PFS 12 Point Health Check

• PFS Health Check

• Visit Date

  Date

• PFS Operations Coordinator

• Store Manager

• Area Manager

• Completed On

• Score

• Table of Contents PFS 12 Point Health Check - 00/100 - 100% 1. E-Site Register/Staff Training 2. COSHH. Data and Risk Assessment Files 3. PPE 4. Forecourt Equipment 5. Pump Security 6. Pump Emergency Manual Changeover 7. Offset Fill Point Area Tank Manhole Chambers Interceptor Channels 8. Equipment Fault Reporting Logged Reference Number 9. General Housekeeping/Standards of the Forecourt

1. E-Site Register/Staff Training

• 1.1 - E - Site Register log on

  Yes

  No

  N/A

• 1.2 E - Site Register staff training

  Yes

  No

  N/A

• 1.3 E - Site Register training documents available

  Yes

  No

  N/A

• 1.4 Health and Safety Checks completed,<br>Filed and signed by SGM

  Yes

  No

  N/A

• 1.5 Record of visitors to Petrol Filling<br>Station correct procedure followed

  Yes

  No

  N/A

• 1.6 Training cards complete and annual<br>Refresh training completed (Refer to<br>Competent person training references)

  Yes

  No

  N/A

• 1.7 Competent Persons Register completed<br>As per Company procedure (Refer to competent person training references)

  Yes

  No

  N/A

2. COSHH data and Risk Assessment Files

• 2.1 Petrol COSHH risk Assessments and<br> Data sheets available (Health and Safety<br>department)

  Yes

  No

  N/A

• 2.2 Holchem COSHH risk Assessment<br>And Data sheets available (Health and<br>Safety department)

  Yes

  No

  N/A

3. PPE

• 3.1 Cones - Order via Oracle

  Yes

  No

  N/A

• 3.2 Hi Visibility vests - order via Personnel

  Yes

  No

  N/A

• 3.3 Safety goggles (Expenses)

  Yes

  No

  N/A

• 3.4 Face masks Dust respirators (Expenses)

  Yes

  No

  N/A

• 3.5 Rubber Gloves - Order via expenses

  Yes

  No

  N/A

• 3.6 2 x Paper overall suits - order via expenses

  Yes

  No

  N/A

• 3.7 2 Piece wet suit - order via expenses

  Yes

  No

  N/A

• 3.8 2 pairs of Wellington Boots - order via oracle

  Yes

  No

  N/A

• 3.9 Apron - order via expenses

  Yes

  No

  N/A

• 3.10 LPG auto gas First Aid instructions<br>Order via expenses

  Yes

  No

  N/A

4. Forecourt Equipment

• 4.1 LPG auto gas compound - missing,damaged signage, log call with Vianet

  Yes

  No

  N/A

• 4.2 LPG compound - Tanks in good condition

  Yes

  No

  N/A

• 4.3 LPG Compound - Pipework in good condition, not corroded

  Yes

  No

  N/A

• 4.4 LPG compound locked and secure! both gates

  Yes

  No

  N/A

• 4.5 DCD Test telephone and alarm - Report telephone line issues to Morrisons IT, faulty phone log a call with Vianet

  Yes

  No

  N/A

• 4.6 DCD cabinet condition - report any issues to Vianet

  Yes

  No

  N/A

• 4.7Pump to Tank map displayed in DCD/DEC Box - Contact your PFS operations Coordinator

  Yes

  No

  N/A

• 4.8 High level delivery lighting - Report any issues to Vianet

  Yes

  No

  N/A

• 4.9 Bulk head delivery lighting - Report Amy issues to Vianet

  Yes

  No

  N/A

• 4.10 Cylinder Gas (Applicable Sites only)

  Yes

  No

  N/A

• 4.11 Tannoy/PA system operational

  Yes

  No

  N/A

5. Pump Security

• 5.1 Locking bars/ Padlocks available

  Yes

  No

  N/A

• 5.2 Individual Nozzle Locking Bars available

  Yes

  No

  N/A

6. Pump Emergency Manual Changeover

• 6.1 Emergency box set up

  Yes

  No

  N/A

• 6.2 Emergency Procedure available

  Yes

  No

  N/A

7. Offset Fill Point Area Tank Manhole Chambers Interceptor Channels

• 7.1 Offset Fill grade label/capacity labels

  Yes

  No

  N/A

• 7.2 Cover on Offset Fill blanked Tanks

  Yes

  No

  N/A

• 7.3 Fill caps tight and securely padlocked

  Yes

  No

  N/A

• 7.4 Caution High Level Alarm no Overfill Prevention warning sign fitted

  Yes

  No

  N/A

• 7.5 VR cap tight and secure/padlocked

  Yes

  No

  N/A

• 7.6 Vent stacks individually numbered

  Yes

  No

  N/A

• 7.7 Vent stack hazard warning signage in situ

  Yes

  No

  N/A

• 7.8 Vent stacks secure and free from corrosion

  Yes

  No

  N/A

• 7.9 Tank Grades/capacity labels on fill points

  Yes

  No

  N/A

• 7.10 Tank manhole chambers free from water - report issues to MML

  Yes

  No

  N/A

• 7.11 Warning sign, this tank is connected to Vapour recovery (Unleaded tanks only)

