Lucia's Fine Foods Reporting

KEY DETAILS:
Your Full Name*
Store Name*

For example: Friendly Grocer Sydney
Time Entered Store*

: Hours

Minutes

AM/PM
Date*
DD dash MM dash YYYY
Your State*
- VIC
- TAS
- NSW
- ACT
- QLD
- NT
- WA
- SA
Who did you speak to at the store upon arrival?*
Please confirm that the Lucia's Fine Foods Range was on show and fully ticketed?*
- Yes
- No
If the stock was not on show - did you locate, fill and ticket the range as required?*
- Yes
- No
If No - please explain why you were not able to do so*
Did you rotate stock so that the stock with the shorter use by date is at the front?*
- Yes
- No
If no, please explain why you were unable to do so
Did you replace old and damaged tickets?*
- Yes
- No
If no, please explain why you were unable to do so
Did you pack away all overstocks and code them accordingly?*
- Yes
- No
If no, please explain why you were unable to do so
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 return the trolley/cages to the correct location upon completion? i.e. cages back to the storeroom neatly*
- Yes
- No
If no, please explain why you were unable to do so
Did you get store sign off on the completed work?*
- Yes
- No
If no, please explain why you were unable to do so
Name of store representative signing off completed work*

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PHOTOS:
Please Upload Photo of the Lucia's Fine Foods range BEFORE you started*
Accepted file types: jpg, jpeg, png, gif.
> LANDSCAPE ONLY PLEASE FACE UP PRODUCT*

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Please Upload Photo of the Lucia's Fine Foods range AFTER you have completed your visit*
Accepted file types: jpg, jpeg, png, gif.
> LANDSCAPE ONLY PLEASE FACE UP PRODUCT*

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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!

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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!

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