Planogram Management Form
Record and review store planogram compliance, document issues, and track corrective actions.
Store Name
*
Store Location/Address
*
Date of Planogram Check
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Planogram Version
*
Staff Responsible for Check
*
First Name
Last Name
Product Display Compliance
*
Rows
Compliant
Not Compliant
Not Applicable
Top Shelf
1
2
3
Middle Shelf
4
5
6
Bottom Shelf
7
8
9
End Cap
10
11
12
Promo Section
13
14
15
Upload Photos of Display
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Are there any issues or discrepancies?
*
No issues found
Yes, issues present
Describe Issues or Non-Compliance (if any)
Corrective Action Taken
Overall Planogram Compliance Rating
*
1
2
3
4
5
Additional Comments or Suggestions
Staff Signature
*
Submit Planogram Review
Submit Planogram Review
Should be Empty: