Petrol Station Site Review - Forecourt & Shop

• Please ensure PPE is worn by all when on the forecourt

• Conducted on

  Date

• Prepared by

• Location
  Address

Forecourt

• No unnecessary forecourt or canopy lights on?

  Yes

  No

  N/A

• Pumps, stanchions and islands clean & all nozzles working or logged on Verisae ?

  Yes

  No

  N/A

• Pump holders, covers, inserts and splash guards all in place, in good condition?

  Yes

  No

  N/A

• Only official 'pump out of order' signs in use?

  Yes

  No

  N/A

• Minimum of 4 Sand Buckets with lids in good condition, with scoops and clean dry sand 3/4 full?

  Yes

  No

  N/A

• Forecourt Fire Extinguishers in place and serviced?

  Yes

  No

  N/A

• Check DCD box for sand bucket and Fire Extinguisher (also check Extinguisher is serviced)

  Yes

  No

  N/A

• DCD Box checked for correct operation? (Phone working, correct contact number for Site Manager and fuel brand emergency contact, light, printer, alarm)

  Yes

  No

  N/A

• Litter bins Gloves Towels available? (They are not overflowing, are clean, no skirts and are weighted or fixed to the floor?)

  Yes

  No

  N/A

• Pole sign services and prices are correct & in good condition (including surrounding floor areas)?

  Yes

  No

  N/A

• Forecourt Statutory Safety Signs in place? (stanchions and vent pipes, interceptor vents)

  Yes

  No

  N/A

• Fuel Assistance signs in place?

  Yes

  No

  N/A

• Check operation of disabled access bell? (if applicable)

  Yes

  No

  N/A

• All grass areas are cut and litter free, hedges trimmed, no overhanging vegetation?

  Yes

  No

  N/A

• Curbs are swept and free of litter and weeds?

  Yes

  No

  N/A

• Gravel and block paving areas are weed free?

  Yes

  No

  N/A

• Pavement outside the forecourt is weed free along the boundary?

  Yes

  No

  N/A

• Forecourt free of advertising swing signs?

  Yes

  No

  N/A

• Forecourt crossovers in good condition?

  Yes

  No

  N/A

• Forecourt free of Potholes and trip hazards?

  Yes

  No

  N/A

• Refuse bins are locked and appropriately stored ?

  Yes

  No

  N/A

• Recycled cardboard and plastic cages are appropriately stored and collected with all deliveries?

  Yes

  No

  N/A

• Trash area is tidy and clear ?

  Yes

  No

  N/A

• Promotion poster bags and frames in place with current promotions and in good condition?

  Yes

  No

  N/A

Shop Front

• Bunkers clean, no damaged stock and displayed to correct planogram?

  Yes

  No

  N/A

• Bunker header cards in good condition?

  Yes

  No

  N/A

• Bunker price cards in clip frames and in good condition?

  Yes

  No

  N/A

• 10 ltr (Yara) Adblue bunker header cards in place and good condition?

  Yes

  No

  N/A

• Calor Gas Cage well stocked, with new White POS in good condition, clean, clear of litter & price card in A4 Clip Frame

  Yes

  No

  N/A

• Newspaper Stand clean and flaps in good condition?

  Yes

  No

  N/A

• Shop windows, Shop brand fascia, doors and frames clean, free of marks?

  Yes

  No

  N/A

• Shop amenities and opening hours advertised correctly?

  Yes

  No

  N/A

• Opaque stickers in place on full length glass shop doors?

  Yes

  No

  N/A

• Removed any unnecessary stickers and signage from the shop door and windows?

  Yes

  No

  N/A

• Proprietor sign is fitted in A5 clip frame near the bottom of the night pay window and has correct CM detals and Head office address?

  Yes

  No

  N/A

• 24 hour sites have a Night Pay Window sign?

  Yes

  No

  N/A

Valeting

• Does the site have a Jet Wash?

  Yes

  No

• Jet Wash in good working order?

  Yes

  No

  N/A

• Have any issues been logged?

  Yes

  No

  N/A

• Jet Wash machine, bay and screen clean?

  Yes

  No

  N/A

• Graphics and menu board in good condition?

  Yes

  No

  N/A

• Disclaimer sign in place?

  Yes

  No

  N/A

• Does the site have an AutoWash?

  Yes

  No

  N/A

• AutoWash in good working order?

  Yes

  No

  N/A

• Have any issues been logged?

  Yes

  No

  N/A

• Disclaimer/Instruction notice is in place at the entrance ?

