Title Page

  • Store Name

  • Store Number

  • Conducted on

  • Prepared by

  • Location
  • Personnel During Audit

Location Audit

Store Exterior/Entrance

  • Landscaping is maintained. (leaves, weeds, snow etc.)

  • Parking lot striped?

  • Ashtrays Clean?

  • Sidewalk free of debris and garbage streaks?

  • Fire Safety Equipment in Good Condition? (E-phone, fire extinguisher, E-Stop)

  • Snow removed timely from pumps and walk ways? Seasonal

  • Any additional comments or observations

Pump Area

  • Are all the pumps in working condition and clean?

  • IOTV working on pump screens?

  • Concrete fuel pad free of stains?

  • Paper towel dispensers full?

  • Does the outside curb appeal represent the image to our guests that we want to give? (Weeds,trash)

  • Proper signage on firewood/salt/washer fluid?

  • Is there clean washer fluid available in buckets? Are they clean on the outside?

  • Is there a clean, unripped squeegee available in every bucket?

  • Garbage in cans at an acceptable level? 1/2 or less

  • Do the pumps have clean, unfaded, current nozzle talkers, pump talkers, pump toppers and ad signage?

  • Are all of the outside lights including gas pylon, canopy and building lights work?

  • Fuel Supply Shelf stocked?

  • Stick tanks for water

Carwash Area

  • Is it open and appear to be in working condition?

  • Garbage at entrance at an acceptable level? 1/2 or less

  • Is the wash clean up to our standards? **Doors,floors,walls clean and free of debris and build up

  • Carwash/Chemical back room organized?

  • Is the vacuum and air machine working and clean?

  • When you ran thru the wash did it function correctly? Undercarriage, pre soak, tri foam, spot free, dryer and dryer timer all functional?

  • Is all the equipment signs and lights in working condition inside of bay?

  • Carwash Sand Pit Level

General Fuel Items and Reporting

  • MPCA/ND/SD/WI/IL/MI inspections folder current? Check quarterly - by State Requirements

  • Monthly Walk-through Complete Per State Requirements

  • Class A/B/C Certificates on Site and Current?

  • Is the fuel supply shelf organized and have the appropriate tags and supplies available?

  • Fuel Manual available and visible?

Building and Maintenance

  • Building and Grounds issues

  • Car wash Concerns

  • Parking lot Concerns

  • Canopy Concerns

  • Supplies used on Site for repairs and maintenance

  • Work Order needed for Repairs

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.