Div 24 Inspection Worksheet

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

• Quarter:

• Date/Time Of Visit:

  Date

Cleanliness/Organization

• Trash cans clean? Recently emptied? Free of leak trails?

  Yes

  No

  N/A

• Pumps clean? (wiped down, no bugs in glass, all operating)?

  Yes

  No

  N/A

• Pump islands clean? Parking lot clean?

  Yes

  No

  N/A

• Service valets stocked? (paper towels, sudsy blue water, squeegees, fresh heads)?

  Yes

  No

  N/A

• Gas prices posted and correct?

  Yes

  No

  N/A

• Grounds clean? (grass cut & trash picked up)

  Yes

  No

  N/A

• Outside merchandisers clean? (ice, newspaper, propane)

  Yes

  No

  N/A

• Front of store clean? (windows & ledges/doors/rugs/behind ATM)

  Yes

  No

  N/A

• End caps clean? (fixtures/underneath)

  Yes

  No

  N/A

• Display racks clean? (ritz, coke, pepsi 2lt racks, water rack, beer racks)

  Yes

  No

  N/A

• Shelves clean?

  Yes

  No

  N/A

• Sales counter clean & organized with lighter racks?

  Yes

  No

  N/A

• Cooler doors and glides clean?

  Yes

  No

  N/A

• Back of cooler organized? (products organized by item level inv standards) Clean? (floor,fans,etc.)

  Yes

  No

  N/A

Miscellaneous

• Employee vests / name tags to expectations?

  Yes

  No

  N/A

• Computer hardware dusted?

  Yes

  No

  N/A

• ATM online and working properly?

  Yes

  No

  N/A

Merchandising

• Cigarette display- set to planogram / lighter rack clean?

  Yes

  No

  N/A

• Sales counter merchandised- Hershey display/novelty display?

  Yes

  No

  N/A

• Prepaid cellular display-set to POG? Clean? Organized?

  Yes

  No

  N/A

• Large/creative displays?

  Yes

  No

  N/A

• Barrels iced and merchandised?

  Yes

  No

  N/A

• Shelves fronted and clean?

  Yes

  No

  N/A

• No false fronted cooler or grocery items?

  Yes

  No

  N/A

• Cooler doors fronted and clean?

  Yes

  No

  N/A

• Ice cream box and tower merchandised to POG and clean?

  Yes

  No

  N/A

• Beer cave layout via build up guide?

  Yes

  No

  N/A

Loyalty Program

• Window signs & floor signage correct?- check promo letter

  Yes

  No

  N/A

• Applications in holder in checkout area?

  Yes

  No

  N/A

• Cards behind sales counter?

  Yes

  No

  N/A

Profit Centers

• Counters and ALL equipment clean?

  Yes

  No

  N/A

• Ice chute clean and free of mold?

  Yes

  No

  N/A

• Products available and fresh?

  Yes

  No

  N/A

• Parrot ice log up to date & cleaned weekly?

  Yes

  No

  N/A

• Cups, lids, straws, condiments merchandised and available?

  Yes

  No

  N/A

• Price points and product/flavor labels sharp and visible?

  Yes

  No

  N/A

• Peanut warmer cleaned? Grill cleaned? Nacho machine cleaned?

  Yes

  No

  N/A

• Grill guide being used?

  Yes

  No

  N/A

Cooler

• Food service guidelines posted?

  Yes

  No

  N/A

• Hotdogs, tornados, snack cakes, & sandwiches dated/bagged correctly?

  Yes

  No

  N/A

• Eggs, meat, cheese & lunchables 7 days from expiring half priced?

  Yes

  No

  N/A

• Beer POG posted in cooler?

  Yes

  No

  N/A

• Cold 12 pack beer best sellers in cooler backstock?

  Yes

  No

  N/A

Signage (see monthly promo letter)

• Outside pole signage?

  Yes

  No

  N/A

• Pumptoppers?

  Yes

  No

  N/A

• Decals on pumps?

  Yes

  No

  N/A

• Window signs?

  Yes

  No

  N/A

• Door decals? Quad signs?

  Yes

  No

  N/A

• Ice cream box?

  Yes

  No

  N/A

• Sales floor area?

  Yes

  No

  N/A

• Cooler signage?

  Yes

  No

  N/A

• Displays?

  Yes

  No

  N/A

Pricing

• Tobacco pricing correct?

  Yes

  No

  N/A

• Sales floor items priced correct?

  Yes

  No

  N/A

• Cooler items priced correct?

  Yes

  No

  N/A

• Displays priced correctly?

  Yes

  No

  N/A

• Ice cream box menu /tower posted w prices?

  Yes

  No

  N/A

Out of Stocks / Item Level Inv Accurate

• Tobacco items free of out of stocks?

  Yes

  No

  N/A

• Milk items free of out of stocks?

  Yes

  No

  N/A

• Sandwiches free of out of stocks?

