Title Page
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Store #
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Location
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Conducted on
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Personnel on duty
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Prepared by
Outside Areas
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Are pump surfaces clean and polished?
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Register does not show paper jams nor paper out?
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All pumps working? If not, is pump bagged/out of order, email report been sent, and note in communication log?
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Squeegees in place, water full, fresh; plastic gloves/towels/sanitizer stocked?
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Parking lot/landscaped areas trash free, no spills, oil and fuel residue?
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Dumpster area clean, trash picked up, odor-free, doors closed, in good repair?
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Check for an air chuck on water/air machine AND claw on vacuum?
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Is air/vacuum/mat washer operational? Test all.
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Is the car wash working? (Watch a vehicle go through and inspect.)
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Are all car wash chemicals stocked?
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Reader board being fully used with no misspellings and proper message displayed?
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Outside rug, trash cans clean and not overflowing?
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Front door clean without smudges?
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Windows and ledges clean?
Inside Areas
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Are the floors clean?
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Are the mats clean?
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Gondola shelves well stocked (with 3 or less out of stocks), priced correctly, fronted, dust free?
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Are drink dispensers and nozzle/lid dispensers clean?
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Are counter tops and fronts of cabinets clean and free of trash and spills?
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Is fountain area fully stocked and clean?
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Is coffee area fully stocked and clean?
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Are the coffee products fresh/available/clean?
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Is at least one flavor of coffee available and fresh?
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Are cooler doors clean?
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Is cooler stocked well with 3 or less out of stocks/empty rows?
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Are the following "never outs" in stock?
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Milk
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Ozarka/NPL 20 oz and 1 liters
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Coke
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Diet Coke
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Dr Pepper
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Diet Dr Pepper
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Mountain Dew
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Red Bull
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Monster
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Gatorade - top 3
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Bud Ice - 24
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Nat Light - 24
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Keystone - 24
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Corona - 6 pack
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Bud - 6 pack & 12 pack
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Coors Light - 6 pack & 12 pack
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Are scratch offs fully stocked?
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Are tobacco merchandiser full and the following "never outs" in stock?
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Marlboro Red
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Marlboro Gold
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Marlboro Special Blend
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Copenhagen Regular
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Copenhagen Long Cut
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Copenhagen Wintergreen
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Grizzly Long Cut Wintergreen
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Are all employee sodas and food products properly stored?
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Is CO2 level above 25%
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Is enough ice bagged for the business?
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Are ice machines free of slime and mold?
Restroom - Mens
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Walls/stall dividers - wiped down, clean, unsoiled?
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Mirrors - wiped down, clean, unsoiled?
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Sinks - wiped down, clean, unsoiled?
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Toilet - clean tank, base, lid, bowl, behind, seat tight?
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Urinal - flushes properly, floor clean?
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Stocked - toilet paper, paper towels, soap, air freshener, diaper deck liners?
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Operational - toilets flush, sink runs/no leaks, soap dispenses, and hand dryer in good repair?
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Trash - emptied, clean?
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Floor - clean, bug free, litter free?
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Lighting - all bulbs burning, lenses clean, bug free?
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Vents - clean and dust free?
Restroom - Womens
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Walls/stall dividers - wiped down, clean, unsoiled?
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Mirrors - wiped down, clean, unsoiled?
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Sinks - wiped down, clean, unsoiled?
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Toilet - clean tank, base, lid, bowl, behind, seat tight?
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Stocked - toilet paper, paper towels, soap, air freshener, diaper deck liners?
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Operational - toilets flush, sink runs/no leaks, soap dispenses, and hand dryer in good repair?
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Trash - emptied, clean?
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Floor - clean, bug free, litter free?
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Lighting - all bulbs burning, lenses clean, bug free?
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Vents - clean and dust free?
Deli/Roller Grill Area
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Are all hand wash sinks accessible and stocked?
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Are all food products labeled and stored correctly? Creamer, Bag-in-the-Box, Nacho Cheese dated (and not expired)?
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Are microwaves/ovens/holding units lighted, in good repair and clean?
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(Where applicable) Are tables/chairs/dining floor clean?
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Is there an appropriate amount of hot dogs on the grill that look fresh and buns available?
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Do the rollers, sneeze guards, tongs, and tray on the grill look clean?
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Is there at least one bucket with fresh sanitizer and a towel available?
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Is air cooler stocked, with no out of dates and everything priced?
Administrative - Safety and Compliance & Customer Service
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Is the video viewable and manager viewing & logging 15 min/day?
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Is the yellow Emergency/Safety book by the register?
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Is environmental checklist current and up front in blue folder?
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Are all surveillance cameras working and displaying clearly?
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Is video/register overlay working and displaying properly?
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Is communication log posted and current?
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Is the most recent check stuffer posted?
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Is the most recent Star Savers' transactions info posted?
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Are all cigarette counts current and within tolerance?
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Do employees suggestive sell and promote the Star Savers program?
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Employees fast, friendly, greeting customers, & thanking customers?
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Are all employees in full uniform?
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Do employees use proper cash handling procedures?
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Do employees card customers buying age-restricted items who appear <30?
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Is "We Card" calendar current and visible to employee?
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Are walkarounds complete and current?
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Using manager video log, view a segment that manager has watched to give additional employee feedback.
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Are deficiencies in employee training log being addressed?
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Is first aid kit adequately stocked and accessible?
Signature
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I hereby certify that the above form is true and accurate to the best of my knowledge.