BE-002-v1

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Current site layout and equipment

• Proposed site layout and equipment

General

• Description of Geography and typical temperature ranges

• Is there a requirement to fuel in Hazardous Areas?

  Yes

  No

  N/A

• Approx number of HEAVY vehicles for auto-id?

• Approx number of LIGHT vehicles for auto-id?

• Notes

• Site photos

  Media

• Site sketch

  Drawing

Engineering

• Are Engineering Drawings available?

  Yes

  No

  N/A

• Are General Assembly drawings available?

  Yes

  No

  N/A

• Are P&ID drawings available?

  Yes

  No

  N/A

• Are applicable Electrical Standards available?

  Yes

  No

  N/A

• Are Electical Scematics available?

  Yes

  No

  N/A

• Is lightning/Surge Protection Required?

  Yes

  No

  N/A

• Is an appropriate Power Supply available? (Mains, DC, etc)

  Yes

  No

  N/A

• Is an Air supply available?

  Yes

  No

  N/A

• Is there IT Infrastructure Available?

  Yes

  No

  N/A

• Is wireless ethernet Available?

  Yes

  No

  N/A

• Notes

• Location/Name

INCOMING FUEL

• Is incoming fuel metering required?

  Yes

  No

  N/A

• Is incoming fuel metering required to be NMI compliant?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse ouput device?

  Yes

  No

  N/A

• Is there Bulk Air Elimination / will it be required?

  Yes

  No

  N/A

• Is incoming filtration required?

  Yes

  No

  N/A

• Information of existing fuel pumps (make model etc)

• Diameter of the incoming line

• Maximum flow rate for the incoming line

• Are pipes Screwed or Flanged?

  Safe

  At Risk

  N/A

• What Power source is available?

• Notes

• Photos

  Media

• Sketch

  Drawing

TANKS

• Is incoming fuel metering required?

  Yes

  No

  N/A

• How many tanks required for TLM?

• Are the tanks Horizontal or Vertical?

  Horizontal

  Vertical

• Is incoming fuel metering required?

  Yes

  No

  N/A

• Notes

• Photos

  Media

• Sketch

  Drawing

REFUELLING LOCATIONS

• How many refuelling points at location?

• Is auto-id required for DRY BREAK refuelling of vehicles?

  Yes

  No

  N/A

• Is auto-id required for SPLASH FILL refuelling of vehicles?

  Yes

  No

  N/A

• Are Identification keys or cards required?

  Yes

  No

  N/A

• Is NMI approval for outgoing flow metering required?

  Yes

  No

  N/A

• Are there existing flow meters - Make / Model?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse output signal?

  Yes

  No

  N/A

• Are there existing control valves for outgoing fuel?

  Yes

  No

  N/A

• Voltage of the control valves

• Diameter is the outgoing pipe line

• Is outgoing filtration required?

  Yes

  No

  N/A

• Maximum flow rate for the outgoing line

• Are nozzle holsters and a nozzle attachment alert system (stop/go traffic lights) required?

  Yes

  No

  N/A

• Notes

• Photos

  Media

• Sketch

  Drawing

ADDITIONAL HARDWARE

• Are there existing loading arms or hose reels?

  Yes

  No

  N/A

• Model # and manufacturer of HOSE REELS

• Model # and manufacturer of LOADING ARMS

• Are there existing bowsers for light vehicle refuelling?

  Yes

  No

  N/A

• Measurements of area of location of existing equipment.

• Exact position (centre to centre) of Pipe from storage tank to use as battery point.

• Photos

  Media

• Sketch

  Drawing

• Location/Name

LUBES & COOLANT

• Are lubes & coolant required to be monitored?

  Yes

  No

  N/A

• How many lubes & coolant are required to be monitored?

• Do the lubes and coolant lines have actuated shutoff valves?

  Yes

  No

  N/A

• Do the lubes and coolant lines have flow meters?

  Yes

  No

  N/A

• Diameter of the lubes & coolant lines

• Do the lubes & coolant flow meters have a pulse output?

