Information

  • Date & Time

  • Division Number

  • Store Number

  • Location
  • Quarter

  • Inspected by

  • Personnel

Outside Appearance

  • Trash Cans: emptied / clean / no leakage

  • Parking lot clean / sidewalk clean / grass cut / raked

  • Pumps clean / decals sharp / toppers correct

  • Ext. display / icebox / propane display

  • Gas sign posted correctly / no numbers missing

  • Service valets / paper towels / squeegees

  • Carwash / vacuum / fragrance working and clean / POS up

First Impression

  • Logo shirts & name tags / customer acknowledgement / loyalty

  • Floors clean / waxed (incl. cooler, backroom, etc.)

  • Doors clean / decals correct / sharp

  • Windows clean

  • End caps sharp / full / clean

  • Window signs up / appropriate order

  • Sales area clean / merchandised / wobblers & signage correct

Tobacco Section

  • Displays full / clean / no obstructions

  • Signage correct

  • Cig. carton fixture / waterfall full / clean / no obstructions

  • Cig. inventory adequate (top 25 in stock) <br>(1=1 demerit / 2+=2 demerits)

  • Smokeless tobacco / loose leaf inventory adequate

  • Copenhagen / skoal in date <br>(1 roll or < = 1 demerit / >1 roll = 2 demerits)

  • Smokeless POG correct / back stock worked into fixture

HBA / Checkout Area

  • Lighter rack full / correct location

  • Prepaid rack set to POG / stocked / sunglass rack stocked

  • Car charger accessory rack set to POG / stocked

  • Merchandise visible (goodys / BC on shelf) / stocked / fronted

  • Energy rack set to POG / stocked

  • Hershey / grocery three tier checkout rack set to POG / stocked

  • Loyalty - counter applications / cards in stock / behind counter / signage

  • Magazine rack stocked / clean

  • ATM online and working

Beverage Center

  • Clean / organized / machines operating

  • Fresh coffee / brew basket clean / no preground in filter basket waiting

  • Fountain ice chute clean

  • Fountain valves / covers / signage clean

  • Inventory level adequate (cups, creamer, syrup)

Foodservice Area

  • Hot dogs on grill / variety out for selection / POS / grill guide

  • Machines clean & working properly - grill, chili - cheese , etc.

  • Hot dogs, tornados, snack cakes dated & in cooler

Grocery & Candy

  • Candy inventory adequate

  • Signage / pricing correct<br>(1 to 3 = 1 demerit / 4+ = 2 demerits)

  • Shelves clean

  • Merchandise fronted

  • Grocery inventory<br>(1 to 3 = 1 demerit / 4+ = 2 demerits)

  • Displays to shelf (shippers, etc.)

  • Vendor / DSD sections fronted / adequate inventory levels

  • Ice cream merchandised / box clean / adequate inventory

Displays

  • Displays massive / DSD module blocked

  • Proper signage / sharp

  • Ice barrels ready for business

  • Creativity

Cooler

  • Fronted / POG correct

  • Alcohol I.D. signs up

  • Beer inventory<br>(1-3 = 1 demerit / 4+ = 2 demerits)

  • Signage / advertising appropriate product / pricing / clean / 2 for promo pricing

  • Cooler items / out of stocks<br>(1-3 = 1 demerit / 4+ = 2 demerits)

  • Slide trays / door ledges clean

  • Organized in back

Restooms

  • Fixtures clean / urinal stains - calcium buildup

  • Toilet tissue adq. / towels adq. / soap disp. adq.

  • Checklist posted / up to date

Item Level Inventory

  • Item level standards being followed

  • Order adjustment sheets up to date

Backroom

  • A/C filters clean / checklist posted / up to date

  • DSD damages / credits neat and being done timely

  • Inventory levels / general organization

Comments / Grading

  • Comments:

  • Demerit Scale:
    1 to 3 = Excellent
    4 to 5 = Satisfactory
    6 to 7 = Needs Improvement
    8 or more = Fails to Meet Expectations

  • Total Demerits

  • Grade

  • Employee Signature

  • Inspector 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.