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* 1. What is the stores brand (VS, Pink), store number and the City and State of the store?

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* 2. What is the date of the safety inspection?

Date

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* 3. Are ladders in good condition and appropriate for the tasks performed?

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* 4. Are ladders stored securely to prevent them from falling, when ladders are not in use?

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* 5. Are emergency exits and exit paths clear and unobstructed?

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* 6. Are Exit signs continually illuminated with no bulbs burned out?

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* 7. Does emergency (Flood) lighting work when tested (when the button is pressed)?

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* 8. Are Floors in good condition, with no debris or any slip, trip or fall hazards?

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* 9. Are cords, plugs and grounding prongs of electrical equipment in good condition?

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* 10. Are extension cords only used temporarily, not permanently?

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* 11. Is there 3 feet of clearance in front of the electrical panels with no storage in this area?

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* 12. Are fire extinguishers available and unobstructed?

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* 13. Are fire extinguishers in good condition and is the pressure gauge indicator in the green/acceptable range?

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* 14. Is the first aid kit available and adequately stocked?

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* 15. Is storage in the shelving and overhead secure so no items fall on associates from the shelving and overhead?

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* 16. Is the shelving in good condition?

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Example of poor loft storage

Example of poor loft storage

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* 17. If the store has a loft, is there storage further than 3 feet back from the front edge of the loft?
There should be NO STORAGE further than 3 feet back from the edge of the loft.  Everything on the loft should be
reachable while standing on a ladder.

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* 18. Do any store associates walk on the loft to place or retrieve items? 
Store associates are NOT to be walking on the loft for any reason.

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* 19. Is there 18 inches of clearance maintained under the sprinklers in the ceiling?

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* 20. Are associates only using auto retracting box cutters available through the company?

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* 21. Do associates use ladders properly (fully extended, spreaders locked when in use, and associates standing on the proper steps).

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* 22. Are associates using safe lifting techniques, such as team lifts, and bending at the knees rather than at the back?

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