Title Page

  • Conducted on

  • Prepared by

  • Location
  • Has the Retailer Fire Risk Assessment been reviewed in the past year? (AND/OR BEEN CHANGED INLINE WITH ANY SERVICE STATION CHANGES?)

  • Has the Retailer Service Station Risk Assessment(s) and Retailer H&S policy been reviewed in the last year?

  • 1) Health & Safety Law poster

  • 2) Health & Safety at work manual handling poster

  • 3) Current copy of Certificate of Employers Liability Insurance

  • prominently displayed back of house for all staff to see?

  • Are all security doors kept closed and locked?

  • Is the Service Station complying with the Closed Door Policy?

  • Are all fire exits and secondary means of escape unobstructed and locked from external entry? (Fire exits/secondary means of escape must NOT be bolted shut/deadlocked during operational hours). Ultimately, can you reach the Muster Point in an emergency?

  • Are lone workers locking the front door when away from the till area? Is the round Lone Worker's Sticker on the last door prior to the shop floor?

  • Do staff know where the Panic Alarm Buttons are located?Do staff know what happens when the alarm is pressed? Is the Reset Key available?

  • Are the Magnetic Door locks accessible and functioning? (Note these are the remote door locks behind the till)

  • Without hesitation, is the Customer Service Champion able to produce the:Accident Book,Needle Stick Injury Prevention Pack,Get you Home Safe Clothing,Eye Wash Kit &First Aid Kit?

  • Is the Go Home Well Emergency Response Flipchart available, first and last page filled in correctly?

  • Does the Service Station have an Emergency Evacuation Plan specific to the Service Station and include an appropriate Muster Point?

  • Is the electrical cupboard free from stored items?

  • Are the three security stickers displayed at head height next to the shop door :-CCTV in Operation,Staff Do Not Have Access to Safe,Lift Helmet Visor?**16hr Service Stations additionally require**Fog Bandit in Operation sticker

  • Is any customer property retained on the Service Station?

  • Are there un-authorised Pan Keyed Transactions in the last full month?

  • Is the New SAM Lone Worker Guidelines on display and signed by staff?

  • Is the Service Station ensuring there are no Out of Date products on display?

  • Can the CSC produce the most recent copy of the allergy information?Ie. printed copy and the IPAD

  • Are the prices on the Pole Sign identical to the Pumps and Red Prairie?

  • Are Till limits adhered to with no unsecured cash on site?

  • ***Non-24 Hour Stations only *** Are the Till drawers being left open and the Till float secured in an approved safe (Mini or Main safe)?

  • Is the Mini Safe secured, locked and does not exceed procedural limit?

  • Does Red Prairie show Pick Ups are within procedural limits?

  • Is there evidence of non-adherance to cash handling procedures?

  • Are safe keys or digital safe combination kept securely?

  • Is the Office secure when the safe is opened?

  • Are the cash collection bags awaiting collection, sealed and present in the MAIN safe?

  • Are Off-Set Fill Points locked and accurately identified/labelled?

  • Has there been an accurate reconciliation on every Petrol/Diesel/AdBlue tank every day?

  • Is the daily Veederoot Tank Gauge Report printed at 0.00 and filed?

  • Check all Pump Tests in the last 2 months via GSSP Pump Test Report

  • Is the Register of Competent Persons available and cross referenced to the RLA for compliance?

  • Is the ACO Channel grills clear of debris, allowing Loss Of Primary Containment into the Interceptors?

  • During the reviewed period, is there a variance on the Fuel Sales Reconciliation Report(period of one week)? Has the appropriate investigation taken place?

  • Is the Veederoot Manual available at time of audit?Is the Vedeeroot alarm sounding whilst on station? What action is being taken by the CSCs?

  • Is the Correct LPG Personal Protective Equipment available and in good condition?

  • Does the LPG compound contain 18kg of Fire Extinguisher?

  • Has all the appropriate LPG Training been completed and in date as per the RLA?

  • Has there been an accurate LPG tank reconciliation every day?

  • Is LPG manual available and visible on noticeboards?

  • Is the Car Wash being reconciled and daily reports being printed and filed for reference?

  • Are the Car Wash Refund Receipts being printed and filed for reference? Best Practice is the use of a Refund Sheet/Log to record all the Refunds

  • Are the Buy Time Meter Readings being taken and recorded/reconciled daily?

  • Is the firefighter's switch/external emergency button accessible? If the CSC/FSC does not know where to locate the button, mark as

  • Are fire extinguishers readily available?

  • Do fire buckets contain absorbent sand, are fitted with a lid and have plastic sand spreaders available?

  • Is there a dedicated lidded container for contaminated sand and does the CSC know how to dispose of contaminated sand?

  • Is the CCTV system operating at an acceptable standard including all monitors? (e.g. clear picture, all cameras working without interference, 31 days recording, the time matches the till point within 1 minute)?

  • Are all customer-facing monitors working and showing the correct image? Have issues been reported to Vinci if they do not show a clear/correct image?Are the Yellow CCTV stickers up in the office?

  • Who can you give CCTV to on demand?

  • Is the ADBLUE Spill Kit available for immediate use? Do the staff know how to use it and how to store/dispose of waste?

  • Does the Ad-Blue volume on the Veederoot Inventory Report match the Ad-Blue volume on the tank gauge at the time of audit?

  • Does the Customer Service Champion on the POS know the name of the Designated Premises Supervisor?

  • Is the Designated Premises Supervisor correct on the Section 57 Notice?

  • Reviewing the RLA - Has the Customer Service Champion at the POS completed the RLA module titled xxx?

  • Have all Customer Service Champions on the Station at the time of the audit been authorised to sell alcohol by the Designated Premises Supervisor?

  • Are the Customer Service Champions wearing the Challenge 25 badge?

  • Are the ‘Acceptable Forms of ID’ poster, the 3 Challenge 25 posters, the double sided window decal and shelf talkers on display?

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.