Language:
English
عربي
PROJECT : ELARA - (Forecourt)
Adnoc
Eppco - Enoc
Emarat
Shopper ID
:
Serial No:
:
Staff Info
Operator Code:
:
CSA Name
CSA Number
Gender
:
Male
Female
Emirate
:
Height
:
Tall
Medium
Small
Site ID
:
(10324 - Khor Khuwair)
Built
:
T
M
F
# of Staff
:
Spectacles
:
Yes
No
Date
:
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
2011
2012
(dd-mm-yyyy)
Beard
:
Yes
No
Amount (Dhs)
:
Mustache
:
Yes
No
# of Vehicles
:
Time In
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
( hh:mm)
Ethnic Groups
:
Indian
Pakistan
Philipino
Expat Arabs
Others
Time Out
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
:
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
( hh:mm)
Other Ethnic Groups
:
Time of Visit
:
1. APPROACH
Scores
Critical Areas
Yes
No
N.A.
N.A.
1.
Was signage visible from distance of 500 meters and well maintained? Can be included only in first run
2
2.
Were lights working and in good condition at the approach?
2
3.
Were the lights working and in good condition at the forecourt area?
4
4.
Was filling area / forecourt clean and tidy?
2
5.
Were the driveway and forecourt free of potholes and well maintained?
2. GREETINGS
Scores
Critical Areas
Yes
No
N.A.
5
6.
Was there any delay in approaching customers at the fuel pump
5
7.
Did the staff approach the driver side of the vehicle?
5
8.
Were you greeted in a friendly manner (pleasant feeling)?
If no, please describe behavior: Was it arrogant, without any expression, normal etc….
4
9.
Did they request customers to quit smoking?
5
10.
Did the staff thank you as you were leaving?
3. APPEARANCE AND BEHAVIOR OF STAFF
Scores
Critical Areas
Yes
No
N.A.
5
11.
Was the filling staff presentable and well groomed?
4
12.
Was he able to communicate with customer?
5
13.
Was the attendant wearing visible nametag?
لا يرتدي بطاقه
6
14.
Was staff courteous / friendly?
4. SERVICE
Scores
Critical Areas
Yes
No
N.A.
3
15.
Did he follow the instructions on the Rahal (Fuel Card)?
3
16.
Did he confirm and repeat amount and type of fuel?
2
17.
Did he fuel as per customer’s instructions - Dhs?
2
18.
Did he offer to clean windscreen voluntarily? (front & back)
لم يعرض علي تنظي٠الزجاج
2
19.
Were you charged the correct amount?
2
20.
Were you given correct change?
2
21.
Did he provide information about any promotions at Service Station? (only in case of active promotion)
لم يقدم معلومات Øول العروض الترويجيه
5. REST ROOMS
Scores
Critical Areas
Yes
No
N.A.
3
22.
Were Adequately stocked with all necessary supplies such as soap, toilet tissue, and paper towels (paper towels are not required where fully operational hand dryers exist)?
لايوجد مناش٠ورقية
3
23.
Were sinks, mirrors hand dryers dispensers toilets and urinals clean?
امكنه التبول غير نظيÙÙ‡
2
24.
Were doors walls, ceiling vents floors baseboards and grout clean?
الارضيات غير نظيÙÙ‡
2
25.
Were Trash containers clean and not overflowing?
كانت غير نظيÙÙ‡ ÙˆÙائضه
2
26.
Was the restroom smelling clean & fresh (without any offensive odor) ?
رائØÙ‡ الØمام كريهه جدا
2
27.
Were all the facilities inside the restroom in good working condition ?
جميع التجهيزات ÙÙŠ الØمام لاتعمل بشكل جيّد
2
28.
Was the Mosque premises clean ?
Attach Bills
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COMMENTS
المØطه قديمه والموظ٠ينتظر السيارات ÙÙŠ المكتب الاضاءه جيده ÙÙŠ المØطه ولكن لا يوجد خدمات غير البترول ( لا يوجد غيار زيت ) الØمام ÙÙŠ وضع سيىء المØطه بجانب مصنع الاسمنت - طريق شعم
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