Retail Safety Audit Form
Goodwill Industries of Wayne and Holmes Counties
Date
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Month
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Day
Year
Date
Location
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Auditor Signature
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Auditor
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First Name
Last Name
Audit Questions
Floors are dry (processing and sales floors)
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Lunch area is free of food debris and trash containers conform with OSHA Standards (lids on all trash containers).
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Fire extinguishers are properly charged and tested and indicated on the attached card.
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Are the emergency lights checked each month and logs kept?
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Are the GFI buttons on the light plugs checked each month and logs kept?
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Employees can explain the proper use of the fire extinguisher.
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Exit and Emergency lights properly working (processing and sales floor)
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Working flashlights are maintained at every work station
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No extension cords, damaged electrical cords are in walkway.
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Grounded plugs are used on all electrical equipment
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Electrical panels are not blocked.
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Fans are properly guarded when in use.
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Chemicals are properly stored and labeled (including all bottles at processing work stations and registers)
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Bleach on premises
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Blood and Body Fluid kit and procedure are in utility room
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Exit aisles are clear for unobstructed passage
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No combustibles near heating appliances (furnace, water heater, heating vents)
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Use of power strips only when needed; no extention cords
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Ceiling tiles are in place and not broken or missing
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Ceiling clearance of 24" in unsprinkled and 18" in sprinkled facilities must be observed
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Check with manager; have all new employees been trained on the double stacker, electric pallet jack, and or compactor?
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Is the AED inspected and logged monthly?
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A stocked first aid kit is available.
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No smoking signs are posted in retail area and no one is observed smoking.
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Posted MSDS Sheets.
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Check all store provided wheelchairs for stability and proper function
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Floors are clear of clothing, hangers, and other items.
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Dressing room and Restroom doors are secure, mirrors are not cracked, there is no broken wood and they are free of litter and merchandise
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Register areas are free of receipts, merchandise or customer purchases inadvertently left at the store
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Fixtures such as racks, bins, and shelves are secure and in safe condition with no sharp edges.
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The store has a neat orderly appearance.
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Back room processing aisle/walkway is clear of clutter, and stock is arranged so as not to block aisle ways.
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Gaylords are safely double stacked - gaylords are sturdy, pallets are level and unbroken; heaviest gaylord on the bottom
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Shopping carts and loading and unloading racks are placed in designated areas and are in safe repair
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Merchandise that is being transported into or out of the store is done in a careful and conscientious manner.
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Tipper tray is level with the floor whenn down (if no, debris needs to be removed immediately to avoid damage
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Confirm the Stacker daily inspection log is being utilized
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Confirm the Electric pallet jack daily inspection log is being utilized
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Lock out tag out instructions are posted at or near the stacker
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Lock out tag out instructions are posted at or near the electric pallet jack
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Lock out tag out instructions are posted at or near the tipper
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Lock out tag out instructions are at compactors
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Safety Board - Safety Mission Statement and Safety Policy on the Board
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Yes
No
Safety Board - Safety and LP Team Members Posted
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Yes
No
Safety Board - Safety and LP Team Minutes Posted
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Yes
No
Safety Board - Blood and Bodily Fluid Spill Procedure Posted
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Yes
No
Safety Board - Emergency Procedures Posted
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Yes
No
Safety Board - Hazard Communication Plan with Chemical Inventory Posted
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Yes
No
Safety Board - Suggestion Program Posted
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Yes
No
Safety Board - OSHA 300 Form for Prior Year (2/1 to 4/30) Posted
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Yes
No
Maintenance Issues
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Recommendations for Areas Needing Improvement
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Actions Taken to Respond to Recommendations
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Submit
Should be Empty: