Title Page

  • Site conducted

  • Site Manager Name

  • Conducted on

  • Prepared by

  • AM Name

  • Location
  • Take a selfie with the site in the background

Ready for Customer

  • Entry and Exit is clear of obstruction

  • Picture of Entry and Exit

  • Facia, monolith and Taj Pylon are clean, undamaged and all lights are working (if night time)

  • Picture of facia and monolith

  • All fire cylinders filled and working?

  • Picture of Fire Cylinders

  • Picture of decantation point

  • Forecourt clean and free of litre?

  • Picture of Forecourt

  • All branding material (banner, flags, etc) are clean and undamaged

  • Picture of branding material (banner, flag, etc)

  • All dispensers are clean and undamaged

  • Picture of diesel dispenser / island

  • All Staff wearing clean and non-faded uniform (Shirts tucked in, shoes as per standard, and wearing caps)

  • Site staff is available as per OLE

  • Approved OLE

  • Actual Staff on forecourt

  • Safety is available on forecourt

  • Traffic guide is available on the forecourt and is directing traffic to empty islands

  • Picture of site staff

  • Picture of attendance board

  • Staff safety duties are assigned and they know their duty in case of emergency

  • Picture of staff safety duty board

  • Emergency cut off switch is operational

Executive Toilet

  • Does the site have Executive or Premium Toilet?

  • Toilet Checklist is placed and is being filled properly

  • Main toilet floor is clean and dry

  • There is no litre on floor

  • All sinks / wash basin are clean and without marks

  • Mirror is clean and without marks

  • Soap is available

  • Towel / Paper Towel is available

  • All taps are operational

  • Hand dryer is clean and operational

  • All toilet stand floor is clean and dry

  • All toilet seats are clean and wiped

  • All toilets are flushed

  • All toilets are working

  • All walls and doors are clean and undamaged

  • All lights are working

  • All exhaut fans are working and turned on

  • Dustbins are clean and emptied

  • Dustbin are covered and have plastic bag lining

  • There is no smell in the toilet

  • Picture of main toilet floor

  • Picture of toilet stand

  • Picture of sinks

  • Picture of toilet entry / exit

  • Picture of Dustbin

  • Picture of Toilet Cleaning Checklist

Public Toilet

  • Does the site have public toilet

  • Toilet Checklist is placed and is filled properly?

  • Main toilet floor is clean and dry

  • There is no litre on floor

  • All sinks / wash basin are clean and without marks

  • Mirror is clean and without marks

  • Soap is available

  • Towel / Paper Towel is available

  • All taps are operational

  • All toilet stand floor is clean and dry

  • All toilet seats are clean and wiped

  • All toilets are flushed

  • All toilets are working

  • All walls and doors are clean and undamaged

  • All lights are working

  • All exhaut fans are working and turned on

  • Dustbins are clean and emptied

  • There is no smell in the toilet

  • Picture of main toilet floor

  • Picture of toilet stand

  • Picture of sinks

  • Picture of toilet entry / exit

  • Picture of dustbin

  • Picture of Toilet Cleaning Checklist

Documentation

  • KPI Book: Customer Measurement Check report is complete and maintained

  • Picture of Customer Measurement check report

  • KPI Book: Customer phone call report is complete and maintained

  • Picture of Customer phone call report

  • KPI Book: Customer Feedback Form is complete and maintained

  • Picture of Customer Feedback Form

  • KPI Book: Dispenser measure check report is complete and maintained

  • Picture of Dispenser measure check report

  • KPI Book: Night Shift personal visit report is complete

  • Picture of Night Shift personal visit report

  • KPI Book: CCTV recording check report is complete and maintained

  • Picture of CCTV recording check report

  • Generator log is maintained

  • Picture of Generator log

  • Dipbook is completed and updated

  • Picture of Dipbook

  • Site Maintenance report is complete and maintained

  • Picture of site maintenance report

  • Tank Lorry decantation report is complete and maintained

  • Picture of tank lorry decantation report

  • Target sheets are updated

  • Picture of target sheets

  • Competition sale & prices are updated

  • Picture of competition sale and prices sheet

  • Staff scorecards are complete and updated

Other

  • Staff morning briefing was conducted at the start of the shift

  • SM was available at the staff morning briefing

  • Picture from CCTV of morning briefing

  • 3 Day Stock Cover is maintained for both super and diesel?

  • Payment is made timely. i.e. by 4 pm day before the order is required

  • Review Tank Lorry Decantation for previous day. All PPEs are being used?

  • Picture of decantation from CCTV

  • Review Customer Service Steps from last day. Are all customer steps being followed?

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.