Previous Submissions

STORE

Description

Response

  

Details

Notes

Flooring

  Are the floors free from gum, debris, or spills?

Glass

  Is the glass free from smudges, dust, or other debris?

Tables & Desks

  Is the store free from dust or debris under racks or tables, or behind mirrors leaning against the walls?

Tables & Desks 2

  Are the shelves and tables free from dust?

Carpet Mattings

  Are the rugs free from debris?

Fitting Rooms

  Do the fitting rooms look clean?

Restroom Cleaning

  Do the restrooms look and smell clean?

Breakroom/Offstage

  Does the breakroom look and smell clean?

Office

  Is the weekly office cleaning being done - empty trash/recycling. Sweeping the floor?

Hallways

  Does the hallway along restrooms, break room and offices look clean?

Elevators

  Where present - are elevators clean; including walls, edges and corners?

Escalators

  Where present - are escalators clean; including handrails, edges and corners?

Stairs

  Where present - are stairs clean; inclduing handrails, edges and corners?

EMPLOYEES

Description

Response

  

Details

Notes

Vacuum

  Are backpack vacuums being used for cleaning under tables/tracks, and for spot-cleaning?

Dusters

  Are extension dusters being used for shelves and high glass?

Mops

  Are glass mops and squeeges being used for cleaning mirrors?

C0062 - Citrus Express Gel Solvent spotter and Gum

  Is the citrus express chemical being used for gum that cannot be removed with a scraper?

MECHANICAL ROOM

Description

Response

  

Details

Notes

Equipment

  Is the equipment in good working condition? If not, please report to Steve.

Scrubber

  Please verify the scrubber tab number or serial number by adding to Notes.

Backpack Vacuum

  Please verify the backpack vacuum tag number or serial number by adding to notes.

SUPPLY CLOSET

Description

Response

  

Details

Notes

Supply Closet

  Are any supplies running low or in
bad condition? If so please report
to Steve for more supplies.

Supply Closet 2

  Have paper towels/toilet
paper/disinfectant/trash bags, etc.
been ordered from the store
manager? If no, please advise why
and when the order will be placed.

WORKPLACE SAFETY INSPECTION - STORE

Description

Response

  

Details

Notes

Equipment

  Is all equipment stored in its proper
place - not blocking walkways,
doors, or fire lanes?

Safety Box

  Is the Safety Box in the store?

Safety Box 2

  Are the SDS Sheets inside the Safety Box?

Safety Box 3

  Is the Site Log inside the Safety Box?

Safety Box 4

  Are there dust masks available for the employees to use?

Safety Box 5

  Are there ear plugs avialable for the employees to use?

Safety Box 6

  Is there a first aid kit in the Safety Box?

Safety Box7

  Are there gloves available for the employees to use?

Eye Wash Station

  Is there an eye wash station for the employees to use?

Safety Cones

  Are there wet floor signs/cones available for use?

Danger Tape

  Is Danger Tape available for projects?

Chemicals

  Are all chemicals on the shelves in their proper locations?

Chemicals 2

  Are all chemicals stored in their proper containers?

Chemicals 3

  Are all chemicals preperly marked?

Scrape Sticks

  Are the scrape sticks stored in a safe manner, and are the blades secured properly?

Power Cords

  Are the power cords on all vacuums, extractors, air movers, and extension cords in good condition (ground terminal in place, no frays or broken casing)?

Propane

  If used at this location, is propane being removed from the store each day after use?

Propane Cage

  If used at this location, is the propane cage locked when left unattended?

Propane Cage 2

  If used at this location, is access to the propane cage clear and free of danger, such as ice and snow?

WORKPLACE SAFETY INSPECTION - EMPLOYEES

Description

Response

  

Details

Notes

Footwear

  Are the employees using approved shoes and attire?

SDS Sheets

  Do all of the employees know where the SDS Sheets are and how to use them?

PPE

  Are the employees using the PPE?

Proper Lifting

  Are the employees implementing proper lifting procudures?

Operation

  Are the employees operating the equipment in a proper and safe manner?

Food Cleaning

  Are the employees trained on the proper cleaning procedures for food preparation areas, including the danger of cross contamination (if applicable)?

Safety Cones

  Are the employees using safety cones to indicate trip hazards, such as electrical cords, rolled up carpet runners, and rolle up mats?

Aisles

  Are the employees properly blocking aisles when doing wet work?

Mopping Excess

  Are the employees mopping excess water left by the scrubber?

Air Movers

  Are the employees using Air Movers to dry wet carpet?

Supply closet

  Are the employees leaving the supply closet neat and orderly?

 

****************************Nordstrom ONLY*************************************************

Vendor Log

Description

Response

  

Details

Notes

Log Entries

  Entries legible and complete including employee first and last name.

Urgent Issues

  Are there any urgent issues/major service/projects. If so indicated in comments.

Review Equipment Operation/Needs

Description

Response

  

Details

Notes

Equipment Functioning

  Equipment functioning

Available Chemicals

  Available chemicals

Available Paper Towels/PT

  Available paper towels P/T

Job Board

Description

Response

  

Details

Notes

Schedule

  Schedule works for next week/month

Routines

  Routines posted in Contractor Letterhead

Employee Picture

  Employees picture posted and current

Employee Badge

  Employees wearing badges/shirt

Employee Checking Out

  Employees Checking out with MIC prior to leave (Review with SM or Admin)

Additional Comments