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Famous For Fuel

  • Fuel price sign (MID) visible and functional - Prices on pumps match MID. All LED's lit/Brand panel and Circle K panels in place, lit and in good condition.

  • Gas & diesel pumps and area incl. screens, cradles, nozzles and hoses free from dust, dirt and grease, pad, pavement around pumps clean (no puddles/potholes/not sticky/etc), valances clean.

  • Are all pumps in working order/out of order bags used/No handwritten signs (N/A with work order number).

  • Receipt paper available at all pumps (Radiant registers display on screen).

  • Wash buckets are at least 50% full, not frozen, clean, no odor, and squeegees are available in every bucket and in good condition. Customer can readily access a towel by their dispenser. Hand sanitizer dispensers available and stocked.

  • Garbage cans near pumps and front entrance are clean inside and out, no bad odors, not more than 60% filled, and area clean.

  • Parking lot and along curbing has minimal debris, free of large oil spots and has minimal weeds.

  • Landscape minimal litter and/or weeds, grass is mowed.

Exterior Premesis

  • Pump Toppers at each pump Current promotion(s), violators match, 50% Circle K 50% Branded, or 100% if Circle K branded.

  • Spanner, Bldg Frame, Windmaster, Pole Signs current and in good condition/clean.

  • No excessive stains on apron, ashtray clean, minimal debris/trash on sidewalk

  • Store front clean (doors, windows and ledges minimal dust, smudges, tape residue)

  • Parking lot stripes are visible and in good condition.

  • Outside merchandise is fully stocked and has correct ad plan signage on each display.

  • Outside merchandise rack/product and surrounding area is clean, ice chests clean.

  • Dumpster lids and doors closed.

  • Dumpster area is clean, free of debris and garbage inside and around the dumpster area.

Car Wash

  • Car Wash windmaster and menus signs posted, current and clean on each pump and windmaster is in place with correct signage.

  • Car Wash functional, interface box operational and not damaged, Doors open (open when warm/above 45, closed when it's cold/below 45).

  • Entry area is clean with a garbage can less than 75% filled.

  • Car Wash Bay and windows clean with minimal litter/mud/debris, leaves, garbage, algae, residue, moss/mold and brushes clean.

Staff

  • Greeting, eye-contact and closing or parting remark. Employees connecting with customer, creating a friendly atmosphere.

  • Proper uniforms are clean and nametags are worn (uniform policy being followed).

  • Queue lines during audit are not frequently long with long wait time, second register opened if 3 or more customers are in line (if another CSA is unavailable, mark NA) Auditors: record the time (in seconds) it takes for the last person in line to be checked-out at the register upon arriving inside the store.

  • Associates regularly suggestive selling or any pre-approved promotions.

  • Following cash handling policy.

  • Following company cell phone policy.

  • Store ASM and SM knowledgeable about My Voice/Engagement. Board is posted and current management is able to explain action item and board is updated.

  • ASMs working 60% or more shifts opposite the SM, unless in training program. Verify ASM not working all the same shifts as SM. All management needs to be identified (including SM).

  • Were all customers who appeared to be under 40 asked for ID prior to sale.

Check-out

  • Front counter is well stocked (up to 6=Y, Over 6 = Failure)

  • Front counter is well merchandised (clean, organized and face fronted).

  • Bonus Baskets well stocked, has current signage and product.

  • Checkout cooler (if any) well stocked and merchandised (no more than 1 out of stock).

  • Shelf tags, promotional signage, flip strips shelf tags are in place, updated and aligned, promotional signage matches ad plan.

  • Cig Backbar is well stocked (no more than 1 hole per sections) correct signage.

  • Tobacco section with price signage, in stock with no more than 3 holes over all sections.

  • Lift screens are active and fully functional.

Polar Pop/Froster Area

  • Flavors are 100% in-stock, Fountain cups & lids are stocked and organized.

  • Counter clean top and under front ledge, area surrounding theater is generally clean (floor, cabinets, walls, etc.).

  • Garbage less than 75% capacity.

  • Cabinets, doors, walls mostly clean. Free of old dirt.

  • Ice chute, backsplash/fountain heads clean, free of mold, residue.

  • Nozzles clean, free of mold, sugar build-up, residue, flavor IDs with minimal fading.

  • Fountain drip tray clean, free from residue build-up.

  • Froster machine and dispenser are clean and stocked.