  Yes

  No

  N/A

• Spoiler notice is on the token box?

  Yes

  No

  N/A

• Autowash machine, bay and screen all clean ?

  Yes

  No

  N/A

• Autowash plant room is in good order?

  Yes

  No

  N/A

• Does the site have a Hand Car Wash?

  Yes

  No

• Hand car wash visual check for compliance? (staff Hi-Vis, smoking, area clean, signage)

  Yes

  No

  N/A

• Visual Assessment of electrical equipment and electrical installation to a safe standard?

  Yes

  No

  N/A

SHOP GENERAL

• Good level of stock and well merchandised?

  Yes

  No

  N/A

• All shop shelves are clean?

  Yes

  No

  N/A

• All chiller shelves and air grills are clean?

  Yes

  No

  N/A

• Icecream freezer fully stocked and defrosted?

  Yes

  No

  N/A

• All shelf strip/ticket holders are in good condition and clean?

  Yes

  No

  N/A

• Entrance door and other mats clean?

  Yes

  No

  N/A

• Shop floor clean and in good condition?

  Yes

  No

  N/A

• Stacks, displays and dump bins sensibly positioned?

  Yes

  No

  N/A

• Spot check at least 20 ambient sell by dates across store?

  Yes

  No

  N/A

• Spot check at least 20 chilled food sell by dates?

  Yes

  No

  N/A

• Shelf Edge labels correctly printed, prices in coloured box & not faded?<br>(walk the store to check all shelves)

  Yes

  No

  N/A

• Air Conditioning grids and filters free from dust and cobwebs

  Yes

  No

  N/A

• Ceiling tiles in good condition and none missing.

  Yes

  No

  N/A

• All lights working including Shop Fascia lights (CM responsibility to replace bulbs on inside lights)

  Yes

  No

  N/A

• Correct Radio in use?

  Yes

  No

  N/A

COFFEE

• Front of machine clean and well presented and prices on screen match till price?

  Yes

  No

  N/A

• Inside of unit is clean and free from chocolate dust, beans, milk stains etc.

  Yes

  No

  N/A

• Milk chiller clean – remove tray and check inside rubber fridge rim

  Yes

  No

  N/A

• Check for sufficient levels of Coffee beans and Milk?

  Yes

  No

  N/A

• Cups, lids, stirrers and sugars available, clean and tidy.

  Yes

  No

  N/A

• Machine Log book fully completed and up to date

  Yes

  No

  N/A

• Sufficient range of flapjacks, muffins etc located near coffee machine for additional impulse sales?

  Yes

  No

  N/A

• Deal promotion in place with POS?

  Yes

  No

  N/A

OFF LICENCE

• Does the site have an Off Licence?

  Yes

  No

• Alcohol is only displayed in allowed locations as per the Premises Licence?

  Yes

  No

  N/A

• Accredited Premises Licence displayed with correct name on the licence?

  Yes

  No

  N/A

• Off licence Opening Hours are the same as the Premises Licence?

  Yes

  No

  N/A

• Sufficient Challenge 25 signage displayed (minimum 3)?

  Yes

  No

  N/A

• Section 57 notice displayed (Wales/England) or Section 110 notice displayed (Scotland)?

  Yes

  No

  N/A

• All Off License signage is fitted in silver clip frames (not to be fitted on the shop canopy)?

  Yes

  No

  N/A

• Alcohol pricing complies with the appropriate duty pricing policy for the licencing authority? <br>(minimum allowed price per unit of alcohol)

  Yes

  No

  N/A

• Beer stacks prominently displayed with correct promotion POS?<br>(excluding Scotland as not allowed)

  Yes

  No

  N/A

Hot Food Unit

• Does the site sell Hot Food?

  Yes

  No

• Unit Full and to correct standard for time of day?

  Yes

  No

  N/A

• Visual quality check ok?<br>(over/under cooked, dried out)

  Yes

  No

  N/A

• Unit is in good condition and clean?

  Yes

  No

  N/A

• Due Diligence checks completed and signed off?

  Yes

  No

  N/A

• Unit has correct signage and shelf price labels for items displayed?

  Yes

  No

  N/A

• Oven and Preparation area in good clean condition?

  Yes

  No

  N/A

• Preparation area has suitable area and detergents for washing equipment ?

  Yes

  No

  N/A

• Anti bacterial hand wash and paper towel available for hand washing?

  Yes

  No

  N/A

Till Area

• Security door closed and locked at all times?

  Yes

  No

  N/A

• Check electric emergency door lock is working correctly?

