Title Page

  • Store #

  • Location
  • Conducted on

  • Personnel on duty

  • Prepared by

Outside Areas

  • All pumps working? If not, is pump bagged/out of order, email report been sent, and note in communication log?

  • Parking lot/landscaped areas trash free, no spills, oil and fuel residue?

  • Check for an air chuck on water/air machine AND claw on vacuum?

  • Is the car wash working? (Watch a vehicle go through and inspect.)

  • Reader board being fully used with no misspellings and proper message displayed?

Inside Areas

  • Register does not show paper jams nor paper out?

  • Is fountain area fully stocked and clean?

  • Is coffee area fully stocked and clean?

  • Is underneath and behind all machines clean and trash free?

  • Is cooler stocked well with 3 or less out of stocks/empty rows?

Deli/Roller Grill Area

  • Are all food products labeled and stored correctly? Creamer, Bag-in-the-Box, Nacho Cheese dated (and not expired)?

  • (Where applicable) Are tables/chairs/dining floor clean?

  • Is there an appropriate amount of hot dogs on the grill that look fresh and buns available?

  • Is there an appropriate amount of taquito's on grill that look fresh?

  • Is the hot box full, clean and lighted

  • Do the rollers, sneeze guards, tongs, and tray on the grill look clean?

Restroom - Mens

  • Toilet bowl and/or urinal are sparkling clean.

  • Lid or underneath the toilet lid is clean.

  • Base of toilet is clean ?

  • Brill is working and not empty?

  • Sink is clean.

  • Floor is clean, bug free and litter free.

  • All corners and behind everything is swept and clean?

  • Paper towels are available.

  • Toilet paper is available.

  • Diaper changer liners are available.

  • Soap (and sanitizer, if applicable) is available.

  • Mirror is clean.

  • There is a pleasant odor in the restroom.

  • Walls and/or stall dividers are clean.

  • Everything is operational (toilets, sinks, soap dispensers, dryer).

  • Trash isn't full and container is clean.

  • No lights are out or bugs in lenses.

  • Vents are not dusty or dirty.

  • Check restroom supplies for outages

  • Air Fresheners not beeping

  • Is Royal Restroom checklist being used?

Restroom - Womens

  • Toilet bowls are sparkling clean.

  • The lid and underneath the toilet lid is clean.

  • Base of all toilets are clean?

  • Brill is working and not empty?

  • Sink is clean.

  • Floor is clean, bug free, litter free.

  • All corners and behind everything is swept and clean?

  • Paper towels are available.

  • Toilet paper is available.

  • Diaper changer liners are available.

  • Soap, (and sanitizer, if applicable) is available.

  • Mirror is clean.

  • There is a pleasant odor in the restroom.

  • Walls and/or stalls dividers are clean.

  • Everything is operational (toilets, sinks, soap dispensers, dryer).

  • Trash isn't full and container is clean.

  • No lights are out or bugs in lenses.

  • Vents are not dusty or dirty.

  • Check restroom supplies for outages

  • Air fresheners not beeping

  • Is Royal Restroom checklist being used?

Administrative - Safety and Compliance & Customer Service

  • Is video/register overlay working and displaying properly?

  • Are all cameras working and displaying clearly?

  • Is communication log posted and current?

  • Do employees suggestive sell and promote the Star Savers/7 Rewards program?

  • Are all employees in full uniform?

  • Do employees card customers buying age-restricted items who appear <30?

  • Music can be heard

  • Shift duty lists being used

  • Kalibrate pricing updated

  • Balance Safe

  • Balance ATM

  • Inactive count by supervisor

  • Sales pie chart is updated and posted

Signature

  • I hereby certify that the above form is true and accurate to the best of my knowledge.

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.