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