RM Visit Form
Please complete this form. 1=Pass 2=Fail
Reviewer Name (Regional Manager)
First
Last
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Store Number
2
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1. Outside: Pumps Clean, Lot trash free, walkway and windows clean, check lights
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
2. OOS: Lottery, Center store set, Cooler set, back bar ( excessive OOS = Fail)
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
3. Front Door(s): Current LTO Signs below the handle.
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
4. Coolers: Doors clean, faced and priced, no missing tags, current signage up, check lights
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
5. Inside: fixtures and displays to POG, dust free, proper signage, check lights
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
6. All employees in proper uniform including name tag, deli employees have hats\hairnets\security pendants being worn. Personal hygiene to standards
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
7. Are Employees Greeting and Thanking our Guests?
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
8. Are Employees Suggestive Selling ? ( review latest results with MGR)
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
9. Loyalty: Have employees demonstrated that they have complete knowledge of the Reward Plus benefits and can explain to the customer how they earn cents off and the redemption process
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
10. Is store reviewing receipt at time of transaction, reviewing the cents off they earned or possible free goods earned, cents off and banked cents?
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
11. Go CARDLESS: Are we encouraging app usage to register cards, or capturing the name email and phone number? Are we linking cards to phone numbers of those uninterested in the card? Form must be in use: email and phone number
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
12. Rest rooms: Cleaned and stocked
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
13. All food as well as equipment temp logs filled out and maintained
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
14. Open air: Full, fresh, dated and clean
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
15. Hot Food holding units. Pizza\Hot Sandwiches available. Times on product, Case temperature set at 150 degrees, cases clean, revolving, lights working, thermometer present, displayed food made to standards, product quality appearance meeting standards
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
16. Dispensed beverage area. Clean, fresh, Frazil\Tango full
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
17. Cookie ,Muffin, premade, donut, Coffee programs: executed, dated, timed, labeled
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
18. Food Service/prep case: All open product dated, sanitizer checked, prep area clean
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
19. Cash over and short and controllable reviewed
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
20. Manager's Planner: tasks assigned and completed incl. 2nd/Closing shifts
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
21. All Licenses up to date and posted (tobacco, alcohol, petroleum, food service)
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
22. Review facility for safety and compliance - Including Fire extinguisher tags
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
23. DEC book in compliance, interstitials done weekly, DM visit done monthly
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
24. If a Subway location, review subway area for compliance
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
25. Review back room and office area for cleanliness and compliance
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
26. Are employees washing hands and using gloves
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
27. Review food service areas for cross contamination IE. Raw chicken, Eggs
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
28. Review store facility for evidence of pests
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
29. Government warning signs for age restricted products posted and visible, ID log review
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
30. Safety- make sure safety topic is posted. Winter time - review salt log.
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
31. Current monthly marketing and IT newsletter posted and signed by employees who have reviewed.
(Required)
Please enter a number from
1
to
2
.
1=Pass, 2=Fail
SCORE
Post Image of Food Service Area
Accepted file types: jpg, jpeg, png, gif.
Optional Additional Food Service Area Photo
Accepted file types: jpg, jpeg, png, gif.
Optional Additional Food Service Area Photo
Accepted file types: jpg, jpeg, png, gif.
Post Image of Food Service Area
Accepted file types: jpg, jpeg, png, gif.
Optional Additional Coffee Bar Area Photo
Accepted file types: jpg, jpeg, png, gif.
Optional Additional Coffee Bar Area Photo
Accepted file types: jpg, jpeg, png, gif.
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