Title Page

  • Site:

  • Conducted on

  • Personnel

  • Select audit task

Store Walk

  • Store Ambience - When you walk in how does the site feel? Well stocked & clean? Staff engaging with customers? Radio on & an approved station? Clutter free?

  • Chillers/Deli/Ice cream freezers - well stocked, faced, fronted?

  • Chillers/Deli/Ice cream freezers - shelves, equipment & stock clean?

  • Grocery/Bread - well stocked, faced, fronted?

  • Grocery/Bread - shelves, equipment & stock clean?

  • Confectionery/Salty snacks - well stocked, faced, fronted?

  • Confectionery/Salty snacks - shelves, equipment & stock clean?

  • Leisure/Lubes/Car care - well stocked, faced, fronted?

  • Leisure/Lubes/Car care - shelves, equipment & stock clean?

  • Food Bar (Tier 3 only) - well stocked, stock & equipment clean? (N/A for Z Espress site)

  • Does this site have chill zone?

  • Chillzone - Machines working & clean? Toppings full & area clean? Cup, lids, spoons all available?

  • Comments:

  • Price labels - no more than 3 missing. Labels aligned with products?

  • Check current POS Summary - Is all POS displayed & correct (none missing, no old POS, no unapproved signs)?

  • Comments:

  • Check current POS Summary - Are all promos available for purchase (there is stock available)?

  • Promo ends well stocked & clean?

  • Correct off-location display in place, well stocked, priced & in correct location? No unapproved off-location displays?

  • Planograms/mud maps correct (check one)?

  • Floors, walls, Windows, doors & security screens above counter (if fitted) clean?

  • Front windows uncluttered? No unapproved displays in the window?

  • All counter areas (including back & side counters) in customer view clean, tidy & uncluttered?

  • Toilet cleanliness- toilet bowl, seat, cistern, area behind toilet, pipes, hand basin, mirror, hand dryer, baby change table, wall tiles, floor all clean? Toilet is pleasant smelling? Rate cleanliness 1 to 5

  • Comments:

  • Toilet maintenance - All toilet equipment in good condition? Soap, hand dryer or paper towels, toilet paper available? Light & privacy lock working? Spick and span & sanitary towel sign displayed? Rate maintenance 1 to 5

  • Comments:

Customer

  • All staff well presented & wearing clean & correct

  • Do staff have a sales or service focus area at the moment (eg: coffee, combos, key promo, customer voice responses)?

  • Do staff know how to handle a customer complaint (eg: out of date product return, phone call about wrong fuel put in vehicle)? Rate their response 1 to 4

  • Comments:

  • Ask staff member about Customer Voice - how do the hand them out? How do they get a variety of responses? What are their targets? Rate their response 1 to 4

  • Comments:

  • Carwash - Ask a staff member to show you the carwash loyalty cards & customer safety sheets (tear off pads). Ask them to explain the current promo.

  • Trailers - Ask a staff member to show you how to use the trailer hire kiosk.

Exterior Walk

  • Landscaping - Tidy, litter free, no weeds

  • Forecourt - Clean, litter free

  • All exterior signage clean (price board, prime sign, A-frame, street front & shop front poster boards, spreaders, store entrance sign (blue sign above door), yellow portico). Rate the cleanliness 1 to 6

  • Comments:

  • Air hose in good condition. Bike pump decal in place and bike pump available?

  • All pump surfaces are clean (including handles & P@P key pads). Splash guards & grade roundels in place

  • All CSU bin surfaces are clean. Pump islands & surrounds are clean?

  • Bucket with Zoap, brush, water can, paper towels, rubbish bin on each lane?

  • Store front clean & uncluttered (no cones, brooms, etc inside yellow pelmet or in front of shop windows, cones in good condition, spill kit clean?

  • Forecourt merchandising units, ice/bait freezer - clean, priced, well stocked?

  • Night pay area clean including inside of drawer?

