Title Page

  • Site name

  • Location
  • Prepared by

  • Conducted on

  • Document No.

Assessment

1.0 Operational matters

  • Driveway and grounds neat and tidy? Forecourt weed free?

  • Bins/amenity stations free from overflowing rubbish and stocked with amenities (including window washing fluid)?

  • Islands free from clutter (e.g. road cones)?

  • Promotional material on display as appropriate?

  • Dispensers clean and operational? Or if 'out of order', signage displayed and maintenance call logged with provider?

  • Air hose working?

  • Spill kit available, correctly stocked and free from rubbish?

  • Gardens and surrounds free from litter?

2.0 Retail area

  • Floors and shelves clear of clutter, dust and other obstructions?

  • Staff levels adequate for time of day?

  • Staff wearing uniform and name badge visible?

  • Food levels appropriate?

  • Lights working and temperature appropriate?

  • Toilets clean and tidy, bins not overflowing and supplies available to customers?

3.0 Health and safety

  • Retail and forecourt areas free from trip hazards?

  • Fuel reconciliations up to date?

  • Emergency exits are accessible, free from obstruction and operational?

  • Fire extinguishers are available and within certification date?

4.0 General

  • Price checks up to date and site is appropriately priced for the area?

  • Operational plan available for the site going forward?

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.