Information

  • Audit Title

  • Document No.

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Fuel trucks parked 50’ from bldgs and 10’ apart <br>

  • Fuel trucks marked with operator name on both sides <br>

  • No Fuel Leaks

  • Vehicle Exhaust System -Shielded/Leak free/spark arrestor if required <br>

  • No Smoking sign-cab / No evidence of smoking / No ashtray <br>

  • Flammability / Product signs sides-back / Haz Mat placards all sides <br>

  • Bonding cables provided and clips / plugs functional <br>

  • 2 extinguishers on sides / BC/ Insp. / 1 extinguisher Hydrant vehicle / Carts <br>

  • Deadman Control for all nozzles / Not bypassed <br>

  • Integral system for nozzles to be stowed before moving fuel vehicle <br>

  • Brake interlock system for bottom loading coupler / Overwing nozzles <br><br>

  • Emergency fuel shutoffs operable and properly placard / 1each side <br>

  • Aircraft fueling hose / No blistering, cracking, saturation, separation<br>

  • Dry break couplers / adaptors are installed<br>

  • Aviation fueling hose used / No Kinks <br>

  • Explosion proof electrical / Light lens intact<br>

  • Dome cover seals intact with forward mounted hinge

  • Truck cabinets have grating type flooring or open flooring<br>

  • Proper Fueling Procedures Observed

Other Items

  • Other Items

  • Photo(s)

  • Name & Signature of Inspector

  • Date & Time of Inspection

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. Any ratings or scores displayed in our Public Library have not been verified by SafetyCulture for accuracy. Users of our platform may provide a rating or score that is incorrect or misleading. You should independently determine whether the template is suitable for your circumstances. You can use our Public Library to search based on criteria such as industry and subject matter. Search results are based on their relevance to your search and other criteria. We may feature checklists based on subject matters we think may be of interest to our customers.