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  • 1. Answer all the questions provided below.
    2. Add photos and notes by clicking on the paperclip icon, if applicable.
    3. To add a Corrective Action click on the paperclip icon then "Add Action", provide a description, assign to a member, set priority and due date. (Please include the Next Steps, Name of Person and When will the action take place.)
    4. Complete audit by providing digital signature.
    5. Share your report by exporting as PDF, Word, Excel or Web Link.

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  • Boundary walls and fences in good condition with no damage visible?

  • Merchandise store outside is kept tidy and stacked safely?

  • Forecourt surface in good condition with no slip/trip hazard or damage?

  • Number of dry powder fire extinguishers ( minimum 2)

  • Date of last inspection ( within 12 months)

  • Fire buckets at least 3/4 full with dry sand and lids

  • Emergency Cut Off switch clearly labelled and accessible?

  • Tannoy system working correctly?

  • Hoses and nozzles free from wear or cracking (retractable hoses must be PULLED<br>OUT and checked)?<br><br>

  • Pump islands, kerbs and bollards in good condition?

  • All metal gratings in place, clear of debris and with securing bolts present?

  • Below ground fillpoints free from WATER / rubbish with no evidence of illegal tank<br>entry? <br>

  • Delivery manhole chamber surround free from build up of dust / muck?

  • Lifting key available (if required)?

  • Floodlights and canopy lights working?

  • Tank labels VISIBLE with text CLEARLY READABLE?

  • Tank, offset fill and vapour recovery padlocks fitted and locked?

  • Fill pipe caps chained to the fill pipe?

  • Emergency Equipment Cabinet phone working (check for dial tone)?

  • Emergency Equipment Cabinet phone working (check for dial tone)?

  • Adequate forecourt cones available?

  • All LPG cylinders are stored within a locked cage?

  • Compound tidy and free from damage, LPG checklist up to date (refer to OnSite -<br>H&S/LPG Bulk Fuel - for guidance)? <br>

  • All bins are locked?

  • Clean and tidy, with no overgrown shrubbery or weeds visible?

  • Locks working and alarmed when closed?

  • Canopy heights marked clearly on all approaches?

  • All vent pipes correctly tagged?

  • Stanchion warning sign (No Smoking / Switch off Engines, etc)?

  • Correct grade stickers on all dispensers?

Shop Floor/POS

  • Electronic door lock (shunt lock) working where fitted?

  • Digi locks / electronic lock working on doors leading to secure area / storeroom?

  • Emergency phone working (dial tone audible) and available to staff?

  • “Wet Floor” sign is available and clean?

  • Floor clear of trailing or damaged extension leads ?

  • Safety torch (Usually YELLOW or ORANGE) available and working?

  • Safety knife undamaged, available and being used?

  • Clear of boxes and other obstructions (check the door opens easily)?

  • Clearly marked with “Running Man” sign and leads to a place of safety?

  • Secured ONLY by push bar and glass bolt when site open (signage in place)?

  • Minimum one DRY POWDER, one CARBON DIOXIDE CO2. How many in total?

  • All locations marked with red “Fire Point” label?

  • All locations noted on Emergency Flip chart?

  • Fully charged with safety pin in place?

  • Note the date of last inspection DATE

  • Note the date of your last emergency drill DATE

  • Probe Thermometer available and working ?

  • Electricity cupboard free from visible damage and containing NO stored items (mops, buckets etc)?

  • Smoke Detector working (press “TEST” button to check)?

  • PPE 2 x Hi Viz tabard / jacket available (minimum) and in good order?

  • Gloves & goggles available and in good order?

  • All shelves properly secured?

  • Goods are all stacked correctly (part cases on top) with no shelves overloaded?

  • All perishable food items stored off the floor?

  • Are there steps / staircases in the secure area, leading to storerooms / offices /<br>other areas etc ?<br><br>

  • Are all steps / stairways in good condition with no defects (no loose tread, no<br>broken edges etc) ?<br><br>

  • Are all steps / stairways fitted with a secure handrail on one side ?

  • Secure area signage displayed?

