SSA visit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

• Gas pumps clean and working

  Yes

  No

  N/A

• Carwash clean and operational

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Food bar area clean and stocked

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Inside equipment operational?

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Restrooms (clean and stocked)

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Cooler (stocked, faced, priced, temp)

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Store shelves full and faced (is today a load day?)

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Checkout area (clean, backbar clear?)

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

• Employees in proper uniform? (nametags, alarms, proper pants?)

  Yes

  No

  N/A

• List the concerns? (take pictures if needed)

Shift summary

• Staff members present

• Are you there for shift coverage?

  Yes

  No

  N/A

• Is the work list completed?

  Yes

  No

  N/A

• What did not get done and why?

• Project suggestions?

• Areas to celebrate

• Challenges

Key areas

• Drop boxes are being used correctly? (No large bills)

  Yes

  No

  N/A

• Is there a set drop timer at each register?

  Yes

  No

  N/A

• What did you observe?

• Are the drop box keys inside the register?

  Yes

  No

  N/A

• What did you observe?

• Are the ECO sure logs filled out?

  Yes

  No

  N/A

• When was the last entry?

• Workjam tasks up to date?

  Yes

  No

  N/A

• How many tasks are overdue?

• Are current incentives posted and results up to date?

  Yes

  No

  N/A

• What did you observe?

• Does the landscape / Grass need attention?