knives being used and stored properly?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 4.5 Are all electrical cords in good condition (No worn or frayed wires or plugs present)?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

5.0 Kitchen

  • 5.1 Is the kitchen well lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.2 Is the floor clear of wet spots or debris (ie. paper, food, etc.)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.3 Is the area free of tripping hazards and obstructions?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.4 Are wet floor signs available? Are they in useable condition? Are they being used?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.5 Are all electrical cords in good condition (No worn or frayed wires/plugs present)?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.6 Are oven mitts available?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.7 Are oven mitts in good condition? (ie. no holes, no split seams, etc.)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.8 Are oven mitts being worn when required?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.9 Are oven doors closed when unattended?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.10 Are knives stored in designated area(s) after use?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.11 Are lids being used on pots or pans when hot food is carried to and from stove/kitchen?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.12 Are all handles on cooking pots or pans well secured?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 5.13 Is the dishwasher door closed while unattended?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

6.0 Storage Area

  • 6.1 Are all storage areas well lit, including fridge and freezer?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.2 Is the interior door latch of the fridge and freezer working properly to allow for exit from within? (ie. does not stick, components are not loose, etc.)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.3 Are ladders/step stools available? Are they in good condition? (broken or loose rungs, etc.)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.4 Are heavier items and bulkier items stored on bottom or lower shelves?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.5 All bulbs discarded safely after being changed?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.6 Are tall or heavy shelves firmly secured?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.7 Are stored items kept at least 18 inches below sprinkler heads or overhead heaters?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.8 Are there any boxes or other flammable materials near the overhead heaters?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 6.9 Are the aisles free of tripping hazards?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

7.0 Staff Room

  • 7.1 Housekeeping

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

8.0 Office

  • 8.1 Housekeeping

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 8.2 Electrical - are cords and wires in good condition and out of the way?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

9.0 Washrooms

  • 9.1 Cleanliness and housekeeping

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

10.0 Electrical Room

  • 10.1 Is the area (at least 1 meter) in front of electrical panel clean and clear of any objects?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 10.2 Is the electrical room entrance blocked to prevent unauthorized access (door or other barrier to entry)?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 10.3 Does entrance to room or similar enclosure containing exposed, live electrical parts, have a warning sign of danger?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 10.4 Are any chemicals being stored in the room?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

11.0 Emergency and Fire

  • 11.1 Is there an emergency phone numbers list next to the phone(s)? Is it current and legible?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 11.2 Are all emergency exits clearly identified and lit?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 11.3 Does the emergency lighting work?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 11.4 Are all exit doors completely free of debris or obstruction?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 11.5 Are all fire extinguishers being inspected monthly? Is the tag initialed and dated?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 11.6 Is the emergency evacuation plan posted?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

12.0 WHIMIS

  • 12.1 Are all controlled products identified by either a supplier or workplace label?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 12.2 Is there an inventory list that identifies what WHIMIS materials are stored, used and handled in the restaurant?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 12.3 Are chemicals stored properly?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 12.4 Are there material safety data sheets (MSDS) for each product on the inventory sheet?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 12.5 Are all MSDS current? (No more than 3 years)?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 12.6 Are the MSDS available in a location(s) accessible to all employees, and where controlled products are used?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

13.0 Personal Protective Equipment

  • 13.1 Is all PPE available? Stored properly? Accessible?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 13.2 Is PPE in good condition?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 13.3 Is there an eye wash station in the area?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 13.4 Is the eye wash station clean and free of obstructions?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 13.5 Is a lockout kit available, does it fit all appliances in the store?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

14.0 First Aid

  • 14.1 Is there an appropriate provincial poster at the First Aid station?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 14.2 Is there an appropriate First Aid kit available and easily accessible?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 14.3 Is the First Aid Kit fully stocked?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 14.4 Is the kit inspected quarterly? Is documentation of inspection available?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 14.5 Is there someone certified in First Aid on each shift?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 14.6 Is the certificate of First Aid attendants current and posted?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

15.0 General

  • 15.1 Is the H&S Policy posted in an obvious place?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 15.2 Are the names of the JHSC members or H&S Rep posted?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 15.3 Are the 3 most recent JHSC meeting minutes posted?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 15.4 Is the Act and Regulations posted/easily available to employees?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • 15.5 Are employees following safe work practices?

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

  • Any other concerns? (If No, select N/A)

  • A class A hazard is used only when a condition or practice has the potential to cause loss of life, disability, and/or extensive loss to property, equipment, or structure. This constitutes an automatic failure of this audit.

    Notify Manager or Supervisor immediately of the severity of the danger and ensure work is immediately stopped in the appropriate area.

  • Please confirm that this qualifies as a Class A Hazard and that you have taken the steps listed above by selecting confirm.

Final Comments

  • Other comments

Sign Off

  • Please review and ensure that ALL questions have been answered. When you are sure that everything has been completed sign below.

  • Store Manager

Recommendations

Recommendation Form

  • Does the manager agree with the recommendations of the Joint Health and Safety Committee?

  • Excellent!

  • Why Not?

  • Presented to JHSC On:

Feedback

Application Feedback (Development Analysis)

  • Thank you for using this program to conduct your health and safety audit. If you could answer a few questions regarding the use of this application it would be appreciated. More than one set of feedback can be given if multiple people wish to give their input.

  • Feedback:

  • Feedback
  • I enjoyed using this application?

  • This is faster than the paper system?

  • How comfortable are you using this application? (0 = Not at all, 10 = Very comfortable)

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  • I would like further training on the application?

  • Are there any changes you would like to see, or questions you would like added?

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.