Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Fencing / Locks/ Signed, RE: AC 150/5230-4<br>
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Fuel Dispensers Placarded, RE: AC 150/5230-4<br>
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No Smoking warning properly posted in fuel farm area RE: NFPA 407:3-8 RE: AC 150/5230-4<br>
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Evidence of Smoking, RE: AC 150/523-4 <br>
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Ignition Sources, RE: AC 150/5230-4<br>
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Fire Extinguishers: Proper size and type (Inspected), RE: NFPA 10 RE: NFPA 407 3-13*<br>
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Fuel Farm Fueling Standard Operating Procedures, RE: FAR- AC 150/5230-4<br>
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Fueling Procedures Observed, RE: AC 150/5230-4
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Personnel Safety Training Requirements, RE: AC 150/5230-4<br>
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Piping and critical areas free from leaks, RE: NFPA 407:2-4.6 RE: FAR- AC 150/5230-4<br>
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Grounding connections & rods in good condition, RE: AC 150/5230-4<br>
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Bonding Cable - Loading Station<br>
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Fuel System Bonding & Grounded<br>
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Fuel hose line, RE: NFPA 407:2-2<br>
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Pressure test, RE: NFPA 407:3-16
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Hose line condition, OK<br>
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Emergency shut-off system, RE: NFPA 407:2-4.5<br>
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Placarding of shut-off station proper, RE: NFPA 407:4-12.1<br>
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Deadman Control - Loading Station, RE: AC 150/5230-4<br>
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Housekeeping, RE: FAR- AC 150/5230-4<br>
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Farm area free of weeds, debris and other combustibles
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Other Items
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Photo(s)
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Name & Signature of Inspector
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Name & Signature of Operator
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Date & Time of Inspection
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Date & Time of Re - Inspection
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Inspector Notes