  • Emergency Flipchart displayed?

  • Emergency Flip chart Section 1 (Contacts) up to date?

  • Emergency Flip chart Section 8 (Fire) up to date?

Age Restricted sales

  • No ID No Sale Refusals Register up to date and correctly signed off?

  • No ID No Sale 'Challenges Made' log up to date and correctly signed out?

  • Challenge 25 Badges worn by all staff on duty?

  • Certified copy of the Premises Licence Act 2003 - Part A retained in safe?

  • Copy of the Premises Licence Summary - Part B displayed adjacent to the alcohol<br>section?<br><br>Proprietor Address and Licensing Hours Letter displayed where possible?

  • DPS Authorisation Sheet Filed in Alcohol Manual and SIGNED BY ALL STAFF?

  • DPS name and address are THE SAME on both Premises and Personal Licence?

  • Individual staff training records up to date ?

  • Alcohol Licensing manual available and fully up to date?

  • Legal required signage displayed as per 'Age Restricted Signage' template?

  • No ID No Sale Underage Laws and Maximum Penalties Laminate (yellow sheet)?

  • No ID No Sale Valid I.D. Laminate (yellow sheet)?

Work Equipment

  • Top handrail securely attached and undamaged?

  • Steps secure, with no damaged treads?

  • Stepladders top platform secure and undamaged? locks in place

  • Rubber feet in place and in good condition?

  • Kickstool - Castors undamaged / unit moves correctly?

  • No broken / sharp edges?No broken / sharp edges?

Bake off/Hot food

  • Hand held temperature probe available?

  • Protective gauntlets, clean apron and tongs available in good condition and being<br>used?<br><br>Protective gauntlets, clean apron and tongs available in good condition and being<br>used?<br><br>Protective gauntlets, clean apron and tongs available in good condition and being<br>used?<br><br>Due Diligence, Cleaning Schedule and Rota Production Sheets Completed?

  • Probe Calibration monthly check completed?


  • Time & date correct on recording unit?

  • Recording system working correctly, images clear and sharp on payback?

  • Digital recorder back-up system in place and working correctly (VHS or hard disk)?

  • 28 days (minimum) footage to be retained?


  • All safes operational (both free standing and floor safes - are they being used,<br>combinations confidential and keys safe and secure) Note date of last combination<br>change?<br><br>

Due Diligence

  • Stock rotation sheet up to date (note date of most recent check) / SEL check?

  • Competent person and all training up to date for all employees?

  • COSHH Register signed by all team member?

  • Chiller, Freezer and Delivery Vehicle temperature checks up to date?

Wet Stock management

  • Gauges working and clear of All alarm conditions?

  • NO WATER confirmed (attach print our to checklist)?

  • Missing or inaccurate ticket issues identified and resolved?

  • Monthly wet stock check completed?

Site register

  • Register in place and up to date?

  • Site details and staff training sheet signed by all team members?

  • Vapour recovery annual/three yearly maintenance certificate present?

  • Vapour Recovery permit (LAPPC permit)?

  • Vapour Recovery fault log?

  • Competent Person register up to date and all certificates current?

  • Interceptor Cleaning certificate?

  • Electrical Test certificate?

  • Fire Extinguisher certificate?

  • DSEAR action plan / resolved items print-off available?

  • Current Petroleum Licence or Petroleum Storage Certificate?

  • Asbestos register up to date?

  • Accident book in use and up to date?

  • Car Valeting Daily Checklist up to date (attach previous month's copy)?

  • Slips & Trips daily checklist up to date (attached previous month's copy)?

First Aid

  • 1 pair disposable gloves?

  • 2 x Eye Pad?

  • 4 x Triangular Bandage?

  • 6 x Safety Pins?

  • 6 x Medium Dressings 120mm x 120mm?

  • 2 x Large Dressings 180mm x 180mm?

  • 20 x Assorted Adhesive Plasters ?

  • Blue food plasters ?

  • 2 pairs disposable paper overalls ?

  • Location of First Aid box is clearly signed and all items are available?

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.