Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Location Appearance

  • Does the location look kept up and clean?

  • Is the grass at an acceptable height of have the sidewalks been scooped of snow?

  • Is a CVA sign the primary sign you see when you first pull up to the location?

Signage: Outside

  • Are all of the logos changed to the current name of the company?

  • Can you see any remains or ghosting of old company logos?

  • Have all of the blue and yellow logos been removed from the premises? (Only Regions 1-4)

  • Are all of the signs still colorful and not faded?

  • Are all secondary logos placed to the RIGHT of the CVA logo?

  • Have all of the buildings been labeled with a large sign? (Location sign with building title)

Equipment Signage

  • Do all of the small liquid nurse tanks have a CVA logo?

  • Do all of the small anhydrous ammonia tanks have a CVA logo?

  • Are all of the storage tanks for Anhydrous Ammonia labeled?

  • Are all of the storage tanks for Propane labeled?

  • Does all of the other equipment have a CVA logo? (Dry Spreaders, Trucks, Floaters, etc,-if owned by CVA)

  • Are all of the logos on all the equipment still colorful and not peeling?

Main Office

  • Does the inside of the building look clean and kept up?

  • Is the snap frame hung?

  • Is the snap frame poster up-to-date?

  • Are all customer materials on the counter up-to -date? (Newsletters, Brochures, etc.)

  • Are the customer materials set out and available to the customers? (Newsletters, Brochures, etc)

  • Do the main doors to the office have a CVA logo on them made with clear vinyl?

  • Are the names and titles on the office windows or doors up-to-date?

Cardtrols

  • Is thee a location sign with CVA on it?

  • Is there a decal showing what cards are accepted?

  • Is there a CVA logo on the pump?

  • Does the canopy have CVA on it?

  • Is there a washer fluid container?

  • Is there a trash can?

  • Are the pump toppers on the pumps?

  • Are the materials in the pump toppers up-to-date?

  • Are there any old logos present?

Employees

  • Are all of the employees wearing a shirt with the CVA logo on the front?

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.