  • Store entry clean & tidy (no dirt around entrance to shop, mat & blackboard in good condition & clean, planter boxes tidy)?

  • Rate the Z Factor on the forecourt from 1 to 5. Is the forecourt concierge engaging with customers, washing windows & delivering the Z Factor (connecting fast, know their customers, know their stuff, being themselves). Are they in clean and correct uniform (vest, belt, boots). Were they on the forecourt when you arrived?

  • Comments:

Food & Coffee

Front of Counter

  • Are all three food cabinets well stocked & visually appealing?

  • Are all food cabinets glass, sides, tops, interiors are clean & streak free?

  • Front counter area is clean & clutter free?

  • Front counter is fully stocked with paper bags, tomato sauce satchels, serviettes, tongs, sugar sticks & stirrers?

  • Tongs are available & clean. The wells they are in are clean. There are separate tongs available for sweet & hot food?

  • Is the customer litter bin clean? Check the inside flap & around the bin

  • Ambient sweet display (dome) on counter is clean, priced, well stocked & in good repair

  • Observe a coffee being made for you - are correct procedures being followed as per training programme & does it taste awesome?

Back of Counter

  • Rubbish & recycling bins are not overflowing. All bins have lids & lids are clean

  • Water receptacle at the bottom of the pie warmer is full of water & clean

  • Jugs, spoons, shot bottles, marshmallow & hot chocolate containers & shakers are clean

  • Is the hot drink coffee area fully stocked? Ie: Hot chocolate, decaf, marshmallows (Pascall brand) & shots all available

  • Equal sugar or equivalent & raw sugar is available on request

  • Check supply of coffee loyalty cards, stamp & coffee app QR code are available

  • Is the coffee machine clean? Check under machine, sides & top

  • Is the sink next to coffee machine clean?

  • Are the coffee bean bags rolled tight (to remove any air) & clipped closed to ensure freshness

  • Coffee hopper is not over full (is determined by the site volume & should be topped up only as demand determines, so beans are always fresh)

  • Coffee lids are kept off the top of the coffee machine but away from eftpos terminal (as they can pick up dirt or germs from customers)

  • Sink area where trays, coffee jugs etc are washed is clean & hygenic

  • Prep & kitchen area is clean, tidy & clutter free

  • Items in prep area are food only (no chemicals, cleaning equipment or products, deliveries of stock, personal items, staff food in fridges etc)

  • Oven & sweet thawing containers are clean. Pastry crumbs are expected but not excessive amounts or any build up. Check the lip/seal of the oven door for buildup

  • Fridges & freezers in the front of house (behind F&C zone counter) and back of house (in the prep zone) are cleaning inside & out

  • Floors in the front & back of house are clean - ensure you check under fridges or table etc

  • The prep area & sink are fully stocked with foaming soap, sanitizer & paper towels

  • All walls & doors (front of counter & behind counter) are clean

Feedback

  • Provide feedback to Site Leader

  • Site Representative:

Exterior Walk

  • Forecourt safety signs & flammable diamonds visible from all filling positions & vent pipes

Store Walk

Front of House

  • Till limits - cash in each drawer less than $200 in notes

  • Food Safety Exemption certificate & AssureQuality certificate are framed, displayed in view of public and not expired

  • BWOF framed, displayed in view of public & not expired. BWOF checklists completed (check the BWOF book)

  • F&C zone manual, pie identification charts, heating & thawing instructions are available & are the latest version (version number in left hand corner, check Extranet for version control)

  • Appropriate safety signage is up: ie 'Caution Hot' & 'Hand washing only'

Staff

  • Ask a staff member to tell you & show how they would deal with an emergency. Select one of the following:

What to do - CCP

COMPLY - give them what they want

  • Do not speak unless questioned

  • Never activate an alarm while the offender is present

CALM - stay calm as possible

  • Keep your hands in sight at all times - defensive stance

  • Do not stare - where possible memorise features about physical appearance, height & clothing

