Title Page
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Location
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Conducted on
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Prepared by
COVID-19
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Was a successful Covid Health Check Complete?
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Is Covid Health Check Form up to Date?
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Was New form printed and posted during visit
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Was Health tracking form in Compliance
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Are Social Distancing Signs posted & in Good Condition?
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Are Mask policies being followed and communicated?
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Are hand sanitizer stations set up (Min of 2)
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How many hand Sanitizers are not dispensing or are empty?
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Are all Associates in the store wearing their Mask Correctly?
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If no, describe
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Are coffee lids spaced out on every other rail?
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Are Coffee Cups overstacked?
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Are all Shields up and good condition
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Sanitizer wipes and trash receptacles available at CAT Screens?
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Cat screens cleaned regularly
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Gold Forms in use ?
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Is Clean Force associate present?
FSRA Top Offenses
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Heavy products stored on middle shelves
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Food contact surfaces/cheese ladel/knifes/quesadilla cutters
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Items properly stored on racks and shelves. (Double stacking, box flaps, etc)
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Foods not contaminated (Chemical, micro biological, and physical contaminants)
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Personal hygiene and hand washing
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Temperature Control Processes (No overstocking)
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All product in Code
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Fresh channel totes unattended
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In-Store Staffing
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Manager on Duty
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How many associates are working?
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How many managers are present on shift?
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Which Managers
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Are registers staffed/supported for SOS
FSE Setup
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Organized for efficiency and Clutter Free
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Are Coding Charts in place and set to diagram
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Storage Areas organized allowing for ease of locating items
FSE Planning
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Product in stock & Available
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Does CAT screen reflect product availability?
Store Signage Up to Date & In Good Shape
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Primary Campaign
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Coin Canisters
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Coin Shortage Campaign
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Door Signage
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Bakery Case Labels
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Country of Origin
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Express Case Labels
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Cold Box
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Hanging Signage
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Store Decorations - Kids Meals, Curbside, Delivery, Catering
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Warmer Display Cards
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Exterior Signage
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Backroom Signage
Merchandising
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Express Case
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Bakery Case
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Cold Box
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Warmers
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Lottery
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Grocery
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Checkout Core - Basket Promos
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Tobacco & Smokeless
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Shipper Dispays
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Coffee island and pour bar
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Gift Cards
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HBC
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Self serve cold beverage
Maintenance
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Lighting
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Landscaping
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Windows clean?
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Porch swept?
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Power washing condition?
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Trash cans clean
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Vestibules
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Bathrooms
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Vents
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Cooler Glides
Fuel Court
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Staffing -
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Mask policy being followed
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Kiosks Clean and Organized
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Signage up to date and in good shape
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Air Pump Condition
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Misfill signage available?
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Pump Pricing accurate?
