Information
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Audit Title
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Client / Site
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Conducted on
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Prepared by
Documentation
General Documentation
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There is a copy of the Safety Expectation Sheet in the vehicle binder.
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Observation
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Corrected By and Date Corrected:
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There is proof of an Annual Fire Department Tour.
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Observation
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Corrected By and Date Corrected:
SPCC
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Does this facility require documentation of SPCC inspections?
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Supplies for conducting inspections are readily available and appear to be being used appropriately. (Tube and Stick or Interstitial Gauge)
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Observation
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Corrected By and Date Corrected:
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Annual Inspection Checklist is current, complete, and correct.
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Observation
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Corrected By and Date Corrected:
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Monthly Inspection Checklist is current, complete, and correct.
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Observation
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Corrected By and Date Corrected:
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Portable Container Monthly Inspection Checklist is current, complete, and correct.
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Observation
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Corrected By and Date Corrected:
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Spill Prevention Briefings are current, complete, and correct.
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Observation
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Corrected By and Date Corrected:
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Drainage Discharge Report is current, complete, and correct.
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Observation
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Corrected By and Date Corrected:
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NESHAP 6B Gasoline Equipment Leak Inspections are current, complete, and correct.
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Observation
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Other Concerns
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Additional Safety Issues
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If this box is not checked you have the following additional concerns to address:
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Observation
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Corrected By and Date Corrected:
LP Operations
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Does this location have LP Operations?
General
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Adequate and proper crash protection is installed.
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Observation
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Corrected By and Date Corrected:
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Adequate measures have been taken to provide site security.
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Observation
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Corrected By and Date Corrected:
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Tank is properly labeled.
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Observation
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Emergency shutdowns are properly labeled and in working order.
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Observation
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The remote for the internal shut off valve is operational from 150 ft.
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Observation
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Guarding
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6 sided guards are complete and properly installed.
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Observation
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Corrected By and Date Corrected:
Fire Extinguishers
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Fire extinguishers are hung properly.
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Observation
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Corrected By and Date Corrected:
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Monthly inspections have been properly documented.
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Observation
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Corrected By and Date Corrected:
Other Concerns
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Electrical breakers are properly labeled.
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Observation
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Additional Safety Issues
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If this box is not checked you have the following additional concerns to address:
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Observation
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Corrected By and Date Corrected:
Bulk Fuel Operations
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Does this location have Bulk Fuel Operations?
General
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All tanks are properly and adequately labeled.
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Observation
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Corrected By and Date Corrected:
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Adequate measures have been taken to provide site security.
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Observation
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Corrected By and Date Corrected:
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Gasoline nozzle extension is installed.
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Observation
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Corrected By and Date Corrected:
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Secondary containment structures are in good repair and appear to be working properly.
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Observation
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Corrected By and Date Corrected:
Fire Extinguishers
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Fire extinguishers are hung properly.
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Observation
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Corrected By and Date Corrected:
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Monthly inspections have been properly documented.
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Observation
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Corrected By and Date Corrected:
Other Concerns
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Electrical breakers are properly labeled.
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Observation
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Additional Safety Issues
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If this box is not checked you have the following additional concerns to address:
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Observation
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Corrected By and Date Corrected:
911 Information
Contact Information
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911 contact information sign is up to date.
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Observation
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Corrected By and Date Corrected:
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Non-essential 911 information is updated or removed.
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Observation
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Corrected By and Date Corrected:
Other Concerns
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Additional Safety Issues
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If this box is not checked you have the following additional concerns to address:
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Observation
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Corrected By and Date Corrected:
Other Areas
Other Concerns
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Additional Safety Issues
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If this box is not checked you have the following additional concerns to address:
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Observation
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Corrected By and Date Corrected:
Review and Sign
Review and Sign
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