Sample Audit Packet Sample · not a real record

Glendale Retail Group — Store #4

411 N Brand Blvd, Glendale, CA 91203 · Retail · 24 employees

PACKET ID · CSP-2026-0417
GENERATED · 2026-04-17
SCOPE · 1 site
Audit-ready snapshot
Readiness 86% · 4 of 6 areas complete

1 · Workplace Violence Prevention Plan

Plan statusEstablished
Versionv3.0
Site-specificYes
Last reviewed2026-03-14
Required sections7 / 7 present
Next annual review2026-07-15

2 · Employee training record

EmployeeModuleCompletedStatus
Rosa MendezWVPP for supervisors2026-02-10Complete
David OkaforSB 553 awareness2026-02-12Complete
Mei LinSB 553 awarenessIn progress
Carlos VegaSB 553 awarenessOverdue
SB553Ready · Sample audit packetPage 1 of 2

3 · Plan acknowledgments

EmployeeLanguageSignedMethod
Rosa MendezEnglish2026-03-14e-signature
Carlos VegaEspañol2026-03-14e-signature
Mei Lin中文2026-03-15e-signature
18 of 24 signed · 6 pending reminders sent 2026-04-15

4 · Violent incident log

DateRefTypeLocationStatus
2026-02-28WVL-0042Type 2 — customerFront registerReviewed
2026-01-19WVL-0041Type 3 — verbal threatParking lotReviewed
2025-12-04WVL-0040Type 2 — customerReturns deskClosed

5 · Hazard assessment & corrections

Items assessed10
Cleared9
Corrective action open1 — rear door lock
Last walkthrough2026-03-12

6 · Audit trail extract

EventActorTimestamp
Acknowledgment signed (EVT-9F2C)Rosa Mendez2026-03-14 16:12
Incident reviewed (EVT-9F18)R. Mendez2026-03-02 09:40
Plan updated to v3.0 (EVT-9E70)System2026-03-01 11:02
SAMPLE — not a real compliance record · not legal advicePage 2 of 2