Title Page

  • Conducted on

  • Prepared by

  • Client / Site

  • Location

Fuels

  • Are Nozzles, Hoses in good condition with hoses not touching the ground or cracked?

  • Are all pumps, hoses and triggers free from rust?

  • Are Bollards Clean and in good condition?

  • Are instructions for the use and operation of the fuel pumps clearly displayed on or adjacent to the pumps?

Forecourt

  • Are all lights including on Pumps operational?

  • Are Bollards, paper towel dispensers, air hose dispenser clean and in good condition?

  • Is the price board clean and in good condition?

  • Are the canopy columns; underside of canopy; and any other fixtures (light boxes & fire extinguishers) clean and in good condition?

  • Are height markers present; in good condition and visible on the canopy from all entry points?

Building

  • Are all exterior building lights including lights behind signage in good condition and operational?

  • Are walls and windows from graffiti free?

  • Are car park, forecourt, curbs and aprons free of tripping hazards including pot holes?

  • Are drains clean and grates secure?

  • Are the external windows, ledges and walls in good condition?

  • Are the mansard signs; illuminated logo signs; fascia's; pole signs clean; in good condition and in working order?

  • Is the garden bed ground cover contained within garden beds with garden edges present and in place?<br>Are grass areas neat and contained within their areas?

Carwash

  • Are Car Wash bay walls; windows (both internal and external) and floors clean and in good condition?

  • Is the Car Wash equipment (including lights) operational and free of debris?

  • Is the vacuum cleaner operational?

Windows & Doors

  • Do the entrance doors work properly?

  • Are all internal windows; ledges; doors and door frames clean and undamaged?

Lights ceiling and walls

  • Are all ceiling lights operational in shop area?

  • Are all light covers (where applicable) clean and in good condition?

  • Are all Emergency Exit signs working (if required)?

  • Are the aircon units; vents/grates/exhaust fans clean; operational secure?

  • Are all interior walls clean and in good condition?

Floors

  • Is the floor; including tiles, edges; rubber surrounds; floor under Slurpee machine clean and in good condition?

  • Are all floor mats clean and in good condition?

Sales Counter

  • Is the counter security door operational and not jamming?

Goods Storage Area

  • Is the hot water system in good condition and clear of any fire hazard?

Food Equipment

  • Are all hot and cold food equipment assets operational and in good working condition?

Slurpee Zone

  • Are all machines operating?

  • Are all Slurpee zone fixture in good condition?

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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.