Information
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Name of Dealer
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Brand
- Petronas
- Shell
- Petron
- BHP
- Caltex
- Others
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Address
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KPDNKK seiral No:
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Ownership
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number of dispenser
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Person In charge
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Tel No: / Fax No: / Email:
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Date Start operation
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No. of employees :
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No. of employees : Citizen male =
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No. of employees : Citizen Female
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No. of employees : Foreigners male
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No. of employees : Foreigners female
Part B : Unloading From Tanker
Zone : Safe operating Procedure /Safe Work Procedure
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Measure to control spill and leaks during tranfers
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Measure to control static electricity during transfer 1.e: earthing
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measure to control source of ignition during transfer
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vapour recovery system is applied
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Document on safe transfer or unload of fuel
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Trained operator
Part C : Underground Storage Tank
Zone 1. Riser (filling Point)
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Riser are in good condition
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Fuel Type identification (color coding/tagging)
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Secured/locked
Zone 2 Tank Venting Equipment
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Pressure/vacuum vent Cap Present (if required )<br> a. type of venting<br>b. available<br>c. functioning
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remark :
Zone 3. Sump : containment and fittings
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Sump/manhole cover in good condition (create proper sealed and no crack)
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sump seal in good condition (no crack or loose seals)
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Clean, empty and dry - no water product, dirty, debris.
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Sump Intergrity (free of crack, bulges, holes)
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Connector/fitting : free of leaks
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Appearance of piping (free of rust, discoloration, delamination, swelling, disintegration, etc)
Zone 4. Overfill protection Devices
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avaiable
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Functioning properly
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overfill alarm
Zone 5. Cathodic protection (if required)
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Rectifier operation within normal limits
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Proper operation verified by qualified person
Zone 6. Dipstick
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type :
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dipstick are protect by teflon to avoid spark
Zone 7. Automatic tank Gauge (ATG
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available
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ATG equipment functional
Zone 8 Leak detactor e.g. vacuum gauge
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Any leak detector installed
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Type
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functioning properly
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tested
Zone 9. Groundwater monitoring tube/ monitoring well
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record on usage avaiable
Zone 10 Signage
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Available and noticeable
Part d : Despensing Area
Zone 1 : Dispenser/pump anchoring and ground to earth
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Type : Pressure / suction
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Bolt are well tihgtened
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Free from corrosion damage
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Ground test for "hanging hardware" is regularly done
Zone 2 : Dispenser sump containment
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Clean, empty and dry- no water, product, oil, debris
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Sump integrity (free from crack, bulges, holes)
Zone 3: Shear valve on pressurized product lines
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One shear valve for each fuel line.
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Properly secured an anchored
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Installed at proper level. Check at construction level? (need to refer std)
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Free from leaks
Zone 4: Emergency stop button
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Available at each dispenser and located on conspicuous position
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Clearly labeled. i.e. "EMERGENCY STOP"
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Routinely tested.(at least yearly)
Zone 5: Hanging Hardware (Hosepipes / breakaway / nozzles)
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Free from cracks, cuts, fractures, leakage, and movement between hose and fittings.
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Nozzle sensor functioning properly
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Nozzles splash guard available
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Valid breakaway (expired dated)
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Labelling of product
Zone 6 : Signage
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Standard warning symbols. i.e. "STOP ENGINE", NO SMOKING" are displayed at or adjacent to the filling area
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Labelling of product
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available and noticeable
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Dispensing instruction is stated clearly
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Reminder e.g. Do not leave pump unattended to ensure spillage or overfilling are prevented during the filling stated at dispenser
Zone 7 : Bollards
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Bollards are in place to protect against the vehicle impact
Zone 8 : Oil floor Trap
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Available at each dispenser and flow is not interrupted to oil interceptor
Zone 9: Oil interceptor
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Available and flow from oil flor trap is not interrupted
Part E : NGV Dispensing NA.
Part F : Emergency Response Plan
Element 1 : OSHMS
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Employees are trained in the use of emergency equiment
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Employees are trainer emergency procedure and the use of machine equipment
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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)
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Emergency plan is regularly tested, reviewed and updated as required
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List of emergency telephone numbers, including BOMBA, Ambulance service and other emergency responders is prominently displayed near the control center (console) telephone
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spill kit is complete and readily avaiable
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An incident investigation procedure is avaiable and employees are trained
Element 2 : Main Emergency Stop Button
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Available to shut off power to all dispensing unit
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Readily accessible in an emergency . (e.g. there is clear access to the emergency stop with no obstructions such rack, shelves or spill kits)
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Clearly labeled i.e. "Emergency Stop"
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Routinely test ( at least monthly)
Element 3 : Fire Protection System
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Trained operator how to use fire protection system
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Adequately installed, tested and maintained
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Fire extinguisher is not expired
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Fire extinguisher is located in a conspicuous position near dispenser or other item being protected
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Fire extinguisher is located in a conspicuous position without undue danger in an emergency
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Each fire extinguisher location is marked by a Fire Extinguisher sign
Part G : Other
Zone 1 : Domcumentation and records
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Risk assessment is available and maintained i.e. HIRARC, HEMP, HAZOP, etc
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Safety data sheet (SDS) are readily located in conspicuous position an maintained.
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safety policy has been established (if required)
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Organization Chart was created
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Whenever discrepancies in the records indicate possible leakage, the dangerous goods installation is checked and any leaks rectified.
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Distribution PPE records are maintained
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Training records maintained
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Inspection an maintenance records are maintained
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Have audit been carried out by oil company
Zone 2 : Floor & Wall openings
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Are floor holes or openings guarded by a cover, guardrail or equivalent on all sides? (except at entrance to stairways or ladders)
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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
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All certificated machineries are registered with dosh. i.e. air compressor units
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Free from open flame / welding
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Suitable PPE
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Proper housekeeping
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Acceptable signage
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safe operating procedure i.e. service, repair, etc
Ulasan
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Ulasan Pegawai
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Tarikh :
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Tandatangan
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Ulasan Ketua .
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Tarikh :
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Tandatangan & cop