Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Forecourt

  • Were you able to enter the forecourt<br>without any temporarily obstructions?

  • Were staff in Forecourt friendly?

  • Give an example of a customer's vehicle filling by any bouzer

  • Did attendant offer oil and water?

  • Did attendant offer to clean widescreen?

  • Did attendant offer to check tyre pressure?

  • Were customers thanked and invited back to the site?

  • Were the staff working with the sense<br>of emergency?<br>

  • Were customers informed about any<br>unforeseen delays?

  • Were managers present and<br>frequently interacting with customers?

  • Were all grades of fuel available?

  • Were there enough water in water<br>cans by the bouzers?

  • Was the forecourt clean?

  • Were exterior signages and pylons clean?

  • Canopy clean?

  • Were banners and flags clean and in<br>good condition?<br>

  • Were benches and umbrellas clean?

  • Parking area clean and in good repair?

  • Were bouzers and areas next to<br>bouzers clean?<br>

  • Were pumps decals dust free and in<br>good condition?

  • Were refuse and disposal areas clean<br>and in neat condition?<br>

  • Grass not longer than 5cm?

  • Were toilets clean?<br>

  • Were plumbing taps in working condition and no visible leaks?

  • Sufficient toilet rolls available?

  • Were all light in forecourt working?<br>

  • Were bins by the bouzers clean/not full?

  • Were all staff in forecourt wearing uniforms?

  • Were Emergency procedures are<br>available for fire, spillage, accident,<br>equipment failure and other potential<br>abnormalities or emergencies?<br>

  • Were Employees are trained in the use of emergency equipment?

  • Emergency plan is regularly reviewed and updated as required?

  • Spill kit is complete and readily available?

  •  Telephone is located adjacent to the control console?

  • Main emergency stop is available to shut off power to all dispensing units?

  • Main emergency stop is readily accessible in an emergency (i.e. there is clear access to the emergency stop with no obstructions such as racks, shelves or spill kits)?

  • Main emergency stop activation device (e.g. switch or button) is clearly labelled ‘EMERGENCY STOP’?

  • Main emergency stop is routinely tested to ensure it functions?

  • Were Areas around the dispensers<br>and payment unit are sufficiently lit to<br>provide a safe working environment<br>whenever the unit is available for<br>service?

  •  Were fire extinguishers dates in forecourt still valid?

  • Were Extinguishers are located near<br>dispensers or other item being<br>protected?<br>

  • Were Extinguishers are accessible without undue danger in an emergency?

  • Each extinguisher location is marked by a ‘FIRE EXTINGUISHER’ sign mounted at least 2 m above ground?

  • Were Hoses are free of cracks,<br>fractures, leakage, or movement<br>between hose and fittings?<br>

  • Were Prominent ‘STOP ENGINE – NO SMOKING’ signs are displayed on or near the dispenser?

  • There is a sign at the above-ground tank or tank storage area showing either standard warning symbols of at least 100 mm diameter or words saying ‘FLAMMABLE GAS’ and ‘NO SMOKING’, or a warning sign (in lettering of at least 50 mm high) prohibiting smoking and ignition sources?

  • If the area is isolated by a fence, were<br>the signs must be visible from outside<br>the fence and all points of access?<br>

  • The site has a clear exit for fuel tankers so vehicles leave by driving forward without needing to reverse?

  • Was the gas cage available, in good<br>condition and fully secured?

  •  Cylinder cages are outdoors?

  • The front of each cage has a dangerous goods class label (i.e. red diamond-shaped sign for Division 2.1 flammable gases) measuring 250 mm square?

  • The front of each cage has a ‘FLAMMABLE GASES – NO SMOKING, NO FLAME’ warning sign Note: Standard warning symbols may be used instead?

  • No smoking or ignition sources within 3 m of any point where flammable liquid might be exposed?

  • Were Fill and dip caps (e.g.<br>underground tanks)<br>maintained in a liquid-tight condition?

  • No filling in Plastic containers that do not comply with The Department of Energy Regulations?

  • Were Containers put on the<br>ground while being filled at a fuel<br>dispenser (i.e. must not be in or on a<br>vehicle or trailer)?

  • There are procedures to manage spills, especially a spill of flammable liquid on clothing?

  • When last pump calibration done?

  • When is next pump calibration?

  • Were side reading meteres working correctly?

  • Were there no visible leak in pump nozzles and hoses?

  • Were there no leaks under the<br>bouzers?

  •  Were all seals on the pumps not tampered with?

  • Were pump readings matching<br>computer readings?<br>

  • Were the lights of all pumps screens working, digits are readable and no cracks on the screen?

  • Were all lockset keys kept in order?<br>

  • Were the filler tank breathers free of any obstructions?

  • Were the filler and dip points and dip<br>points free of water?

  • When last filler and dip points cleaned?

  • Filler and dip points free of dirt?

  • Filler and dip points earthed?

  • Filler and dip points in good condition?

  • What are the current dips?

  • What are the current dips levels shown on the computer?

  • Were dip sticks usable easily and well<br>maintained?<br>

  • Were dip sticks kept in a clean and safe place?

  • Were Filler and dip points locked and<br>keys were available?<br>

  • Where were the Filler and dip points keys kept?

  • Where the spare keys kept?<br>

  • When air gauges were serviced?

  • When is air guages next service?

  • When compressor was serviced?

  • When is compressor next service?

  • Were air hoses free of leak, greece and dirt?

  • Were air hoses free of leak, greece<br>and dirt?<br>

  • Were air gauges indications working probably?