PRESERVE - when offender(s) have left the store do the following

  • Lock down site - lock main door/stop ESB

  • Call 111 imediately

  • Try to keep any witnesses on site or obtain details: Name, address, contact phone and car rego

  • Avoid touching affected area until police have checked zone

  • Write down what you recall of the event - Incident report

  • Commence Call Tree

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - RACD

REMOVE

  • Remove fuel by hitting ESB

  • Remove people from the area

ALERT

  • Alert emergency services if the spill is over 5 litres - call 111

CONTAIN

  • Use spill kit material - where is the spill kit located?

  • Activate the interceptor - under blue Toby lid

  • Wear PPE

  • Cover storm water drain with protective mat

  • Use socks, pillows and absorbent pads to clean spill

DIAL

  • Z Energy 0800 474 355 & press 1

  • Commence Call Tree

  • Complete an incident report

  • Log a job to have spill kit contents collected

  • Re-open site once fire brigade advises it is safe to do so

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - RACED

REMOVE

  • Remove fuel by hitting the ESB

  • Remove people from the area

ALERT

  • Dial 111 emergency services

CONTAIN

  • If a car engine is on fire, keep the bonnet down

EXTINGUISH OR EVACUATE

  • Use fire extinguisher if safe to do so.

PASS

  • PULL the pin

  • AIM at the base of the fire

  • SQUEEZE the trigger

  • SWEEP across the base of the fire - side to side

  • Do not use water on petroleum or electrical fire

  • Keep a fire extinguisher handy & keep watch until the fire brigade arrives

  • If unsafe, evacuate to your emergency assembly point - where is your assembly point? Do you have a secondary point?

DIAL

  • Z energy 0800 474 355 & press 1

  • Commence Call Tree

  • Complete an incident report

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - RACED

REMOVE

  • Remove fuel by hitting the ESB

  • Remove people from the area

ALERT

  • Dial 111 emergency services

CONTAIN

  • Turn off electricity

  • Close doors & windows (to contain fire inside)

EXTINGUISH OR EVACUATE

  • Use fire extinguisher if safe to do so.

PASS

  • PULL the pin

  • AIM at the base of the fire

  • SQUEEZE the trigger

  • SWEEP across the base of the fire - side to side

  • Keep a fire extinguisher handy & keep watch until the fire brigade arrives

  • If unsafe, evacuate to your emergency assembly point - where is your assembly point? Do you have a secondary point?

DIAL

  • Z energy 0800 474 355 & press 1

  • Commence Call Tree

  • Complete an incident report

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - RACED

REMOVE

  • Remove fuel by hitting the ESB

  • Remove people from the area

ALERT

  • Dial 111 emergency services - note that our cylinders are all 9kg

CONTAIN

  • Wear PPE - glasses & gloves

  • If safe to do so - attempt to shut the valve to stop leak

  • Make sure any source of ignition are more than 5 metres away

  • Use cones, barrier arms & tape to isolate area

EXTINGUISH OR EVACUATE

  • If fire starts - use fire extinguisher if safe to do so.

PASS

  • PULL the pin

  • AIM at the base of the fire

  • SQUEEZE the trigger

  • SWEEP across the base of the fire - side to side

  • Keep a fire extinguisher handy & keep watch until the fire brigade arrives

  • If unsafe, evacuate to your emergency assembly point - where is your assembly point? Do you have a secondary point?