  Yes

  No

  N/A

• Check the forecourt PA/speaker system is working and do site staff know how to use it correctly?

  Yes

  No

  N/A

• Counter tops and till area clear, no paperwork or other non sale items visible to the customer?

  Yes

  No

  N/A

• PCI Checks complete (Stickers on all pin pads, no signs of tampering)?

  Yes

  No

  N/A

• Under till areas tidy and free from flammable items and electric equipment if free from clutter ?

  Yes

  No

  N/A

• No suspicious electronic equipment in the till area and no data cables/charging cables plugged into PC?

  Yes

  No

  N/A

• Check for overloaded sockets or multi plug extension leads in use in till area?

  Yes

  No

  N/A

• Contactless signage correct as per fuel brand on Pin Pad?

  Yes

  No

  N/A

• Lottery signed on and scratchcards fully available

  Yes

  No

  N/A

• Vape display cabinet full and merchandised correctly?

  Yes

  No

  N/A

• All Vape counterstands correctly displayed and fully stocked?

  Yes

  No

  N/A

• DSL counter/floor stands stocked and correctly displayed as per guidelines?

  Yes

  No

  N/A

• Collect+ parcels properly organised and stored safely?

  Yes

  No

  N/A

• Tobacco products not visible to customers and gantry doors close automatically and have age 18 restriction signage?

  Yes

  No

  N/A

• Tobacco labels legally compliant, printed on plain white paper and no larger than 9cm square, and print is the correct size?

  Yes

  No

  N/A

STAFF

• Correct uniform being worn – fuel brand uniform, black trousers, black shoes, no jeans or trainers

  Yes

  No

  N/A

• Fuel brand loyalty card requested or offered to customer

  Yes

  No

  N/A

• Correct brand name badge worn with correct staff name?

  Yes

  No

  N/A

• Staff members engage with customers – friendly, eye contact, up selling etc.

  Yes

  No

  N/A

• Last Serve Legal visit discussed and action taken if needed?

  Yes

  No

  N/A

• Correct shop supplier branded carrier bags available?

  Yes

  No

  N/A

TOILETS

• Toilet and seat are clean, in good condition and does not smell?

  Yes

  No

  N/A

• Hand wash, paper towel or hand drier and Toilet paper available?

  Yes

  No

  N/A

• Sink, walls, ceiling, mirror clean, Air extractor clean, lights clean and working?

  Yes

  No

  N/A

• No empty plastic bottles or cups in toilet room?

  Yes

  No

  N/A

• Litter bin with lid available and not overflowing

  Yes

  No

  N/A

STOREROOM

• Lights are off when room is not n use?

  Yes

  No

  N/A

• Out Of Date products plastic box with sealing lid available and clearly labelled "out of date food not fit for human consumption"

  Yes

  No

  N/A

• Storeroom well organised, old POS units removed, no cross contamination of products, food and drink not stored on the floor?

  Yes

  No

  N/A

• Back up chillers and freezers are clean and defrosted

  Yes

  No

  N/A

• Free from pest infestation (visual check)

  Yes

  No

  N/A

First Aid

• First Aid box contents full, free of medication and all items within date?

  Yes

  No

  N/A

• Two paper suits available?

  Yes

  No

  N/A

• Emergency Eye Wash Available and in date?<br>(only on selected sites) (minimum 2 bottles)

  Yes

  No

  N/A

Notice Board

• The following are displayed with easy access to the cashier but NOT in view of the customers, they must also be printed in colour and either laminated or in poly pockets

• Emergency Response Procedure Flip Chart with site specific contact details completed in the back page?

  Yes

  No

  N/A

• Employers Liability Certificate in date and correct details?

  Yes

  No

  N/A

• Tank to Pump Configuration Plan?

  Yes

  No

  N/A

• DSEAR Hazardous Zones plan?

  Yes

  No

  N/A

• Fire Action/First Aider Notice with two fire assembly points?

  Yes

  No

  N/A

• Health & Safety at Work Poster?

  Yes

  No

  N/A

• Emergency Contact Number Sheet?

  Yes

  No

  N/A

• Fuel Service Support Information Sheet?

  Yes

  No

  N/A

CCTV

• CCTV is compliant with the Premise License Conditions ? e.g. 30 days recording etc.

  Yes

  No

  N/A

• CCTV Date and Time are correct?

  Yes

  No

  N/A

Office Door

• Can office door be securely locked for counting cash in safety?

  Yes

  No

  N/A

• Site Manager's name and signature

  Sign

• Auditor's name and signature

  Sign