Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

Forecourt

  • Adequate Lighting

  • Fire Extinguishers & Buckets( lids and scoops) and sufficient sand (3/4 full)

  • Clean and in date with pin in place ( serviced in last 12 months)

  • Emergency Cut off switch clearly labelled and accessable

  • Tannoy System working

  • Pump islands clean and undamaged, 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 -test phone, Fire Extinguisher in date, printer working

  • Adequate cones available

  • All vent pipes correctly tagged

  • Vent stack signs in place

  • Hazardous sand waste bin available

  • Maximum height sign in place, any damage

  • Statutory signs in place - CCTV in operation, Trading times, No Smoking, no mobiles phones. Notice to customers to leave quietly ( if on premises Licence)

  • Particular of ownership in window facing out

  • Calor Gas secured ( padlock) and 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, undamaged and not blocked and bolted down

  • Any potholes damage to forecourt any trip hazards

  • External bins locked

  • Any sign of pest control around bins

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 with completed and legible assembly point

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

  • All marked with fire point label

  • Fire drill completed in last 6 months

  • Verbal fire drill completed every 2 months

  • Emergency light tested monthly

  • Fire alarm tested weekly

  • Statutory signs in place - CCTV in operation if audio recording this also needs to be on the notice, No smoking, Allergien information available, A4 challenge 25 notices, legal tobacco notice on gantry, part B premises licence

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

  • Any signs of pest control (rats, flies, ants) infestation in the kitchen area/warehouse/shop

  • 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 (battery operated only)

  • All shelves properly secured & not 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

Work Equipment

  • Wet floor sign available and clean

  • Safety torch available

  • Safety knife available

  • Stock trolleys in good condition

  • Goggles available

  • Papersuits available (2)

  • 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 ( no plasters or tablets of any kind) Is it in date?

Site Register

  • Site register, maintenance and staff training folder available

  • Interceptor cleaning certificate available

  • Vapour Recovery VR1 annually and VR2 3 Yearly maintenance certificate present plus annual inspection

  • Vapour Recovery Fault Log available

  • Electrical test certificate available ( less than 12 months)

  • Pat test completed (less than 12 months)

  • Fire extinguisher certificate available (less than 12 months)

  • Asbestos register available

  • LPG Inspection up to date (less than 12 months)

  • DSEAR action plan available

  • SGN Operating Procedures Folder available

  • COSHH sheets available ( unleaded, diesel, adblue and screen wash) with front pages signed and dated by all staff

Notice board

  • HSE law poster with Trish's details as contact completed at the bottom

  • Health & safety policy in SGN/TGC/GFL & operators name

  • Authorisation for staff to sell alcohol ( less than 3 months old)

  • Fuel policy

  • Modern slavery statement 2023

  • Hot and cold probes being calibrated correctly and records held

  • Emergency Contact list on display

  • Insurance SGN

  • Insurance Retailer

Health & Safety Group Policy ( notice board)

  • Petroleum Storage licence

  • Tank to pump layout

  • Lone working policy

  • Data protection policy

  • Competent person register

  • Hazardous zone drawing

  • Nozzle News signed and displayed

Food safety

  • Food safety level 2 certificates in place for all appropriate staff (less than 3 years)

  • Correct production sheets completed accurately

  • Correct hot holding sheets completed accurately

  • Hot food removed from sale at correct time within 4 hours ( 2 hours for baps)

  • Temperature checks on chiller/freezer being completed & recorded using a hand held probe and not from the temperature display on the chiller.

  • Up to elbow oven gloves available and used

  • HACCP regulations available in kitchen area

  • Probes calibrated monthly

  • Oven, cupboards and the kitchen area hygienic

Security

  • Cash in transit limits adhered too ( up £2500 1 adult, up £5001 2 adults, £5001-£8000 3 adults. over 8k not insured

  • Banking completed daily

  • is all cash kept secured underneath the tills

  • Safe and site keys kept secured at all times

  • Rear doors kept secured

  • Security doors to kiosk and back of house, store room kept closed and locked

  • Staff trained in handling robberies

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.