DIAL

  • Z energy 0800 474 355 & press 1

  • Commence Call Tree

  • Call Elgas - 0800 435 427

  • Complete an incident report

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - Fuel Contamination

Know your customers

  • Look for body language signs that your customer is not happy

Connect fast

  • Listen - let the customer be heard & don't interrupt

  • Loop - repeat back customer situation

Be yourself

  • Be genuine & caring

  • Clearly tell the customer what will happen next

Know your stuff

  • Fix it quick, on the spot if you can

  • Isolate the suspected fuel at the pumps

  • Commence Call Tree - also Z product quality team

  • Give customer a copy of the Customer information sheet - Product quality complaint. This advises the customer on how to lodge a complaint so it can be resolved quickly

  • Carry out a water paste check, tank dips & record the result in the wet stock reconciliation system

  • Complete an incident report on Risk Manager

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - Z Factor pillars

Know your customers

  • Look for body language signs that your customer is not happy

Connect fast

  • Listen - let the customer be heard & don't interrupt

  • Loop - repeat back customer situation

  • Say sorry that we made an error with their fuel

Be yourself

  • Be genuine & caring

  • Clearly tell the customer what will happen next

Know your stuff

  • Fix it quick, on the spot if you can

  • If we are responsible - contact Fuel Rescue 0508 728 363

  • If customer is responsible - provide options, Fuel Rescue, AA member or State Rescue

  • Advise Site Leader

  • Complete an incident report

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - First Aid

DRS ABCD

D - Danger

  • Assess area and patient for danger - is the area safe & secure to proceed with first aid requirements

  • Remove patient from fuel affected area

  • Isolate area and attend to patient

R - Response

  • Make patient comfortable

  • Apply water to affected body. Rinse eyes using saline, eye solution or use water from faucet.

  • Remove clothing if soaked with fuel - offer site jacket

  • Put clothes into plastic heavy duty spill kit bag

  • Monitor response

S - Send for help

  • Send for emergency services if badly harmed or recommend medical treatment

  • Commence Call Tree

  • Attend to spill and clean up using spill kit material

  • Complete an incident report on Risk Manager

ABCD

  • A - Airways

  • B - breathing

  • C - CPR

  • D - Defibrillation

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

What to do - First Aid

DRS ABCD

D - Danger

  • Assess area and patient for danger - is the area safe & secure to proceed with first aid requirements

  • Remove patient from leaking LPG bottle

  • Isolate & move LPG bottle to site safe zone area

R - Response

  • Make patient comfortable

  • Apply luke warm water to LPG burn

  • Do not remove clothing

  • Wrap affected area with clean dressing or clear wrap

  • Monitor response

S - Send for help

  • Send for emergency services if LPG burn if LPG burn is bad

  • Commence Call Tree

  • Contact Elgas 0800 435 427

  • Complete an incident report on Risk Manager

ABCD

  • A - Airways

  • B - breathing

  • C - CPR

  • D - Defibrillation

  • Rate answer from 0 - 4

  • Comments:

  • Add signature

Staff - continue

  • Do staff understand their locked/controlled door policy? Ask a staff member to explain what their locked/controlled door policy is (ask a specific scenario). What does locked vs controlled mean to them, how do they apply it, what hours of the day?

  • Comments:

  • Ask a staff member to show you their pendant. Do they know why we want them to wear it? Are all staff wearing them?

  • Ask a staff member to show you where the interceptor is, how it works & what it does? Ensure the interceptor can be activated with ease

Back of House

  • All security doors closed & locked. No door propped open. Clear access available to all emergency exit door

  • Monthly SRA checklist completed each month (check for last 3months) jobs logged for any gaps. Are these being completed correctly (look for comments, not just ticks)?

  • Monthly HSSE checklist completed each month (check last 3 months), signed (by Op's Manager or Retailer) & filed on site. All actions that have been recorded have been closed out. Are these being completed correctly, look for comments not just ticks

  • Monthly meetings covered HSSE are being held & meeting minutes are filed on site (check last 3 months)

  • Red book is actively in use & up to date. An emergency scenario is discussed at each meeting & notes recorded in the red book

  • Wet stock fuel reconciliation is completed daily using the Extranet. If any tank is outside tolerance for more than 4 days cumulative & totals 700lts or more, or is 1000lts or more for any one day, confirm that a Local Investigation Form (LIF) has been completed. Where a LIF has been completed & it has not resolved the variance check that a PLIP A has been completed

  • Wet stock water paste checks are being done at least weekly & after heavy rain and recorded (in mm) on the Extranet, even if zero

  • Are fill & dip point water checks being completed weekly?

