Title Page

  • Conducted on

  • Prepared by

  • Location

Store / Site detail

Survey Details

  • Select date

  • Surveyor Name

  • Drawing ID and revision

  • Survey Controls and revision log

  • Amendments
  • Revision details

  • Add signature

Store Information

  • Manager

  • Managers Email

  • Direct phone number. Store/manager

  • Store trading hours

  • Money- Friday

  • Saturday

  • Sunday

  • Night shift/out of hours working arrangement. Add details

  • Landlord requirement. Add details

Checkout works

Belted Checkout works

  • Belted Checkout to be removed?

  • Checkout/s to be removed

  • Add photos

  • Belted Checkout to be repositioned?

  • Checkout/s to be repositioned

  • Add photos

Express checkout works

  • Express checkout to be removed?

  • Checkout/s to be removed

  • Add photos

  • Express checkout to be repositioned?

  • Checkout/s to be repositioned

  • Add media

  • Back to wall conversion required?

  • Detail of checkout to be converted

  • Add photos

  • Call light checkout renumbering required

  • Add detail

  • Add photos if required

Building works

Small building work requirements

  • Building works required?

  • Select from follow options

  • Add detail for each option selected

  • Add photos

  • Any other building requirements not listed above? Add detail here

  • Add photos

  • Additional building works?

  • Add detail

  • Add photos

Lotto Counter

  • Lotto counter works?

  • Add detail

  • Add photos

  • Lotto monitor relocation?

  • Add detail here

  • Add photos

Cigarette Machine

Cigarette dispenser

  • Cigarette dispensing machine works

  • Add detail

  • Add photos

Chrome rail and trolly bay works

Chrome rail and trolley bay works

  • Chrome rail alterations

  • Select from follow options

  • Add detail for each option selected

  • Add photos

  • Trolley bay relocation

  • Add detail

  • Type and quantity of fixing required

  • Add photos

Chiller / Fridge Relocation

Chiller/ Fridge Relocation

  • Are there any chiller units to be repositioned

  • Add detail

  • Add photos

Shelving modification

Shelving alterations required

  • Are there any shelving alterations required?

  • Add detail

  • Add photos

Sales floor furniture modications

Sales floor furniture modifications

  • Are there any sales floor furniture alterations required?

  • Add detail

  • Add photos

Survey sign off

Survey sign off

  • Surveyor 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.