  • Were air guages kept safe and not abused?

  • Were the compressor clean, free of oil<br>leak and air leak?

  •  Was the oil level in the compressor above 3/4?

  • Is the site using single phase or 3 phase electrical meter?

  • How many AMPs available for this site?

  • Does the site have COC Electrical Certificate?

  • Was the db board covered?<br>

  •  Were there no strain on DB breakrs and all were working?

  • Were there no visible wires in the db board?

  • Were there no strain on DB breakrs<br>and all were working?<br>

  • Were all computers search protectors working?

  • All switches and plugs working?

  • All daylight switches working?

  • Were All spot lights around the<br>building working and clean?<br>

  • Were Mono lights visible and working?

  • Was the water tank in good condition<br>and well maintained?<br>

  • Was water pump clean and safely kept?

  • Were ther no water pump leak?

  • What was the water pump pressure?

  • Were the water tanks full and having sufficient amouts of water?

  • Were there no leaks by the tanks area?

  • In scale of 1 to 10, how satisfied were you with the forecourt?

Convenience Store

  • Was shop front clean, operational and<br>in good condition?<br>

  • Was the shop interior clean?

  • Were you able to move around the<br>store without any obstructions?<br>

  • Was counter clean, neat and uncluttered?

  • Were areas underneath and behind<br>equipment and shelving clean?<br>

  • No staff items stored on shelves?

  • Were the shelves and displays clean<br>and stocked?

  • Are smilar products items grouped together?

  • Were stock on shelves priced?<br>

  • Current specials?

  • Current specials prices displayed?

  • Were display fridges fully stoked,<br>decals neat and in good repair?<br>

  • Were cold room and freezer room working, clean and stocked?

  • Were freezer and freezer room<br>defrosted regularly and in good repair?<br>

  • Were the shop ceiling clean?

  • Were all the shop lights working?<br>

  • Were the staff inside the shop friendly?

  • Where customers acknowledged once approaching the counter?

  • Were customers greeted with direct<br>eye contact and sincere smile?<br>

  • Were customers informed about current promos?

  • Vocalize cash amount received before placing it in the drawer?

  • Were there sufficient change on had<br>for cash transactions?<br>

  • Count out and voice the correct amount of change to the customer?

  • Place correct change due and a till slip in customer's hand?

  • Were customers informed about any unforeseen delays?

  • Were customers thanked and invited<br>back to the site?<br>

  • One of the current promos displayed on till slip?

  • Were staff working with the sence of<br>urgency?<br>

  • Were managers present and frequently interacting with the customers?

  • Were the speedpoint machines<br>working?<br>

  • Were stock levels on Par and ordering is in place based on sales?

  • Were emergency signs visible?

  • Were the fire extinguishers still valid?<br>

  • No visible hazards potentially detrimental to staff or customers?

  • Were plug points clean and in good<br>repair?<br>

  • Were electrical cables neatly tacked and not frayed?

  • Was back door locked and suprrvised<br>while accessing it?<br>

  • In scale of 1 to 10, how satisfied were you with the convenience store?

Office Checks

  • Were Cigarettes count done?

  • Were the cigarettes count balancing from last inspection till current inspection?

  • If not, comment

  • Were oil count done?

  • Were the oil count balancing from last inspection till current inspection?

  • If not, comment

  • Were daily dips checked?

  • Were daily dips recorded correctly from last inspection till current inspection?

  • If not, comment

  • Were the side readings checked?

  • Were the side readings adding up correctly from last inspection till current inspection?

  • If not, comment

  • Were the account statements given to the related customers on time?

  • Were accounts up to date and paid by<br>the related customers?<br>

  • Were GRVs amounts balancing VS Invoices amounts?

  • Were all invoices GRVed and sent to<br>head office?<br>

  • Was the staff register completed and sent to head office?

  • Were the 5 items counting per day<br>done and recorded in the stock book?<br>

  • Were the stocks of these 5 items balancing?

  • Were daily staff meetings recorded<br>and placed in a file?

  • Were customers complaints recorded,<br>responded to within 24 hours and kept<br>on file?

  • Staff roster structured to accommodate customers demands - Not short staffed or over staffed ?

  • Were instore evaluations done daily by the site manager and filed?

  • List of emergency telephone numbers, including the fire brigade, ambulance services and other emergency responders is prominently displayed near the control centre (console) telephone?

  • Basic conditions of employment Act displayed?

  • Occupational health and saftey act displayed?

  • Pest control contract in place and pest control file updated according to each visit done by the pest control company?

  • Were there no sign or presence of<br>rodents or insect infestation?<br>

  • Dedicated ADSL available for uploads and communication?

  • Emails working?

  • Printers working?

  • Scanner working?

  • Phone lines working?

  • Alarm system working?

  • CCTV working?

  • How many visible camera channels?

  • Sufficient cleaning materials available?

  • Mops

  • Brooms

  • Cloths

  • Cleaning chemicals

  • Maintenance file in place and updated with all repairs jobs done to date?

  • In scale of 1 to 10, how satisfied were you with the books keeping?

End of Inspection

  • Were the site manager made aware of the inspection outcomes?

  • Did the site manager make a note of strength and weakness points raised during this inspection?

  • Did the site manager write an action plan in order to sort out and resolve the issues raised during this inspection?

  • Any comments, requests or complaints
    from management or staff?

  • Select date

  • Add location
  • Name and signature of the site manager

  • Name and signature of the inspector

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