Checklist template

Forecourt safety for fuel stations

A ready-to-use checklist with 109 items in 6 sections, covering Emergency stops, Fire extinguishers, Spill kits, Traffic and bollards, Signage, Housekeeping. Use it as-is in Bindy, or adapt it to your own standards in minutes.

  • 6 Sections
  • 109 Items
  • 96 Yes / No checks
  • 5 Scored ratings
  • 121 Points

Use this template How audits work

1. Emergency stops 19 items

  1. An emergency fuel shut-off switch is located at the cashier station Yes / No 1 pt
  2. An outdoor emergency shut-off switch is located away from the dispensers, at the distance required by the fire code Yes / No 1 pt
  3. Each emergency shut-off is marked with a sign readable from the islands Yes / No 1 pt
  4. Nothing is stacked or parked in front of the outdoor emergency shut-off Yes / No 1 pt
  5. The shut-off button at the cashier station is not hidden by displays or lottery equipment Yes / No 1 pt
  6. Every employee on shift could point to both shut-offs without help Yes / No 1 pt
  7. Employees know the shut-off stops all dispensers and the submersible pumps Yes / No 1 pt
  8. Employees know the "all stop" key on the console only pauses dispensers and is not the emergency shut-off Yes / No 1 pt
  9. The emergency shut-off was tested in the last 12 months, and the test is recorded Yes / No 1 pt
  10. Date of the last emergency shut-off test Date
  11. Employees know that only the manager resets the system after an emergency stop Yes / No 1 pt
  12. Shear valves under each dispenser are anchored to the island, as shown on the last service report Yes / No 1 pt
  13. Each hose has a breakaway coupling Yes / No 1 pt
  14. No breakaway coupling is leaking or showing a separated collar Yes / No 1 pt
  15. Nozzles shut off automatically when the tank is full, on the dispensers tested Yes / No 1 pt
  16. Hold-open latches on nozzles are removed where local regulation prohibits them Yes / No 1 pt
  17. The cashier has a clear view of every fueling position, directly or by camera Yes / No 1 pt
  18. The intercom to the islands works Yes / No 1 pt
  19. Readiness of the emergency shut-off system Rating
    • Tested, marked and known to staff 5 pts
    • In place but not tested or not known to all 3 pts
    • Blocked, unmarked or not working 1 pt

2. Fire extinguishers 19 items

  1. A fire extinguisher is mounted within the travel distance from the dispensers required by the fire code Yes / No 1 pt
  2. Each forecourt extinguisher is rated for flammable liquid fires (class B) Yes / No 1 pt
  3. Forecourt extinguishers are of the size required by the fire code Yes / No 1 pt
  4. Each extinguisher's pressure gauge is in the green zone Yes / No 1 pt
  5. Each extinguisher has its pin and tamper seal in place Yes / No 1 pt
  6. Each extinguisher carries a service tag dated within the last 12 months Yes / No 1 pt
  7. The monthly visual check is initialed on the tag for each of the last 3 months Yes / No 1 pt
  8. Extinguishers outdoors are in a cabinet or under a cover that protects them from weather Yes / No 1 pt
  9. Extinguisher cabinets open freely and are not locked Yes / No 1 pt
  10. A sign above each extinguisher is visible from the islands Yes / No 1 pt
  11. No extinguisher is blocked by merchandise, trash cans or windshield fluid displays Yes / No 1 pt
  12. Extinguisher hoses and nozzles are free of cracks Yes / No 1 pt
  13. An extinguisher is located inside the store near the exit Yes / No 1 pt
  14. Employees on shift have been trained to use an extinguisher Yes / No 1 pt
  15. Employees know to shut off the fuel and evacuate rather than fight a fire that one extinguisher cannot put out Yes / No 1 pt
  16. Employees know not to pull a burning nozzle out of a vehicle Yes / No 1 pt
  17. Fire extinguishers serving the forecourt Number
  18. Service date on the oldest extinguisher tag Date
  19. Condition of forecourt fire extinguishers Rating
    • All charged, tagged and accessible 5 pts
    • One defect found 3 pts
    • Missing, discharged or out of date 1 pt

3. Spill kits 14 items

  1. A spill kit is kept on the forecourt or just inside the store door, not in a locked back room Yes / No 1 pt
  2. The location of the spill kit is marked with a sign Yes / No 1 pt
  3. The spill kit container is closed and keeps the absorbent dry Yes / No 1 pt
  4. A bucket or bin of loose absorbent is available at the islands or at the store door Yes / No 1 pt
  5. A broom and a non-sparking shovel or dustpan are kept with the absorbent Yes / No 1 pt
  6. Used absorbent is placed in a closed, labeled metal container away from the building Yes / No 1 pt
  7. No used absorbent has been left spread on the forecourt Yes / No 1 pt
  8. The used-absorbent container is not overflowing Yes / No 1 pt
  9. Fresh drips under the nozzles at the time of the visit are covered with absorbent Yes / No 1 pt
  10. The employee asked said spilled fuel is absorbed and swept up, never washed toward a drain Yes / No 1 pt
  11. Safety cones or barriers are available to close off an island after a spill Yes / No 1 pt
  12. Disposable gloves resistant to fuel are stocked with the kit Yes / No 1 pt
  13. The cashier asked knows the spill size above which the manager and the emergency number are called Yes / No 1 pt
  14. Spill kits on the forecourt Number

