Retail Store Safety Survey Checklist
General
Company Name
Location Code
Store Surveyed
Date
This form is a reminder only, of general areas and items to be inspected. Check also for other unsafe acts and conditions and report them so they can be corrected.
First Aid and Emergency
First Aid station provided
First Aid supplies adequate
Certified First Aides available
Emergency numbers posted–Location known
Record Keeping and Posters
State/Federal Injury Records Maintained
Copies of supervisor’s accident/injury reports
Safety activities documented
Emergency plan established and posted
Employee Safety
Sufficient lighting stairs–work areas
Hand and power tools inspected
Non-exit doors marked–not an exit
Ladders in good condition–safety feet as needed
Broken glass, metal bands, sharp objects removed from storage and work areas
Instructions provided for proper lifting
Instructions provided for proper lifting
Trucks-trailers chocked during unloading
Warehouse Operations
Aisles clear and well marked
Storage conditions consistent with good warehousing
practices
Parking Lots-Sidewalks-Ramps
Sufficient lighting
Surfaces free of holes, trash, snow
Obstructions well marked
Parking areas, travel lanes marked
No Parking emergency areas identified
Cart stalls–regular collection
Fire Prevention and Protection
Sprinkler valves locked in open position
Stock kept at a minimum of 18” from sprinkler heads and
heater units
No smoking signs posted–enforced
Employee smoking areas designated
Employee smoking areas designated
Extinguisher locations identified
Extinguishers adequate–type and number
Extinguishers inspected–tagged
Employees trained to use fire protection equipment
(extinguishers)
Fire extinguisher records of service, maintenance and
recharging
Fusible links in sprinkler heads and fire doors free of paint
Incinerator provided a Class B fire wall and door (fusible
link on door)
Incinerator or compactor area free of combustibles and
hazardous materials
Electrical panels accessible–labeled
Proper size fuses (if fuse-type)
Extension cord use held to a minimum and only as a
temporary measure
All electrical wiring installed in accordance with codes
Compressor room free of combustibles
Waste cans of a noncombustible material and provided
covers
Flammable liquids approved containers
Noncombustible enclosure – self-closing door – boiler or
furnace room
Heat buildup areas clear of combustibles (heaters,
appliances, etc.)
Final Building check at closing
General housekeeping
General Conditions–Store
Automatic doors operate properly (rate of closing, travel
area)
In-out decals on automatic doors
Door mats in good condition
Bubble gum machines, paint mixers, key machines, etc.
secured against tipping over
Cash registers, kiddie rides, water coolers adequately
grounded
All free-standing displays at least 48” high
Shelve stocking regulated to eliminate tripping hazards
(boxes)
Wall and overhanging displays secured
Shelf displays arranged to prevent stock being knocked
from shelves
Shopping carts in good condition–inspected for loose or
bent wheels, sharp edges
Defective carts removed from service
Emergency cleanup procedure used
General sweeping program effective in keeping aisles
clear of debris–slipping hazards
Displays, counters, floors free of loose mats, carpets,
projecting metal strips, sharp edges
Exits clearly marked by illuminated signs which are visible
throughout the store
Emergency lighting in good operational condition
Employees trained in how to handle an accident involving
the public
Summary
Final comments/ conculsions:
Notes for next inspection:
Inspector name:
Inspector signature:
Shop manager name:
Shop manager signature:
