Information

  • Store Number

  • Conducted on

  • Prepared by

  • Manager

Outside

DM top 5

  • Island painted by Memorial Day?

  • Review WSSR?<br>

  • Pride at the Pump being followed?

  • Bakery table set to planogram?<br>

  • All employees wearing personal alarms?

Approaching the Store

  • Sign lit properly and in good repair

  • DMC working properly

  • All Holiday signage on building and canopy lit and in good repair

  • Entrance free of visible trash or debris

  • Landscaping in good condition with no issues

Outside of Building

  • Grass and shrubs cut and trimmed and free of weeds

  • Snow removal up to standard

  • Excess snow piles not impeding on parking, drive, or fuel area

  • Fuel island clean and free of spills

  • Pumps clean top, front, sides, hoses, handles, etc.

  • Boots with nozzle talkers in good shape and complete

  • Splash guards in place and in good repair

  • Backlights working

  • Pump toppers present with appropriate signs and extensions

  • No foreign materials applied to pumps such as stickers, etc.

  • Garbage cans clean, not overflowing and in good repair

  • Window wash buckets clean, filled, with max of long and short handled squeegees

  • Towels stocked in all windshield wash stations

  • Island free of trip hazards

Car wash

  • Car wash entrance clean?

  • Car wash working?

  • Car wash bay clean?<br><br>

  • Vacuum station clean?

Storefront Area

  • Sidewalks and curbs clean and free of litter

  • Snow removal up to standard with ice melt down if needed

  • Outside displays signed and in good shape

  • Ice merchandiser(s), propane exchange cage(s) clean, signed

  • Ash trays, garbage cans clean and in good repair

  • Windows, ledges, doors clean with proper decals and signage

Sales Floor

Main Sales Floor Area

  • All lights in ceiling working and cover clean and in good repair

  • Vents and tiles clean and in good repair

  • Ceiling free of loose tape, strings, clips, etc.

  • Rugs clean if appropriate for the season

  • Floor swept and clean

  • Floor free of boxes and other hazards

  • Product stocked, front faced, and dusted

  • Smart Value tags up to date

  • New Item arrows being used and current

  • Sales Builder signage correct

  • Cigarette window poster has correct brand and pricing displayed

  • No more than 12 holes on sales floor

  • Rotation of stock being executed properly

  • Dating appropriate on items such as HP Krispy Treats, Brownies, Muffins, etc.

  • Plan-o-grams updated

  • In season changes up to date

  • Shelving clean and in good repair

  • Lit signage in store working and in good repair

Cooler Area

  • Cooler doors clean and have correct sales builder signage

  • No unauthorized clings or coupons present on cooler doors

  • No more than 3 empty glides

  • Milk, cheese, other dairy products rotated and good dates

  • All lights in cooler doors working properly

  • Product properly tagged on shelves for pricing

Food Area

  • Hatco and roller grills set to plan-o-gram

  • Hot food within time limits with timers set correctly

  • Hatco and roller grill clean

  • Correct signage

  • All supplies stocked and available to customers, boats, napkins, utensils, etc.

  • Condiments available and dated properly

  • Condiment containers and dispensers clean

  • Coffee bar area clean and stocked

  • Coffee and cappuccino equipment clean and working

  • Coffee within time limits, timers set

  • Coffee grounds trash receptacle being used and clean

  • Counters and cabinets clean and in good repair

  • Bakery case clean, lights working, and in good repair

  • Bakery product is stocked properly according to the time of day

  • Bakery tags clean and in good repair with correct pricing

Counter Area

Shadow Boxes and Top of Counter

  • Shadow boxes set properly

  • Smart Value tags in place

  • All price tags in place

  • Shadow boxes full, no holes present

  • Counter clean

  • Displays and equipment on counter clean and free of dust

  • Counter set appropriately

  • Gift card rack has correct header and is stocked

  • Counter displays stocked

  • Energy racks in place on front counter

  • Counter free of unauthorized product or brochures

Checkout Area

  • Floor clean and uncluttered

  • Shelves organized and clean

  • Drop boxes locked and key secured

  • Cash in drop boxes within policy limits

  • Food prep area clean and orgainized

  • Ovens clean

  • Cigarette backbar stocked and set properly

  • Signage and tags correct

  • Backbar clean

  • Drops checked with no excessive drops and no staging

  • Open tills, no bills over $10 bill and no excessive cash in till

Associate / Manager

Associate(s) On Duty

  • In clean and proper uniform

  • Name tags being worn with proper tags and fonts

  • Tattoo and Piercing policy followed

  • Associate(s) have good hygiene

  • Associate(s) wearing panic alarms properly

  • Current required lanyard scan tags or badges being worn

  • Cell phone policy followed, none seen

  • Music at appropriate level and genre for store

Manager

  • In proper uniform, setting example of policy

  • Wearing name tag

  • Has verified all associates have signed the age restricted policy for current day

  • Has verified shift leader compliance execution as required

  • Paperwork is up to date and organized properly

  • All surveys up to date

  • Event Calendar up to date

  • Emails caught up and inbox is current

Other Areas

Hallways

  • Clear of boxes and other trip hazards

  • Walls and doors painted and in good condition

  • Doors all have closers and are secured

  • Lights, vents, tiles, working and clean

Bathrooms

  • Fixtures clean inside and out

  • Dryers working and clean

  • Towel dispensers clean, stocked, and working

  • Walls and floors clean

  • Air fresheners in place

  • Walls and stalls free of graffiti and foreign materials

  • Wast basket clean and not in need of emptying

  • Bathroom statement on door in place and current

Backrooms

  • Sink / Mop Room clean and organized

  • Electrical panels free of hazards

  • Security system working

  • Stock room clean and orgainzed

  • No excessive back stock

  • Sanitizer test strips available

  • Ice maker clean and free of mold

  • Water filters in good shape

Summary

Summary of Visit

  • Rating Scale
    Excellent Visit 92 to 100
    Good Visit 84 to 91
    Needs Improvement 76 to 83
    Critical Improvement Needed 75 and below

  • Outside

  • Select Rating

  • Sales Floor

  • Select Rating

  • Counter Area

  • Select Rating

  • Associate / Manager

  • Select Rating

  • Other Areas

  • Select Rating

Overall Score and Comments

  • Overall Score Average of the above categories

  • Overall Assessment Rating

  • Comments:

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.