Information

  • Name of Dealer

  • Brand

  • Address
  • KPDNKK seiral No:

  • Ownership

  • number of dispenser

  • Person In charge

  • Tel No: / Fax No: / Email:

  • Date Start operation

  • No. of employees :

  • No. of employees : Citizen male =

  • No. of employees : Citizen Female

  • No. of employees : Foreigners male

  • No. of employees : Foreigners female

Part B : Unloading From Tanker

Zone : Safe operating Procedure /Safe Work Procedure

  • Measure to control spill and leaks during tranfers

  • Measure to control static electricity during transfer 1.e: earthing

  • measure to control source of ignition during transfer

  • vapour recovery system is applied

  • Document on safe transfer or unload of fuel

  • Trained operator

Part C : Underground Storage Tank

Zone 1. Riser (filling Point)

  • Riser are in good condition

  • Fuel Type identification (color coding/tagging)

  • Secured/locked

Zone 2 Tank Venting Equipment

  • Pressure/vacuum vent Cap Present (if required )<br> a. type of venting<br>b. available<br>c. functioning

  • remark :

Zone 3. Sump : containment and fittings

  • Sump/manhole cover in good condition (create proper sealed and no crack)

  • sump seal in good condition (no crack or loose seals)

  • Clean, empty and dry - no water product, dirty, debris.

  • Sump Intergrity (free of crack, bulges, holes)

  • Connector/fitting : free of leaks

  • Appearance of piping (free of rust, discoloration, delamination, swelling, disintegration, etc)

Zone 4. Overfill protection Devices

  • avaiable

  • Functioning properly

  • overfill alarm

Zone 5. Cathodic protection (if required)

  • Rectifier operation within normal limits

  • Proper operation verified by qualified person

Zone 6. Dipstick

  • type :

  • dipstick are protect by teflon to avoid spark

Zone 7. Automatic tank Gauge (ATG

  • available

  • ATG equipment functional

Zone 8 Leak detactor e.g. vacuum gauge

  • Any leak detector installed

  • Type

  • functioning properly

  • tested

Zone 9. Groundwater monitoring tube/ monitoring well

  • record on usage avaiable

Zone 10 Signage

  • Available and noticeable

Part d : Despensing Area

Zone 1 : Dispenser/pump anchoring and ground to earth

  • Type : Pressure / suction

  • Bolt are well tihgtened

  • Free from corrosion damage

  • Ground test for "hanging hardware" is regularly done

Zone 2 : Dispenser sump containment

  • Clean, empty and dry- no water, product, oil, debris

  • Sump integrity (free from crack, bulges, holes)

Zone 3: Shear valve on pressurized product lines

  • One shear valve for each fuel line.

  • Properly secured an anchored

  • Installed at proper level. Check at construction level? (need to refer std)

  • Free from leaks

Zone 4: Emergency stop button

  • Available at each dispenser and located on conspicuous position

  • Clearly labeled. i.e. "EMERGENCY STOP"

  • Routinely tested.(at least yearly)

Zone 5: Hanging Hardware (Hosepipes / breakaway / nozzles)

  • Free from cracks, cuts, fractures, leakage, and movement between hose and fittings.

  • Nozzle sensor functioning properly

  • Nozzles splash guard available

  • Valid breakaway (expired dated)

  • Labelling of product

Zone 6 : Signage

  • Standard warning symbols. i.e. "STOP ENGINE", NO SMOKING" are displayed at or adjacent to the filling area

  • Labelling of product

  • available and noticeable

  • Dispensing instruction is stated clearly

  • Reminder e.g. Do not leave pump unattended to ensure spillage or overfilling are prevented during the filling stated at dispenser

Zone 7 : Bollards

  • Bollards are in place to protect against the vehicle impact

Zone 8 : Oil floor Trap

  • Available at each dispenser and flow is not interrupted to oil interceptor

Zone 9: Oil interceptor

  • Available and flow from oil flor trap is not interrupted

Part E : NGV Dispensing NA.

Part F : Emergency Response Plan

Element 1 : OSHMS

  • Employees are trained in the use of emergency equiment

  • Employees are trainer emergency procedure and the use of machine equipment

  • Emergency procedures are available for fire, spillage, accident, equipment failure and other potential abnormalities or emergencies (underground storage tank, oil dispensing or NGV dispensing area)

  • Emergency plan is regularly tested, reviewed and updated as required

  • List of emergency telephone numbers, including BOMBA, Ambulance service and other emergency responders is prominently displayed near the control center (console) telephone

  • spill kit is complete and readily avaiable

  • An incident investigation procedure is avaiable and employees are trained

Element 2 : Main Emergency Stop Button

  • Available to shut off power to all dispensing unit

  • Readily accessible in an emergency . (e.g. there is clear access to the emergency stop with no obstructions such rack, shelves or spill kits)

  • Clearly labeled i.e. "Emergency Stop"

  • Routinely test ( at least monthly)

Element 3 : Fire Protection System

  • Trained operator how to use fire protection system

  • Adequately installed, tested and maintained

  • Fire extinguisher is not expired

  • Fire extinguisher is located in a conspicuous position near dispenser or other item being protected

  • Fire extinguisher is located in a conspicuous position without undue danger in an emergency

  • Each fire extinguisher location is marked by a Fire Extinguisher sign

Part G : Other

Zone 1 : Domcumentation and records

  • Risk assessment is available and maintained i.e. HIRARC, HEMP, HAZOP, etc

  • Safety data sheet (SDS) are readily located in conspicuous position an maintained.

  • safety policy has been established (if required)

  • Organization Chart was created

  • Whenever discrepancies in the records indicate possible leakage, the dangerous goods installation is checked and any leaks rectified.

  • Distribution PPE records are maintained

  • Training records maintained

  • Inspection an maintenance records are maintained

  • Have audit been carried out by oil company

Zone 2 : Floor & Wall openings

  • Are floor holes or openings guarded by a cover, guardrail or equivalent on all sides? (except at entrance to stairways or ladders)

  • Are unused portions of service pits and pits not actually in use either covered or protected by guardrails or equivalent

Part h : Workshop/ Car Wash / Mini market / Restaurant / Surau / Toilet

Zone 1 : Workshop/ Car Wash / Mini market / Restaurant / Surau / Toilet

  • All certificated machineries are registered with dosh. i.e. air compressor units

  • Free from open flame / welding

  • Suitable PPE

  • Proper housekeeping

  • Acceptable signage

  • safe operating procedure i.e. service, repair, etc

Ulasan

  • Ulasan Pegawai

  • Tarikh :

  • Tandatangan

  • Ulasan Ketua .

  • Tarikh :

  • Tandatangan & cop

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