Foodworks ESL Reporting

Project Details
Date*
DD dash MM dash YYYY
Time*

: Hours

Minutes

AM/PM
Store Name*
State*
- VIC
- TAS
- NSW
- ACT
- QLD
- NT
- WA
- SA
Store Location*
Name of Crew Leader completing this ESL report*
First Last
Number of Bays PLANNED for ESL installation?*
Number of Bays INSTALLED?*
Number of Articles Not Found?*
Aisles/Departments worked in?*
Were there any changes to the staging plan?*
- Yes
- No
If yes, what were the changes and why?*
Please list any MISSING equipment and include quantity required*
Include any items that were not delivered in full .i.e. 400 was requested but only 300 received
Please list any ADDITIONAL equipment and quantity required?*
Comments (if any)
Name of store team member completing walkthrough?*
Crew Team Leader Final Comments

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Photos:
Photo Of Completed Section 1/4*
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*

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Photo Of Completed Section 2/4*
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*

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Photo Of Completed Section 3/4
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*

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Photo Of Completed Section 4/4
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*

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Safety:
Were there any injuries, incidents or hazards during the shift?*
- Yes
- No
Can you please select what best describes the incident
- Injury
- Hazard
- Near miss
Please describe the injury, incident or hazards during the shift
What was the action taken?
Has the injury, incident or hazard been addressed accordingly?
Final Comments of the above injury, incident or hazard

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Were there any Safety Hazards identified during your shift relating to other Trades? eg. Scissor lifts working in same space as crew members*
- Yes
- No
If NO continue to SUBMIT button
Please describe the Hazard identified
What did you do to make this situation safe during the shift?
Upload a photo of the Hazard identified
Accepted file types: jpg, jpeg, png, gif.
Please take the photo by rotating your mobile LEFT to take the image in landscape mode*
Any further comments/follow up required?

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