Title Page

  • Location:
  • Conducted on:

  • Prepared by:

  • Staff Members Present:

  • AM Signature:

  • Managers Signature:

  • Have you checked the site staffs general welfare? (please use notes tab for details)

  • Do all staff members at the site feel the social distancing and P.P.E measures that have been introduced are adequate to maintain their personal safety at work?

  • Are all relevant Covid-19 safety measures in place on the site? (sneeze screen and social distancing markers in place, relevant P.P.E and hand sanitiser available to all staff on site etc)

  • Is the site cleaning rota being adhered to and completed by all staff members a minimum of every 30 minutes throughout the trading day? (Please ensure images of the completed rota sign off form are taken and attached)

  • Is all Covid-19 POS displayed correctly?

  • Have you conducted a spot check to ensure that all guidelines are being followed on site and also sense checked the staff members understanding of their expectations / responsibilities?

  • Any other comments or feedback from the site team? (please use notes section to document)

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.