  • Froster drip tray is clean, free of residue build up.

Coffee Bar

  • Coffee Counters are clean (exterior), sink is clean, area surrounding theater is generally clean (floor, cabinets, walls, etc.).

  • Coffee Brewers, Urns and warming plates are clean and stocked no old grounds or blinking lights.

  • Cappuccino, Bulk Creamer, Ice Coffee machines are clean and stocked.

  • Coffee Condiments, Cups are clean and stocked and organized.

Simply Great Coffee Store Only

  • SGC Signage in place and current, SGC digital screens running and current.

  • Cups and lids stocked and organized with no holes.

  • Product stocked - milk, beans, cocoa.

  • Milk is dated correctly, visible and not expired.

  • SGC machine fully operable, cleaned at assigned timeslot (nightshift), ticket logged if down.

  • SGC machine clean and shining.

Bean to Cup

  • COD machines cleaning cycle is done daily and is clean and dust free.

  • Bean hoppers more than half full and clean.

  • COD machines all fully operational.

Cooler

  • Cooler is well stocked (no more than one hole per door average).

  • Cooler is well merchandised (according to planogram, face fronted, shelf tags aligned, promotional signage in place).

  • Beer cave merchandised, displays must be on riser and have signage.

  • Beer cave not to be used for storage of product other than beer, and back stock is organized.

  • Innovation racks are installed, stocked and have current signage.

  • Floors under shelving clean (as guests view).

  • Cooler doors are clean.

  • Glides, shelves are clean.

Center Store

  • Center store is well stocked (no more than .5 hole per 3-4' section, including endcaps).

  • Center store is well merchandised (clean & organized, according to planogram, face fronted).

  • H-Rack/interrupters are well stocked (no more than 3 per interrupter).

  • H-Rack/interrupters are well merchandised (clean & organized, according to planogram, face fronted).

  • Shelf tags are in place, updated and aligned, promotional signage match ad plan, Flip Strips in place (candy, H rack), red strips are installed where appropriate.

  • Floor displays (if any) have clear signage, no handwritten signs anywhere in the store.

  • Products on the shelf are not expired.

  • Shelves are clean, red strips are clean, baseboards are clean, product not dusty.

  • Floors are clean under equipment, free of dust/debris. Rug in good condition/lying flat on floor, no large gaps between rug and front doors/counters.

  • Ceilings are clean, no water spots, minimal dust on vents.

  • Gaming Room - area clean, free of trash, all machines working.

  • Seating area - counters, chairs, floors clean with no trash laying, not used for storage.

Grill/Food Counter

  • Roller Grills are free of old dried product, grease, liners, dust., sneeze guards are free from residue build-up and dust.

  • Roller Grill Product stocked and appears fresh.

  • Chili & Cheese - no old or dry spills, no liners, and in stock.

  • Condiment Area - fully stocked, free of old dried product, dust, no liners, and in stock.

  • Bun Warmer stocked, free of grease, crumbs, and dust, water, and liners.

  • Hot Food Equipment clean, utensils stored correctly.

  • Microwave - machine(s) is clean (interior and exterior).

  • Theater Area - is generally clean (floor, cabinets, walls, under-counter coolers, etc.).

  • Food contact surfaces/counters are clean and free of litter and dirt, area trash cans are clean from customer view.

Sandwich & Bakery Case

  • Fresh Bakery Case -in-stock, no old product, clean, minimal crumbs and free from bugs.

  • Sandwich case in stock, clean, free of dirt and bugs, vents dust free.

Restrooms

  • Toilet bowl/Urinals clean inside/outside and base.

  • Garbage cans clean/with lids, no more than 75% full.

  • Floors clean, changing tables, walls, baseboards and doors clean with no stains, no excessive dust on ceiling vent and no graffiti.

  • All restroom doors/stalls lock properly and easily.

  • Sink is clean, mirror is clean with minimal soap/water marks.

  • Restrooms are stocked with toilet paper in dispenser, functioning dryer / paper towels, and hand soap.

  • Restrooms smell fresh and are free of unpleasant odor (chronic not situational).

  • Bathroom Bear signage is up with 7 digit store # in each restroom located on backside of door or directly to the right or left of the door.

Food Safety

  • Roller Grill product above 141°F.

  • Roller grill logs available and used for build to and spoilage.

  • Thermometers and alcohol wipes available.

  • Hot Foods warmer product is within Time Code (must contain time when product should be pulled).

