Information

  • Audit TitleC-STORE

  • Client / SiteAG VALLEY COOP

  • Conducted on

  • Prepared by

  • Location
  • Personnel

1.0 - FUEL PUMP AREA

  • 1.1 - Is the pump area well stocked and clean?

  • 1.2 - Is required signage in place and in good condition?

  • Emergency shut off clearly marked?

  • Emergency telephone well identified?

  • Are emergency contact numbers clearly posted with current information?

2.0 - INSIDE THE STORE

  • 2.1 - Emergency exits well marked?

  • 2.2 - Emergency lighting in place and operational?

  • 2.3 - Aisles are clear and uncluttered?

  • 2.4 - Extinguishers inspections documented?

  • 2.5 - Extinguishers clear of obstructions?

  • 2.6 - No slip or trip hazards identified?

  • 2.7 - Electrical cords are all properly grounded?

  • 2.8 - Electrical cords in good condition (no breaks, exposed wires, pulled connections at plug ends)?

  • 2.9 - Electrical cords are properly used and protected against abrasion?

3.0 - FOOD PREPARATION AREA

  • 3.1 - Access is clear and uncluttered?

  • 3.2 - Floor surface clean and slip hazards removed?

  • 3.3 - Electrical connections are safe and complete (no missing covers, etc)?

4.0 - UNDERGROUND TANK INFORMATION

  • 4.1 - Employee is able to provide UG Tank Book?

  • 4.2 - Emergency contacts current?

  • 4.3 - Copies of all A,B &C Operator Certificates applicable to the location are available?

  • 4.4 - Daily inventory reconciliation records are current and available for 5 years?

  • 4.5 - Cathodic protection records -at least 6 years records- available?

  • 4.6 - Line leak detection test results available for at least 5 years?

  • 4.7 - Department of Weights and Measures Meter Test Results for last 5 years?

  • 4.8 - Are fall preventive measures in place and used where gaps occur in railings?

  • 4.9 - Are monthly tank tightness tests or SCALD records available for 5 years?

5.0 - POLICIES

  • 5.1 - Emergency Ation Plan is available and updated?

  • 5.2 - Employees know where the rendezvous location (primary and secondary) are for the location?

  • 5.3 - Employees know who to call in case of emergency?

  • 5.4 - Employees have discussed and planned for severe weather events?

6.0 - ADDITIONAL STORAGE AREAS

  • 6.1 - Shelving units are secure, stable, and organized?

  • 6.2 - Adequate spacing between shelf units?

  • 6.3 - Exits clear and passageways unobstructed?

11.0 LADDERS

  • 11.1 - Are all ladders Industrial strength? (Non Household rated, check label.)

  • 11.2 - Are ladders in good condition?

12.0 - FIRST AID

  • 12.1 - Are cabinets and contents clean and orderly?

  • 12.2 - Are contents regularly checked?

  • 12.5 - Is there easy access to cabinets?

  • 12.6 - Employees aware of location of first aid cabinet?

ADDITIONAL NOTES OR INFORMATION

  • Are there any other issues noted?

Sign Off

  • On site representative

  • Auditor's signature

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