Information

  • Location
  • Conducted on

  • Prepared by

  • Department leadership

Outside Store

  • Is the parking lot clean and free of debris?

  • Snow cleared?

  • Is the lawn mowed and landscaping looking good?

  • Parking lot striping in good repair?

  • Do all signs appear to be working and in good repair?

  • Garbage cans emptied and not overflowing?

  • Any additional comments or observations.

  • Add a photo of front of store and fuel price sign

Pump area

  • Do all the pumps appear to all be in working order with no bags on the handles or signs on the pumps? List any concern areas.

  • Are the pumps clean and in good repair?

  • Are the paper towel dispensers full and towels available?<br>

  • Are all the nozzle talkers in place and current?

  • Are the pump toppers in place, current and not faded?

  • Do all the canopy lights work if it is dark outside?

  • Are the salt and washer fluid displays signed correctly?

  • Are the wash buckets clean and full?

  • Is there a squeegee in each bucket? <br>Check to see if there any tears in the heads.

  • Any additional comments or observations.

  • Add any photos from pump area

Car wash area

  • Is the car wash open today?

  • Does it appear to be working properly?

  • Comments if you tested the wash.

  • Are the overhead doors and bay clean?

  • Does it appear that the vacuum is in working order?

  • Is the air machine working?

  • Any additional comments or observations.

  • Add any photos from the car wash area

Entrance area

  • Are the ash trays clean?

  • Are the rugs placed and in good repair?

  • Are the doors and windows clean and free of signs?

  • Any additional comments or observations.

  • Add any photos from entrance area

Restrooms

  • Are the fixtures working properly?

  • Are the fixtures clean?

  • Are there towels available?

  • Is the floor clean and free of debris?

  • Any additional comments or observations.

  • Add any photos from restroom area

Beverage bar area

  • Are all price signs in place?

  • Is there fresh, hot coffee available?

  • Is there fresh bakery available for purchase?

  • Is the beverage equipment clean and free of calcium and mold buildup?

  • Are the sink and counter tops clean?

  • Does all the equipment appear to be in working order?

  • Any additional comments or observations.

  • Add any photos from beverage area

Cooler area

  • Is the cooler front faced?

  • Are the doors and cases clean?

  • Does it appear that all signs and tags are in place?

  • Does it appear that there is proper rotation?

  • How many empty beverage slots are ther?

General store area

  • Are the floors clean?

  • List the number of out of stocks on the dry grocery shelving?

  • Add any photos from the store area.

Team member area

  • Do all team members have on their name tag?

  • Are the team members in dress code?

  • Does it appear that the team members are greeting and thanking our guests?

  • List any exceptional guest experiences you might have observed.

Checkout area

  • Are the displays signed and front faced?

  • Do the checkouts areas look clean and well organized?

  • Any additional comments or observations.

  • Add any photos from the checkout area

General items

  • Did you observe any safety concerns in this visit?

  • Department performance discussed with manager?

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.