  • Product in Sandwich case is fresh and correctly coded.

  • Cooler doors temp between 32°F and 40°F.

  • Sandwich case temperature below 40°F.

  • Freezer Temperature is appropriate for the equipment (0°F-10°F).

  • Condiment Cooler Temp (roller grill) below 40°F.

  • Coffee Temp is between 175°F and 185°F when dispensed.

  • Creamizer, Iced Coffee - Temperature, code-dated with in/out dates.

  • Nacho Cheese Temperature, code-dated with in/out dates.

  • Roller Grill products and condiments are fresh, not expired, dated as required.

  • Hand Wash Sinks - Used, Clean, stocked with soap and paper, area clean (Handwashing sign hung).

  • 3 Compartment Sink is easily accessible, useable, not used for storage

Safety

  • Parking lot free of slip/trip/fall hazards (maintenance tickets for pot holes, cracked curbs, etc).

  • Displays not under 2ft or over 5ft.

  • Storage - heavy items stored on bottom shelves and lighter items stores on top shelves, no fire exits or electrical panels are blocked.

  • Interior of store free of slip/trip/fall hazards.

  • Wet Floor signs and Mop Buckets are used as needed, sign in good condition, not dirty.

  • Safety Cabinet Stocked, 5 Minute Rule posted (updated contact info on 5 Minute Safety Poster).

  • Camera system verify all cameras are functional.

  • Safety vest always worn when outside or available for use if not observed outside.

Kitchen Stores Only

  • Proper Uniforms including hats/hairnets.

  • Menu board digital screens running and current.

  • Food display quality is great, overall appearance is appealing and meets expectations.

  • Counter and front theater is clean and polished.

  • Storage is not in customer view.

  • Equipment is clean, including real dog grill, oven, etc.

  • Employee cups are not in the kitchen area, not on the registers and are not visible to customers.

  • All product dated properly, has an appropriate code for time/date.

  • Pizza spinner is cleaned, in/out, filled with water as needed.

  • Hand sink area free of chemicals, buckets, cleaning towels, not used for storage, stocked with hand soap and paper towels.

  • Product in the kitchen area stores safely and appropriately, no food sitting out to thaw.

Fresh Food Fast Stores Only

  • Menu board digital screens running and current.

  • Food display quality is great, overall appearance is appealing and meets expectations.

  • Counter and front theater is clean and polished.

  • Equipment is clean - Ovens.

  • Hatco clean and planogrammed.

  • Hatco stocked according to time of day.

  • Pizza spinner is clean, in/out, filled with water as needed.

  • Prep area is clean and organized.

  • Hand sink area free of chemicals, buckets, cleaning towels, not used for storage, stocked with hand soap and paper towels – employees wash hands.

  • Sanitizer solution/test strips are available ( test to 200-400 ppm).

  • Sandwich thaw and serve program properly dated and rotated.

  • All 5 food logs available and kept up to date (Sanitizer logs/food and equipment/temperature logs/incoming product receiving/thermometer calibration)

  • Employee cups are not in the kitchen area, not on the registers and are not visible to customers.

Forecourt Excellence

  • Dispenser free of damage, pry marks, peeling paint, and old tape residue. All lights properly lit (dollars/gallons), octane decals present and in good condition.

  • All fascia panels secured, no excessive dents/damage. No extensive fading in image color. Brand logo in good condition. (regardless of ticket).

  • Canopy deck is clean (no cob webs/spiders/bugs). No excessive peeling or chipped paint. All canopy lights illuminate. (regardless of ticket).

  • Bollards are painted – no peeling or chipped paint. No excessive rust at base – properly secured. (regardless of ticket).

  • Islands are painted and do not have chipped or peeling paint. Severe rust/deteriorated steel not evident. Stainless steel islands clean – no excessive dirt/grime (regardless of ticket).

  • All exterior lights illuminate. Light lenses are free from excessive dirt/grime/dead bugs. (regardless of ticket).

Additional Questions

  • Is the Face Covering Required In Store sign posted at the front door?

  • Ask the manager for the past 7 days of deposit slips from the bank. Are deposits being made daily? There should be a deposit slip from the bank for every weekday. If manager is not in the store to provide the deposit slips, answer question as Could Not Verify. If store has armored car pickups, they might not be scheduled for daily pickups so just check the logbook to ensure there are no large gaps in pickups.

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.