Information

  • Audit Title

  • Quarter

  • Site Number

  • Conducted on

  • Prepared by

  • Location
  • Dealer Present

  • Personnel

  • Follow Up Required (Deficiencies & 85% average)

  • Date Follow Up Completed

1.0 - Store Exterior

  • 1.1 - Building signage, exterior walls, doors and windows clean and in good repair.

  • 1.2 - Merchandise racks, Propane Cage, Ice Chest, clean, full and in good repair.

  • 1.3 - Store front , sidewalk clean free of litter. Ice or snow and no cleaning supplies.

  • 1.4 - All signage, curb, lottery,diesel, hurricane, clean, current and in good repair.

2.0 - Curb Appeal

  • 2.1 - Lot plowed, sidewalks cleared, no piles obstructing view of entrance and exit. (WINTER)

  • 2.2 - Snow cleared from road price signs, boulevard signs and lot salted / sanded. (WINTER)

  • 2.3 - Lot and curbs free of debris, weeds, litter and any potholes filled / reported.

  • 2.4 - All grass and garden areas watered,cut, no weeds and trees trimmed.

  • 2.5 - Any fences or guard rails in good repair.

  • 2.6 - Garbage area, telephone booth, Air serve unit clean and in good repair.

  • 2.7 - All poles painted, price signs working and all exterior lighting in good repair.

3.0 - Pump / Island Area

  • 3.1 - Snow /ice cleared from islands, pumps, aprons and any displays. (WINTER)

  • 3.2 - Island and aprons clean, free of stains, spiffies in good condition/painted.

  • 3.3 - All components of pumps clean, in good repair. (hoses,nozzles,card readers,decals)

  • 3.4 - Windshield Washer / Garbage centres in good repair and stocked (squeegies, paper towel)

  • 3.5 - Intercom working, absorbent available, fire extinguishers charged.

  • 3.6 - Propane area clear, all signage in place, fire extinguisher present, cylinders in cage.

4.0 - Tank Area / Fill Boxes

  • 4.1 - Fill caps tagged, indentified, pin in place and no product / water in fill box.<br>

  • 4.2 - Fill Box, Vapour Recovery, Submersible lids on and in good repair

  • 4.3 - Dip Stick available and in good condition (plastic tip) and Water Paste available.

5.0 - Store Interior

  • 5.1 - Floors, walls, ceiling tiles, light covers, clean and in good repair.

  • 5.2 - Lotto play stand and ABM, working, clean and clutter free.

  • 5.3 - Store counter area clean, not cluttered, Cashier sign off and challenge sheets in use

  • 5.4 - Floor mats and wet floor sign available and in use if necessary.

  • 5.5 - Front counter area clean, not cluttered and We Expect ID present.

  • 5.6 - Attendant in Full & Clean uniform.

  • 5.7 - All licenses to be posted and current.

6.0 - Merchandising

  • 6.1 - All areas of stock full, clean and priced.

  • 6.2 - Any current promos executed and proper signage in place.

  • 6.3 - Quick check of 4 items for any stale / expired product.

  • 6.4 - Food service area clean and stocked (including microwave).

  • 6.5 - Condiments available for food and coffee.

7.0 - Washrooms

  • 7.1 - All aspects clean and functioning, taps ,mirror, toilet,sink.

  • 7.2 - Stock available, hand towels, toilet paper, hand soap, no cleaning equipment.

  • 7.3 - Key on fob and locking hardware operational, vent fan working.

8.0 - Car Wash Bays / Tunnels

  • 8.1 - Car Wash fully operating and entrance / exit clear.

  • 8.2 - Windows of wash clean and all lights operational.

  • 8.3 - Vacuums operational and garbage containers available.

  • 8.4 - Fire extinguisher in equipment room and if necessary tunnel.

  • 8.5 - Intercom and coder unit is clean and operational.

9.0 - Due Diligence

  • 9.1 - Site not on Banking Report, timely Reporting.

  • 9.2 - Pioneer LMS Training completed for all employees on schedule. (Spill Kit Sign-off)

  • 9.3 - Timely sending of completed electronic fuel ledger to the office.

Sign Off

  • On site representative

  • Auditor's signature

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.