Woolworths Base Rail Protection (BRP) Reporting

Date*
DD dash MM dash YYYY
Time*

: Hours

Minutes

AM/PM
Store name*

For example: Woolworths Robina North
State*
- NSW/ACT
- QLD
- VIC/TAS
- SA/NT/WA
Name of Crew Member completing this daily report*
First Last
Are there any call-outs following the Base Rail Protection (BRP) installation at this store?*
Was Base Rail Protection (BRP) installed across all Grocery Aisles?*
- Yes
- No
If no, please list the reason for non-completion?

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Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]*
Accepted file types: jpg, jpeg, png, gif.
(Photo 1).

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Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]*
Accepted file types: jpg, jpeg, png, gif.
(Photo 2).

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Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]*
Accepted file types: jpg, jpeg, png, gif.
(Photo 3).

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Take an after photo (landscape) of a completed category.[ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]*
Accepted file types: jpg, jpeg, png, gif.
(Photo 4).

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Did you encounter any equipment issues?*
Did you notify the manager on duty that the task has been completed on departure?*
- Yes
- No
Name of Woolworths store team representative handover was completed with*
Is a revisit required for this store?*
- Yes
- No
Final Comments

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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
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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