Title Page

  • Site (e.g. 999-1001 Site Name)

  • Inspection Type

  • Conducted on

  • Prepared by

  • Location

Forecourt

    Pump
  • Upload Pictures of Pump and Pump Plate

  • Make & Model of Pumps

  • Does the PA system work?

PoS

  • Did the pumps authorise as the correct number?

  • Upload Picture of Receipts

  • Make, Model & Software of PoS

  • Other:

  • Does the Auto Lock Out feature function correctly?

Sign Off

  • Any Comments (Pumps Broken/Not Tested etc)?

  • Site Representative Signature

  • Engineer Signature

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.