Title Page

  • Prepared by

  • Conducted on

  • Document No.

PMDTR AUDIT

HSSE QUESTIONS

  • Has the Retailer Fire Risk Assessment been reviewed in the past year? (AND/OR BEEN CHANGED INLINE WITH ANY SERVICE STATION CHANGES?)

  • Has the Retailer Service Station Risk Assessment(s) and Retailer H&S policy been reviewed in the last year?<br>

  • Is the Health & Safety Law poster,Health & Safety at work manual handling poster, Current copy of Certificate of Employers Liability Insurance prominently displayed back of house for all staff to see?"

  • Are all security doors kept closed and locked?

  • Is the Service Station complying with the Closed Door Policy?

  • Are all fire exits and secondary means of escape unobstructed and locked from external entry? (Fire exits/secondary means of escape must NOT be bolted shut/deadlocked during operational hours). Ultimately, can you reach the Muster Point in an emergency?

  • Are lone workers locking the front door when away from the till area? Is the round Lone Worker's Sticker on the last door prior to the shop floor?

  • Do staff know where the Panic Alarm Buttons are located? Do staff know what happens when the alarm is pressed? Is the Reset Key available?

  • Are the Magnetic Door locks accessible and functioning? (Note these are the remote door locks behind the till)

  • Without hesitation, is the Customer Service Champion able to produce the: Accident Book, Needle Stick Injury Prevention Pack, Get you Home Safe Clothing, Eye Wash Kit & First Aid Kit?

  • Is the Go Home Well Emergency Response Flipchart available, first and last page filled in correctly?

  • Does the Service Station have an Emergency Evacuation Plan specific to the Service Station and include an appropriate Muster Point?

  • Is the electrical cupboard free from stored items?

  • Is the New SAM Lone Worker Guidelines on display and signed by staff?

  • Are Till limits adhered to with no unsecured cash on site?

  • Is the Mini Safe secured, locked and does not exceed procedural limit?

  • Are safe keys or digital safe combination kept securely?

  • Is the Office secure when the safe is opened?

  • Are Off-Set Fill Points locked and accurately identified/labelled?

  • Is the Correct LPG Personal Protective Equipment available and in good condition?

  • Has there been an accurate LPG tank reconciliation every day?

  • Is the firefighter's switch/external emergency button accessible? If the CSC/FSC does not know where to locate the button, mark as Non-Compliant

  • Are fire extinguishers readily available?

LICENCE TO OPERATE QUESTIONS

  • Is the Service Station ensuring there are no Out of Date products on display?

  • Can the CSC produce the most recent copy of the allergy information? Ie. printed copy and the IPAD

  • Has there been an accurate reconciliation on every Petrol/Diesel/AdBlue tank every day?

  • Is the Register of Competent Persons available and cross referenced to the RLA for compliance?

  • Has all the appropriate LPG Training been completed and in date as per the RLA?

  • Is the CCTV system operating at an acceptable standard including all monitors? (e.g. clear picture, all cameras working without interference, 31 days recording, the time matches the till point within 1 minute)?

  • Who can you give CCTV to on demand?

TIME OF AUDIT COMPLETION

  • Select date

SIGN OFF

  • Manager Signature

  • Area Manager Signature

NONE PMDTR QUESTIONS

HSSE QUESTIONS

  • Are the three security stickers displayed at head height next to the shop door :- CCTV in Operation, Staff Do Not Have Access to Safe, Lift Helmet Visor?

  • Is the ACO Channel grills clear of debris, allowing Loss Of Primary Containment into the Interceptors?

  • During the reviewed period, is there a variance on the Fuel Sales Reconciliation Report(period of one week)? Has the appropriate investigation taken place?

  • Is the Veederoot Manual available at time of audit? Is the Vedeeroot alarm sounding whilst on station? What action is being taken by the CSCs?

  • Does the LPG compound contain 18kg of Fire Extinguisher?

  • Is LPG manual available and visible on noticeboards?

  • Do fire buckets contain absorbent sand, are fitted with a lid and have plastic sand spreaders available?

  • Is there a dedicated lidded container for contaminated sand and does the CSC know how to dispose of contaminated sand?

  • Are all customer-facing monitors working and showing the correct image? Have issues been reported to Vinci if they do not show a clear/correct image?Are the Yellow CCTV stickers up in the office?

  • Is the ADBLUE Spill Kit available for immediate use? Do the staff know how to use it and how to store/dispose of waste?

  • Does the Ad-Blue volume on the Veederoot Inventory Report match the Ad-Blue volume on the tank gauge at the time of audit?

LICENCE TO OPERATE

  • Does the Customer Service Champion on the POS know the name of the Designated Premises Supervisor?

  • Is the Designated Premises Supervisor correct on the Section 57 Notice?

  • Reviewing the RLA - Has the Customer Service Champion at the POS completed the RLA module titled xxx?

  • Have all Customer Service Champions on the Station at the time of the audit been authorised to sell alcohol by the Designated Premises Supervisor?

  • Are the Customer Service Champions wearing the Challenge 25 badge?

  • Are the ‘Acceptable Forms of ID’ poster, the 3 Challenge 25 posters, the double sided window decal and shelf talkers on display?

OTHER

  • Is any customer property retained on the Service Station?

  • Are there un-authorised Pan Keyed Transactions in the last full month?

  • Are the prices on the Pole Sign identical to the Pumps and Red Prairie?

  • Does Red Prairie show Pick Ups are within procedural limits?

  • Is there evidence of non-adherance to cash handling procedures?

  • Are the cash collection bags awaiting collection, sealed and present in the MAIN safe?

  • Is the daily Veederoot Tank Gauge Report printed at 0.00 and filed?

  • Check all Pump Tests in the last 2 months via GSSP Pump Test Report

  • Is the Car Wash being reconciled and daily reports being printed and filed for reference?

  • Are the Car Wash Refund Receipts being printed and filed for reference? Best Practice is the use of a Refund Sheet/Log to record all the Refunds

  • Are the Buy Time Meter Readings being taken and recorded/reconciled daily?

AUDIT COMPLETED

  • Select date

  • MANAGER SIGNATUTRE

  • AREA MANAGER SIGNATURE

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