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3/23/23,8:52 AM RFS Store Assessment-US <br /> 99. Is safety equipment on hand and used when needed (Hot and steel mesh gloves, rubber aprons and Pass 1.00 <br /> gloves, safety goggles, wet floor signs)? <br /> 99. Does the restaurant have SDS available for all chemicals in use and does the RGM understand what Pass 1.00 <br /> they're for? <br /> 205.Did you observe any potential slip/fall or trip/fall situations throughout the day? Pass 1.00 <br /> 206.Is there documentation that the fry hood system was cleaned in the last 6 months? NA - <br /> Auditor Section Comments: Section <br /> Score: <br /> 100 <br /> Section 99: Golf Cart Pass Value <br /> Fail <br /> 3. Check batteries for corrosion. Pass 1.00 <br /> 4. Check oil levels and grease fittings. Pass 1.00 <br /> 6. Amber safety light working properly. Pass 1.00 <br /> 7. Backup beeper working properly. Pass 1.00 <br /> 99.Secured with club Pass 1.00 <br /> 99.Is charger secured? Pass 1.00 <br /> Auditor Section Comments: Section <br /> Score: <br /> 100 <br /> Section 99: Inside Appearance Pass Value <br /> Fail <br /> 1. Were there no foreign devices present on the Ingenicos? (Whole Facility) Pass 1.00 <br /> 2. Is all check scanning equipment operational?Clean check scanner. (VW# K2-S4B25) Pass 1.00 <br /> 3. Verify the back door alarm is operational, replace batteries as needed. Fail 1.00 <br /> Comments:Showers back door not locked from inside <br /> 4. Verify door sweeps are in good condition on all entrance doors. Replace as needed. Pass 1.00 <br /> 5. Test Emergency lights&Exit signs. Pass 1.00 <br /> 205. Verify hardware is in good condition on all entrance doors. Repair or replace as needed. Pass 1.00 <br /> 206. Replace stained ceiling tiles. Pass 1.00 <br /> 209. Are interior walls painted and in good condition? Paint as needed. Pass 1.00 <br /> 210. Verify restroom faucets and flush valves are operational. Clean out aerators of sinks if low Pass 1.00 <br /> pressure. <br /> Auditor Section Comments: Section <br /> Score: <br /> 88.9 <br /> Section 99: Fire Prevention Pass Value <br /> Fail <br /> 1. Are fire hydrants free of obstruction? Pass 1.00 <br /> 2. Do Gas&Diesel Islands have"No Smoking" signs prominently displayed? Pass 1.00 <br /> 3. Are combustibles, such as cardboard pallets, pallet boards, 55 gallon drums, winter fuel Pass 1.00 <br /> additives, or window wash fluid reserves stored at least 10 feet away from any building? <br /> 4. Are all fire extinguishers mounted and fully charged, with annual unexpired certification tags Pass 1.00 <br /> attached to the units, with K-class extinguishers in the Deli Production room if the store uses a <br /> fryer?(Certification tags are good 12 months from the date punched on the tag). <br /> Comments:Deli - 2/13/20 <br /> 5. Is there a designated smoking area at least 25 feet from the building or combustibles and are Pass 1.00 <br /> all team members using it? <br /> 6. Was nothing stored within 3 feet of breaker panels or water heaters upon inspection? Pass 1.00 <br /> knxgenapps01/StoreAssessment/ViewAssessment.aspx?HeaderlD=2162614 7/9 <br />