Title Page

  • Conducted on

  • Prepared by

  • Location

Forecourt

  • Adequate Lighting

  • Fire Extinguishers & Buckets

  • Clean and in date with pin in place

  • Emergency Cut off switch clearly labelled and accessable

  • Tannoy System working

  • Pump islands clean, Metal grating in place, Bollards, Hoops

  • Below ground fill points free of excess water

  • Grade labels clean and clear

  • Tanks locked, vapour recovery locked

  • Relevent Manhole lifting key available

  • Fuel caps chained to fill pipe

  • DCD box if applicable all working - Phone, Fire Extinguisher in date, printer working

  • Adequate cones available

  • All vent pipes correctly tagged

  • Vent Stack signs in place

  • Maximum height sign in place, any damage

  • Statutory signs in place - CCTV in operation, Trading times, No Smoking, Notice to customers to leave quietly if applicable

  • Calor Gas empty canisters not stored outside the cage

  • LPG Checklist/Operating/Emergency procedures in place

  • LPG Compound clean and tidy no overgrown weeds/shurbs - Fire extinguishers in compound + emergency stop + Signage

  • Aco drains clean and not blocked and bolted down

  • Any potholes damage to forecourt any trip hazards

Shop

  • Electric door lock working - Main Door

  • All gangways clear of trip hazards & DDA access

  • Fire exit signs in place above main door

  • Fire exit signs in place above back door if applicable

  • Fire Action notice on display by main door and back door if applicable

  • Fire extinguishers available 1 X Dry Powder, 1 X CO2, in date and pin in place

  • All marked with fire point label

  • Note the date of fire drill

  • Statutory signs in place - CCTV in operation, No smoking, Allergien information available

  • Digi locks/electronic locks working on doors leading to secure areas

  • Site telephone working and available

  • Floor clear of trailing and damaged extension leads

  • Electricity cupboard free from visible damage and clear of no stored items

  • Smoke detector working

  • All shelves properly secured & sot overloaded

  • All perishible food items off the floor

  • Are all steps/staircases in good condition, no defects

  • Secure area signage displayed

  • Emergency flipchart displayed with contact list

  • Premises licence part A filled in safe

  • Premises licence part B on display

  • DPS authorisation sheet filled in and signed by all staff

  • DPS name and address are the same on both premises and personal licence

  • SGN Operating Procedures Folder available

Work Equipment

  • Wet floor sign available and clean

  • Safety torch available

  • Safety knife available

  • Goggles available

  • Papersuit available

  • 2 X Hi Viz jackets available

  • Step ladders in good condition - Rubber Feet, Top platform

  • Kickstool in good condition - Rubber base,

  • Veeder root checked - Print Out - No Water identified - No Alarms

  • Wet Stock filed & Saved on S: Drive - Fairbanks

  • First aid location notice on display

  • First aid box fully stocked

  • Site Register

  • Petroleum Storage Certificate available

  • Interceptor cleaning certificate available

  • Vapour Recovery Annually/or 3 Yearly maintenaince certificate present

  • Vapour Recovery Fault Log available

  • Electrical test certificate available

  • Pat test completed

  • Fire extinguisher certificate available

  • Asbestos register available

  • LPG Inspection up to date

  • DESER action plan available

  • Notice Board

  • Health & Safety poster on display

  • Emergency Contact list on display

  • Insurance SGN

  • Insurance Retailer

Health & Safety Group Policy

  • Petroleum Storage licence

  • Tank to pump layout

  • Lone working policy

  • Data protection policy

  • Competent person register

  • Dps authoristion form

  • Hazardous zone drawing

  • Probe calibration displayed and updated

  • Nozzle News signed and displayed

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.