  • HSNO board - is the site displaying all correct HSNO licenses (1x Location test cert,1x Stationery container test cert for each mogas tank) & these are within date. Are site plans, electrical cert, call tree, approved handler cert displayed & up to date

  • Storeroom clean, tidy, products stacked safely

People

  • Staff uniforms are clean, staff hygiene & appearance is in line with our standards (apron being worn by barista, hair tied back, fingernails clean, no nail polish)

  • No hand jewellery, apart from wedding bands is worn & other jewellery is kept to a minimum. One pair of studs or sleeper earrings and/or watch. Facial jewellery is not worn. Religious jewellery (if worn) is covered with a sticking plaster

  • Do staff understand the hand hygiene standards? Observe baristas after using the POS! Leaving the F&C zone, using the toilet. Are hands being washed & hand sanitizer being used appropriately? Ask staff member to explain the requirements

  • Is the sickness policy understood & followed? Check staff understanding

  • Are staff confident in what to do if a customer complains about food quality? Ask a food complaint scenario

  • Are staff confident to discuss what to do in an event of a product recall?

  • Are staff confident to discuss allergens & find product information when required?

  • Are Food Safety training records up to date for all staff on Litmos. Ask Site Leader to show you

Procedures

  • Are all products from approved suppliers

  • Does the site have a process for checking "use by" & "best before" dates on packaged products? Ask a staff member to show you their process. Check a sample of packaged food/beverages to ensure the process works

  • Is all fresh food for sale (sandwiches, sweets, hot food) within the required time frame to sell?

  • Do all hot & cold drink ingredients (marshmallows, decaf coffee, hot chocolate, and all smoothie & iced drinks ingredients) all have expiry dates on containers & shakers?

  • Is there a clear system is in place to ensure a first in first out basis for all food? If not clearly visible (labelling on stock in fridges etc) ask a staff member to explain their process

  • Do staff know how to correctly accept a delivery?

  • Is the thermometer being calibrated weekly? Ask a staff member to explain how they do this. Ask them to show you their annual probe calibration certificate

  • Are staff confident with the procedures for thawing, heating and holding fresh food?

  • Are staff aware of our critical limits for receipt of goods, storage, heating and display units? Ask a staff member to explain what the critical limits are, how to check them & what to do if temp is outside the critical limit? Check a sample of critical limits over the last 3 month books

  • Is cleaning effective, is everything in the food area clean? Check that cleaning is undertaken as per the cleaning schedule (in Indigo book or site specific cleaning schedule)

  • Ask a staff member to show yo the MSDS sheets & explain what they are for, is there one for each cleaning chemical?

  • Are all cleaning chemicals labelled, stored & used appropriately (minimising potential food contamination)

Records

  • Are indigo/blue book records completed in full every day/week as required & are they legible? Check a sample of the last 3 month books

  • Are hot food handling books completed in full every day/week as required & are legible? Check a sample of the last 3 month books

  • Are pink books completed in full every day/week as required & are they legible? Check a sample of last 3 month books

  • Does the approved pest control provider visit the site min quarterly?

  • Does the site have all the required pest control records?

  • All site FSMS records are kept by Retailer for four years?

Place

  • Are their any issues with the site which may impact food safety? (Eg damage, pest access areas, exposed bulbs, maintenance issues, inappropriate food prep surfaces - not easily cleaned, water supply, food in outdoor freezers?

  • Where has a site demonstrated commitment to a generative food safety culture - what have they done well, identify staff involved & what happened (i.e. speedy recall response, evidence of excellent standard of cleanliness, staff confident food handlers with commitment to safe food)

  • Site Representative:

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.