  Yes

  No

  N/A

• 7.12 All Tank manhole ducting sealed

  Yes

  No

  N/A

• 7.13 Tank Manhole lifter/T-bar available

  Yes

  No

  N/A

• 7.14 Forecourt perimeter interceptor channel and gridding clear and in good condition

  Yes

  No

  N/A

• 7.15 Offset Fill area interceptor channel and gridding clear and in good condition

  Yes

  No

  N/A

8. Equipment Fault Reporting Logged Reference Number

• 8.1 DCD/DEC Box

  Yes

  No

  N/A

• 8.2 Pumps including LPG Pumps

  Yes

  No

  N/A

• 8.3 Jet Wash - Vacuum - Airline

  Yes

  No

  N/A

• 8.4 Carwash

  Yes

  No

  N/A

• 8.5 Pole Sign

  Yes

  No

  N/A

9. General Housekeeping/Standards of the Forecourt

• 9.1 Pumps clean, condition of panels, hoses, nozzles and decals

  Yes

  No

  N/A

• 9.2 Carwash - Condition af machine and the Carwash bay. Chemical levels are clearly marked, decals

  Yes

  No

  N/A

• 9.3 Vacuum - Spare Crevice tool, hose and cuff available, condition of machine, bucket emptied, decals

  Yes

  No

  N/A

• 9.4 Airline - Condition of hose and machine. Retract working, decals

  Yes

  No

  N/A

• 9.5 Jet Wash - Condition of machine. Brush, hose, lance, spanner sand WD40 available

  Yes

  No

  N/A

• 9.6 Watering can and screenwash buckets with sponge available - Water clean and changed daily

  Yes

  No

  N/A

• 9.7 V-kleen and pump available (Oracle 70026365). Only approved chemicals used.

  Yes

  No

  N/A

• 9.8 Sand buckets 3/4 full of kiln dried sand

  Yes

  No

  N/A

• 9.9 25 kilos of surplus sand available

  Yes

  No

  N/A

• 9.10 Sand spreading implement available

  Yes

  No

  N/A

• 9.11 Contaminated sand bunker locked

  Yes

  No

  N/A

• 9.12 Minor spillage procedure followed

  Yes

  No

  N/A

• 9.13 Forecourt bins emptied regularly

  Yes

  No

  N/A

• 9.14 Diesel gloves available

  Yes

  No

  N/A

• 9.15 Plant room access

  Yes

  No

  N/A

• 9.16 Salt available for Carwash reclaim and reclaim topped up.

  Yes

  No

  N/A

10. Administration Standards

• 10.1 Notice Board to plan - refer to plan on MYSYS

  Yes

  No

  N/A

• 10.2 All documents are correct and in date

  Yes

  No

  N/A

• 10.3 Filing Cabinet set up correctly

  Yes

  No

  N/A

• 10.4 PFS Contact List current issue

  Yes

  No

  N/A

• 10.5 Delivery certificates filed (13 months available)

  Yes

  No

  N/A

11. Leaflets and Posters

• 11.1 Carwash poster - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.2 Fuel Genie poster - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.3 CCTV in operation - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.4 LPG auto gas available at this Pump - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.5 Pay at Pump posters - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.6 Morrisons Miles poster - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.7 pay@Pump leaflet - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.8 Fuel Genie leaflet - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 11.9 Calor cylinder gas legal safety agreement leaflet - order via RCPOSREQ code 4455270

  Yes

  No

  N/A

• 11.10 Today's Petrol Price poster - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

12. Forecourt Signage

• 12.1 Licensee Address Plate - MML

  Yes

  No

  N/A

• 12.2 Canopy height restriction sign - MML

  Yes

  No

  N/A

• 12.3 Stanchion Hazard Warning notice - MML

  Yes

  No

  N/A

• 12.4 Card acceptance signage - MML

  Yes

  No

  N/A

• 12.5 Emergency Fireman's switch - MML

  Yes

  No

  N/A

• 12.6 Pump isolation switch - MML

  Yes

  No

  N/A

• 12.7 Vacuum, Jet Wash and Airline signage - Vianet, approved by PFS Coordinator

  Yes

  No

  N/A

• 12.8 Pump numbers and Operating instructions - Expenses pad

  Yes

  No

  N/A

• 12.9 Pay@Pump OPT headers - order via RCPOSREQ. (Marketing)

  Yes

  No

  N/A

• 12.10 Magnecap units and inserts - Magnecap details on PFS Contact List

  Yes

  No

  N/A

• 12.11 Fairbanks Tank Gauge Wetstock sign- Fairbanks details on PFS contact List

  Yes

  No

  N/A

• 12.12 Spill advice to customers - Expenses pad

  Yes

  No

  N/A

• 12.13 No smoking signs - Expenses pad

  Yes

  No

  N/A

• 12.14 Sentry A Frame signage - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 12.15 Pole sign posters - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

• 12.16 Motor Cycle helmet removal sign - order via RCPOSREQ (Marketing)

  Yes

  No

  N/A

Additional Comments/Feedback

• Enter any corrective actions to be undertaken

  Yes

  No

  N/A

• All action points where improvements have been identified on this report should be resolved and confirmation sent via email to your PFS coordinator! please copy in your Area Manager and Regional Director by :-

  Yes

  No

  N/A

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• Report Discussed with - Duty Manager

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• PFS Operations Coordinator

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