  Yes

  No

  N/A

• Pepsi items free of out of stocks?

  Yes

  No

  N/A

• Coke items free of out of stocks?

  Yes

  No

  N/A

• Red Bull items free of out of stocks?

  Yes

  No

  N/A

• Beer items free of out of stocks?

  Yes

  No

  N/A

• Warehouse items free of out of stocks?

  Yes

  No

  N/A

• Ice cream items free of out of stocks?

  Yes

  No

  N/A

• All other DSD vendor items free of out of stocks? (bread,chips,crackers,etc.)

  Yes

  No

  N/A

Out of Dates

• Tobacco items free of out of dates? (skoal & copenhagen)

  Yes

  No

  N/A

• Milk items free of out of dates?

  Yes

  No

  N/A

• Sandwich items free of out of dates?

  Yes

  No

  N/A

• Pepsi items free of out of dates?

  Yes

  No

  N/A

• Coke items free of out of dates?

  Yes

  No

  N/A

• Red Bull items free of out of dates?

  Yes

  No

  N/A

• Beer items free of out of dates?

  Yes

  No

  N/A

• Warehouse items free of out of dates?

  Yes

  No

  N/A

• DSD salty snack items free of out of dates? (lance & frito)

  Yes

  No

  N/A

• DSD bread/ snack cake items free of out of dates?

  Yes

  No

  N/A

Rotation

• Grocery items rotated properly?

  Yes

  No

  N/A

• Smokeless tobacco items rotated properly?

  Yes

  No

  N/A

• Soft drink items rotated properly?

  Yes

  No

  N/A

• Beer items rotated properly?

  Yes

  No

  N/A

Restrooms

• Mens- Floors and toilets clean?

  Yes

  No

  N/A

• Mens- Urinals clean?

  Yes

  No

  N/A

• Mens- Toilet tissue in dispensers?

  Yes

  No

  N/A

• Mens- Paper towel tissue in dispensers?

  Yes

  No

  N/A

• Mens- Soap dispensers full?

  Yes

  No

  N/A

• Mens- Restroom vent clean?

  Yes

  No

  N/A

• Womens- Floors and toilets clean?

  Yes

  No

  N/A

• Womens- Toilet tissue in dispensers?

  Yes

  No

  N/A

• Womens- Paper towel tissue in dispensers?

  Yes

  No

  N/A

• Womens- Soap dispensers full?

  Yes

  No

  N/A

• Womens- Restroom vent clean?

  Yes

  No

  N/A

• Restroom log posted and up to date?

  Yes

  No

  N/A

• Restrooms free of grafitti?

  Yes

  No

  N/A

Backroom

• AC filter in place & clean?

  Yes

  No

  N/A

• AC filter and card reader cleaner log posted and up to date?

  Yes

  No

  N/A

• Backroom - floors clean? Nothing sitting on floor?

  Yes

  No

  N/A

• Back stock organized?

  Yes

  No

  N/A

• DSD damages at a minimum?

  Yes

  No

  N/A

• Federal poster and state poster up?

  Yes

  No

  N/A

• Pink doctors list posted?

  Yes

  No

  N/A

• Robbery deterrence / violence prevention poster posted?

  Yes

  No

  N/A

• Harassment poster posted?

  Yes

  No

  N/A

• Tobacco poster posted behind checkout counter?

  Yes

  No

  N/A

• Alcohol posters (2) posted on wall beside beer selection?

  Yes

  No

  N/A

Paperwork

• Grocery order store supply order buildup notebook correct?

  Yes

  No

  N/A

• Grocery order adjustment reports notebook correct? 13 weeks? Mgr and supervisor signatures?

  Yes

  No

  N/A

• Grocery order adjustments free of too unnecessary adjustments?

  Yes

  No

  N/A

• DSD order notebooks correct?

  Yes

  No

  N/A

• Help desk request notebook & call log correct?

  Yes

  No

  N/A

• Vendor & gas logs correct?

  Yes

  No

  N/A

• Security system recording and views not blocked?

  Yes

  No

  N/A

• Employees cocked in correctly?

  Yes

  No

  N/A

• Store emails being opened?

  Yes

  No

  N/A

• Drop slips correct?

  Yes

  No

  N/A

• Shift changes balanced to end of day?

  Yes

  No

  N/A

• Cash count in registers under $150?

  Yes

  No

  N/A

• Reference manual correct?

  Yes

  No

  N/A

• Memo nook correct? Current back to 3 months? Signed and dated?

  Yes

  No

  N/A

• Team development book correct?

  Yes

  No

  N/A

Results

• How many total demerits were found?

• GRADE?

  Excellent (0-3)

  Satisfactory (4-8)

  Needs Improvement(9-11)

  Fail(12+)

• Manager name who reviewed results?

• Manager signature:

  Sign

• Supervisor name who inspected?

• Supervisor signature:

  Sign