Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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TOTAL NUMBER OF NON COMPLIANT RISKS IDENTIFIED DURING AUDIT
HSSE
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1. Is the Fire Risk Assessment prominently displayed back of house for all staff to see? Has the Fire Risk Assessment been reviewed in the past year? <br>
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2. Is the Retailer H&S policy & Retailer Service Station Risk Assessment(s) available? Have they been reviewed following any significant changes?<br>
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3. Is the <br> 1) Health & Safety Law poster<br> 2) Health & Safety at work manual handling poster<br> 3) Current copy of Certificate of Employers Liability Insurance prominently displayed back of house for all staff to see?"<br>
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4. Are all security doors kept closed and locked?<br>
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5. Is Service Station complying with Closed Door Policy?
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6. 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?<br>
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7. 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?<br>
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8. Do staff know where the Panic Alarm Buttons are located?<br> Do staff know what happens when the alarm is pressed? <br> Is the Reset Key available? "<br>
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9. Are the Magnetic Door locks accessible and functioning? (Note these are the remote door locks behind the till)<br>
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10. Without hesitation, is the Customer Service Champion able to produce the:<br> Accident Book,<br> Needle Stick Injury Prevention Pack,<br> Get you Home Safe Clothing,<br> Eye Wash Kit &<br> First Aid Kit?"<br>
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11. Is the Go Home well Emergency Response Flipchart available, first and last page filled in correctly ?
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12. Does the Service Station have an Emergency Evacuation Plan specific to the Service Station and include an appropriate Muster Point?<br>
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13. Is the electrical cupboard free from stored items and easily accessible?<br>
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14. Are the three security stickers displayed at head height next to the shop door :-<br> CCTV in Operation,<br> Staff Do Not Have Access to Safe,<br> Lift Helmet Visor?<br> **16hr Service Stations additionally require** Fog Bandit in Operation sticker"<br>
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15. Is the SAM Lone Worker Guidelines on display and signed by staff?<br>
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16. Are Till limits adhered to with no unsecured cash on site?<br>
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17. Non-24 Hour Stations only <br> Are the Till drawers being left open and the Till float secured in an approved safe (Mini or Main safe)?<br>
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18. Is the Mini Safe secured, locked and does not exceed procedural limit?<br>
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19. Are safe keys or digital safe combination kept securely?<br>
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20. Is the Office secure when the safe is opened?<br>
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21. Are Off-Set Fill Points locked and accurately identified/labelled?<br>
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22. Is the ACO Channel grills clear of debris, allowing Loss Of Primary Containment into the Interceptors?<br>
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23. During the reviewed period, is there a variance on the Fuel Sales Reconciliation Report(period of one week) ? <br> Has the appropriate investigation taken place ?<br>
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24. Is the Veederoot Manual available at time of audit?<br> Is the Vedeeroot alarm sounding whilst on station? What action is being taken by the CSC's?<br>
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25. Is the Correct LPG Personal Protective Equipment available and in good condition?<br>
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26. Does the LPG compound contain 18kg of Fire Extinguisher?<br>
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27. Has there been an accurate LPG tank reconciliation every day?<br>
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28. Is LPG manual available and visible on noticeboards?<br>
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29. Is the Fireman's switch and internal emergency button accessible? Does the CSC/FSC know where to locate the switch / buttons?
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30. Are fire extinguishers readily available?<br>
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31. Do fire buckets contain absorbent sand, are fitted with a lid and have plastic sand spreaders available? <br>
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32. Is there a dedicated lidded container for contaminated sand and does the CSC know how to dispose of contaminated sand?<br>
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33. Are all customer-facing monitors working and showing the correct image? <br> Have issues been reported to Vinci if they do not show a clear/correct image? <br> Are the Yellow CCTV stickers up in the office?
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34. Is the ADBLUE Spill Kit available for immediate use? Do the staff know how to use it and how to store/dispose of waste?<br>
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35. Does the Ad-Blue volume on the Veederoot Inventory Report match the Ad-Blue volume on the tank gauge at the time of audit?<br>
LTO
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1. Is the Service Station ensuring there are no Out of Date products on display?
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2. Can the CSC produce the most recent copy of the allergy information?
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3. Has there been an accurate reconciliation on every Petrol/Diesel/AdBlue tank every day?
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4. Is the Register of Competent Persons available and correct? "Competant Persons Accreditation" and "Competant Persons certificate" to be available
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5. Has all the appropriate LPG Training been completed and in date as per the RLA?
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6. 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)?<br>
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7. Who can you give CCTV to on demand?<br>
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8. Does the Customer Service Champion on the POS know the name of the Designated Premises Supervisor?<br>
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9. Is the Designated Premises Supervisor correct on the Section 57 Notice?<br>
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10. Reviewing the RLA - Has the Customer Service Champion at the POS completed the RLA module titled xxx?<br>
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11. Have all Customer Service Champions on the Station at the time of the audit been authorised to sell alcohol by the Designated Premises Supervisor? <br>
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12. Are the Customer Service Champions wearing the Challenge 25 badge?<br>
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13. Are the ‘Acceptable Forms of ID’ poster, the 3 Challenge 25 posters, the double sided window decal and shelf talkers on display?<br>
Others
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1. Are opening & closing times being adhered to on non 24 hour Service Stations?<br>
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2. Is any customer property retained on the Service Station?<br>
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3. Are there un-authorised Pan Keyed Transactions in the last full month?<br>
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4. Are the prices on the Pole Sign identical to the Pumps and Red Prairie?<br>
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5. Does Red Prairie show Pick Ups are within procedural limits?<br>
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6. Is there evidence of non-adherance to cash handling procedures? <br>
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7. Are the cash collection bags awaiting collection, sealed and present in the MAIN safe?<br>
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8. Is the daily Veederoot Tank Gauge Report printed at 0.00 and filed?<br>
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9. Check all Pump Tests in the last 2 months via GSSP Pump Test Report<br>
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10. Is the Car Wash being reconciled and daily reports being printed and filed for reference?<br>
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11. Are the Car Wash Refund Receipts being printed and filed for reference? <br> Best Practice is the use of a Refund Sheet/Log to record all the Refunds<br>
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12. Are the Buy Time Meter Readings being taken and recorded/reconciled daily?<br>
