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Healthylife Pharmacy Standard Reporting
Step
1
of
8
12%
KEY DETAILS:
Your Full Name
*
Store Name
*
For example: Healthylife Pharmacy Adelaide
Time Entered Store
*
:
Hours
Minutes
AM
PM
AM/PM
Date
*
DD dash MM dash YYYY
Your State
*
VIC
TAS
NSW
ACT
QLD
NT
WA
SA
How many bays of planograms were completed during the shift?
*
What categories were completed during this shift?
*
Were there any issues with completing the planograms during this shift?
*
Did you place all rubbish in the appropriate recycle stations and general waste bins?
*
Yes
No
If no, please explain why you were unable to do so
Did you leave the storeroom in a neat and tidy manner?
*
Yes
No
Did you get store sign off on the completed planograms?
*
Yes
No
If no, please explain why you were unable to do so
PHOTOS:
Please Upload Photo Of The Completed Planogram/Bays 1/3
*
Accepted file types: jpg, jpeg, png, gif.
> LANDSCAPE PHOTOS ONLY*
Please Upload Photo Of The Completed Planograms 2/3
*
Accepted file types: jpg, jpeg, png, gif.
> LANDSCAPE PHOTOS ONLY*
Please Upload Photo Of The Completed Planograms 3/3
*
Accepted file types: jpg, jpeg, png, gif.
> LANDSCAPE PHOTOS ONLY*
Store Comments
Bullet points is absolutely fine!
Merchandiser Final Comments
Bullet points is absolutely fine!
Time Out
:
Hours
Minutes
AM
PM
AM/PM
SAFETY:
Were there any injuries, incidents or hazards during the shift that were NOT caused by other trades being in your workzone?
*
Yes
No
If a safety hazard was due to other trades being in the workzone, please use the section below. If you have selected NO please continue to next section
What best describes the incident?
Injury
Hazard
Near Miss
Please describe the injury, incident or hazards during the shift
Whats was the action taken?
Has the injury, incident or hazrd been addressed accordingly?
Final comments of the injury, incident or hazard
Both Crew MEMBER and Crew LEADER must fill out an incident report on their assigned links on the last page of this report. This is extremely important!
Were there any Safety Hazards identified during your shift relating to other Trades? (i.e. scissor lifts working in same space as crew members)
*
Yes
No
If you have selected NO please continue to next section
Please describe the identified Hazard
What did you do to make this situation safe during the shift?
Please upload photo (landscape) of identified Hazard [ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
Accepted file types: jpg, jpeg, png, gif.
Any further comments/follow up regarding the above Hazard?
Both Crew MEMBER and Crew LEADER must fill out an incident report on their assigned links on the last page of this report. This is extremely important!
Crew Leader overall comments/issues/feedback.
Δ
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