Retail Maintenance Checklist

							LOSS CONTROL DATA GUIDE


              Retail Store Safety Survey Checklist
COMPANY NAME                                      STORE SURVEYED                             LOCATION CODE          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.
X
❏   Unsatisfactory conditions noted and list conditions below.
FIRST AID AND EMERGENCY                                            EMPLOYEE SAFETY
o  First Aid station provided                                      o Electrical equipment–tools grounded
o  First Aid supplies adequate                                     o Sufficient lighting stairs–work areas
o  Certified First Aides available                                 o Hand and power tools inspected
o  Emergency numbers posted–Location known                         o Non-exit doors marked–not an exit
                                                                   o Ladders in good condition–safety feet as needed
RECORD KEEPING AND POSTERS                                         o Broken glass, metal bands, sharp objects removed
o State/Federal Injury Records Maintained                            from storage and work areas
o Copies of supervisor’s accident/injury reports                   o Instructions provided for proper lifting
o Safety activities documented                                     o Metal conveyors properly stored
o Emergency plan established and posted                            o Trucks-trailers chocked during unloading

FIRE PREVENTION AND PROTECTION                                     WAREHOUSE OPERATIONS
o  Sprinkler valves locked in open position                        o Aisles clear and well marked
o  Stock kept at a minimum of 18” from sprinkler heads             o Storage conditions consistent with good warehousing
   and heater units                                                  practices
o  No smoking signs posted–enforced
o  Employee smoking areas designated                               PARKING LOTS-SIDEW ALKS-RAMPS
o  Fire extinguishers mounted–accessible                           o Sufficient lighting
o  Extinguisher locations identified                               o Surfaces free of holes, trash, snow
o  Extinguishers adequate–type and number                          o Obstructions well marked
o  Extinguishers inspected–tagged                                  o Parking areas, travel lanes marked
o  Employees trained to use fire protection equipment              o No Parking emergency areas identified
   (extinguishers)                                                 o Cart stalls–regular collection
o  Fire extinguisher records of service, maintenance
   and recharging                                                  GENERAL CONDITIONS–STORE
o  Fusible links in sprinkler heads and fire doors                 o Automatic doors operate properly (rate of closing,
   free of paint                                                     travel area)
o  Incinerator provided a Class B fire wall and door               o In-out decals on automatic doors
   (fusible link on door)                                          o Door mats in good condition
o  Incinerator or compactor area free of combustibles              o Bubble gum machines, paint mixers, key machines, etc.
   and hazardous materials                                           secured against tipping over
o  Electrical panels accessible–labeled                            o Cash registers, kiddie rides, water coolers adequately
o  Proper size fuses (if fuse-type)                                  grounded
o  Extension cord use held to a minimum and only as a              o All free standing displays at least 48” high
   temporary measure                                               o Shelve stocking regulated to eliminate tripping hazards
o  All electrical wiring installed in accordance with codes          (boxes)
o  Compressor room free of combustibles                            o Wall and overhanging displays secured
o  Waste cans of a noncombustible material and                     o Shelf displays arranged to prevent stock being knocked
   provided covers                                                   from shelves
o  Flammable liquids–approved containers                           o Shopping carts in good condition–inspected for loose
o  Noncombustible enclosure–self closing door–boiler                 or bent wheels, sharp edges
   or furnace room                                                 o Defective carts removed from service
o  Heat buildup areas clear of combustibles (heaters,              o Emergency cleanup procedure used
   appliances, etc.)                                               o General sweeping program effective in keeping aisles
o  Final Building check at closing                                   clear of debris–slipping hazards
o  General housekeeping                                            o Displays, counters, floors free of loose mats, carpets,
                                                                     projecting metal strips, sharp edges
                                                                   o Exits clearly marked by illuminated signs which are
                                                                     visible throughout the store
                                                                   o Emergency lighting in good operational condition–
                                                                     Records of monthly check (if battery units)
                                                                   o Employees trained in how to handle an accident-
                                                                     involving the public


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        LOSS CONTROL DATA GUIDE continued


                                           Comments and Unsatisfactor y Conditions




                                                                                                                                  Report Prepared By




The loss prevention information and advice presented in this brochure are intended only to advise our insureds and their managers of a variety of methods and strategies based on
generally accepted safe practices, for controlling potentially loss producing situations commonly occurring in business premises and/or operations. They are not intended to
warrant that all potential hazards or conditions have been evaluated or can be controlled. They are not intended as an offer to write insurance coverage for such conditions or
exposures, or to imply that Great American Insurance Company will write such coverage. The liability of Great American Insurance Company is limited to the specific terms,
limits and conditions of the insurance policies issued.



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