4. Traffic and bollards 20 items

  1. Bollards or crash barriers protect each end of every island Yes / No 1 pt
  2. No bollard is bent, loose or missing Yes / No 1 pt
  3. Bollards are painted in a high-visibility color Yes / No 1 pt
  4. Bollards protect the store front where parking spaces face the building Yes / No 1 pt
  5. Bollards protect the propane cage Yes / No 1 pt
  6. Bollards protect vent pipes or aboveground equipment exposed to traffic Yes / No 1 pt
  7. Island curbs are intact with no broken concrete Yes / No 1 pt
  8. Island curbs are painted so they stand out from the pavement Yes / No 1 pt
  9. Entrance and exit driveways are marked Yes / No 1 pt
  10. Directional arrows on the pavement are visible Yes / No 1 pt
  11. Painted pedestrian paths from the islands to the store door are visible Yes / No 1 pt
  12. The speed limit on the lot is posted Yes / No 1 pt
  13. Parked vehicles do not block the sight line of drivers leaving the lot Yes / No 1 pt
  14. Delivery tankers have a marked route that does not require reversing among customers Yes / No 1 pt
  15. Cones are placed around the tanker during a fuel delivery Yes / No 1 pt
  16. Walking and driving paths are free of potholes and broken pavement Yes / No 1 pt
  17. Canopy clearance height is posted on each approach side Yes / No 1 pt
  18. Employees working on the forecourt wear a high-visibility vest Yes / No 1 pt
  19. Bollards damaged or missing at the time of the visit Number
  20. Protection of customers and equipment from vehicles Rating
    • Islands, store front and equipment all protected 5 pts
    • Some damage or gaps 3 pts
    • Islands or store front unprotected 1 pt

5. Signage 15 items

  1. "No smoking" signs are posted at every island Yes / No 1 pt
  2. "Stop engine" signs are posted at every island Yes / No 1 pt
  3. A warning against re-entering the vehicle while fueling (static electricity) is posted at each dispenser Yes / No 1 pt
  4. Instructions to place portable containers on the ground before filling are posted at each dispenser Yes / No 1 pt
  5. A notice that only approved containers may be filled is posted at each dispenser Yes / No 1 pt
  6. A notice on the minimum age for dispensing fuel is posted where local regulation requires it Yes / No 1 pt
  7. Emergency instructions and the emergency phone number are posted at each island Yes / No 1 pt
  8. Each nozzle or dispenser face is labeled with the product grade Yes / No 1 pt
  9. Diesel nozzles are identified by color or label to prevent misfueling Yes / No 1 pt
  10. Warning signs are in the languages required at the site Yes / No 1 pt
  11. No safety sign is faded, peeled or covered by a promotion Yes / No 1 pt
  12. The site address is posted where an employee calling the emergency number can read it Yes / No 1 pt
  13. Self-service instructions are posted at each dispenser Yes / No 1 pt
  14. A call button or a phone number for fueling assistance is posted for customers with disabilities Yes / No 1 pt
  15. Condition of safety signage on the forecourt Rating
    • Complete and readable at every island 5 pts
    • Present but some faded or covered 3 pts
    • Required signs missing 1 pt

6. Housekeeping 22 items

  1. The forecourt surface is free of fuel puddles Yes / No 1 pt
  2. The forecourt surface is free of oil buildup that makes it slippery Yes / No 1 pt
  3. No hose lies on the ground where a vehicle can drive over it Yes / No 1 pt
  4. Hoses show no cuts, bulges or exposed reinforcement Yes / No 1 pt
  5. Nozzles hang securely in their holsters Yes / No 1 pt
  6. Island trash containers are made of non-combustible material and have a lid Yes / No 1 pt
  7. Windshield buckets and squeegees stand on the island, out of the path between the vehicle and the dispenser Yes / No 1 pt
  8. No extension cord, portable heater or other electrical item not rated for the fueling area is in use at the islands Yes / No 1 pt
  9. No customer was seen smoking on the forecourt during the visit Yes / No 1 pt
  10. No customer was seen filling an unapproved container during the visit Yes / No 1 pt
  11. The cashier asked said they would stop the pump and use the intercom when a customer smokes at an island Yes / No 1 pt
  12. Snow and ice are cleared from the islands and walkways in winter Yes / No 1 pt
  13. De-icing material is available at the store door in winter Yes / No 1 pt
  14. Storm drain grates on the forecourt are in place and level with the pavement Yes / No 1 pt
  15. Manhole covers on the tank pad are seated flush with no trip edge Yes / No 1 pt
  16. Canopy downspouts and columns show no impact damage Yes / No 1 pt
  17. Weeds and dry leaves are cleared from the islands and around the vent pipes Yes / No 1 pt
  18. The forecourt safety walk is recorded on each shift Yes / No 1 pt
  19. Slip, trip or vehicle incidents on the forecourt in the last 12 months Number
  20. Name of the site manager Short text
  21. Overall safety of the forecourt Rating
    • No hazard found 5 pts
    • Hazards found, none requiring an island to close 3 pts
    • Hazard serious enough to close an island or the site 1 pt
  22. Hazards found and corrective actions Comments

About this template

This checklist is part of the Bindy template library. Yes / No checks score 1 point when met; ratings score the points shown for each option. The overall score is the percentage of points earned, with N/A answers excluded. In Bindy you can add photos, assign corrective actions, require sign-off and compare results across sites.

Categories

Related templates

← All templates

Brand standards

At every site, every time

Start Free Contact us