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New Store Woolworths Reporting
Step
1
of
9
11%
Date
*
DD dash MM dash YYYY
Time
*
:
Hours
Minutes
AM
PM
AM/PM
Store Name
*
Example: Woolworths Ivanhoe
Store Location
*
For example: Ivanhoe
State
*
VIC/TAS
NSW/ACT
QLD
SA/NT
WA
Name of Crew Leader completing this daily report
*
First
Last
Department
*
Longlife
Dairy
Freezer
Front End
Tiling
Deli
Meat
Produce
Other
What department did you work in?
What were the Opportunities/Challenges of today’s shift?
*
What action have you taken to resolve these opportunities/challenges?
*
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).
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).
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).
Take an end of shift photo (landscape) of the store room [ROTATE MOBILE LEFT TO TAKE PHOTO ONLY]
*
Accepted file types: jpg, jpeg, png, gif.
(Photo 4).
Did you complete a handover with the Refit Coordinator at the end of today’s shift?
*
Yes
No
Refit Coordinator feedback - please obtain feedback from the Refit Coordinator - Issues/feedback/positives/achievements etc.
(If there is a Refit Coordinator on site).
Crew Leader Final Comments
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
What was the action taken?
Has the injury, incident or hazard been addressed accordingly?
Final Comments of the injury, incident or hazard
If there has been an injury/incident or hazard the Crew Leader must print out the appropriate form fill in accordingly and upload utalising the URL link at the end of this submission
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 simply hit SUBMIT below
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?
If there has been an injury/incident or hazard the Crew Leader must print out the appropriate form fill in accordingly and upload utilising the URL link at the end of this submission
Δ
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