  Yes

  No

  N/A

• Diameter are the lubes & coolant lines

• If hose reels are used, record model number, size and manufacturer

• Photos

  Media

• Sketch

  Drawing

TRUCK #1

• Name

• How many refuelling points? eg. one high flow, one light vehicle

• Is auto-id required for DRY BREAK refuelling of vehicles?

  Yes

  No

  N/A

• Is auto-id required for SPLASH FILL refuelling of vehicles?

  Yes

  No

  N/A

• Are Identification keys or cards required?

  Yes

  No

  N/A

• Are there existing flow meters for outgoing fuel?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse output signal?

  Yes

  No

  N/A

• Are there existing control valves for outgoing fuel?

  Yes

  No

  N/A

• What voltage is the Truck?

• Diameter of the outgoing pipe line?

• Is outgoing filtration required?

  Yes

  No

  N/A

• Maximum flow rate of the outgoing line?

• Are nozzle holsters required?

  Yes

  No

  N/A

• Photos

  Media

• Sketch

  Drawing

TRUCK #2

• Name

• How many refuelling points? eg. one high flow, one light vehicle

• Is auto-id required for DRY BREAK refuelling of vehicles?

  Yes

  No

  N/A

• Is auto-id required for SPLASH FILL refuelling of vehicles?

  Yes

  No

  N/A

• Are Identification keys or cards required?

  Yes

  No

  N/A

• Are there existing flow meters for outgoing fuel?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse output signal?

  Yes

  No

  N/A

• Are there existing control valves for outgoing fuel?

  Yes

  No

  N/A

• What voltage is the Truck?

• Diameter of the outgoing pipe line?

• Is outgoing filtration required?

  Yes

  No

  N/A

• Maximum flow rate of the outgoing line?

• Are nozzle holsters required?

  Yes

  No

  N/A

• Photos

  Media

• Sketch

  Drawing

TRUCK #3

• Name

• How many refuelling points? eg. one high flow, one light vehicle

• Is auto-id required for DRY BREAK refuelling of vehicles?

  Yes

  No

  N/A

• Is auto-id required for SPLASH FILL refuelling of vehicles?

  Yes

  No

  N/A

• Are Identification keys or cards required?

  Yes

  No

  N/A

• Are there existing flow meters for outgoing fuel?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse output signal?

  Yes

  No

  N/A

• Are there existing control valves for outgoing fuel?

  Yes

  No

  N/A

• What voltage is the Truck?

• Diameter of the outgoing pipe line?

• Is outgoing filtration required?

  Yes

  No

  N/A

• Maximum flow rate of the outgoing line?

• Are nozzle holsters required?

  Yes

  No

  N/A

• Photos

  Media

• Sketch

  Drawing

TRUCK #4

• Name

• How many refuelling points? eg. one high flow, one light vehicle

• Is auto-id required for DRY BREAK refuelling of vehicles?

  Yes

  No

  N/A

• Is auto-id required for SPLASH FILL refuelling of vehicles?

  Yes

  No

  N/A

• Are Identification keys or cards required?

  Yes

  No

  N/A

• Are there existing flow meters for outgoing fuel?

  Yes

  No

  N/A

• Do the existing flow meters have a pulse output signal?

  Yes

  No

  N/A

• Are there existing control valves for outgoing fuel?

  Yes

  No

  N/A

• What voltage is the Truck?

• Diameter of the outgoing pipe line?

• Is outgoing filtration required?

  Yes

  No

  N/A

• Maximum flow rate of the outgoing line?

• Are nozzle holsters required?

  Yes

  No

  N/A

• Photos

  Media

• Sketch

  Drawing

ADDITIONAL HARDWARE

• Are there existing loading arms or hose reels?

  Yes

  No

  N/A

• Model # and manufacturer of HOSE REELS

• Model # and manufacturer of LOADING ARMS

• Are there existing bowsers for light vehicle refuelling?

  Yes

  No

  N/A

• Measurements of area of the truck where existing equipment is

• Exact position (centre to centre) of Pipe from storage tank to use as battery point.

• Photos

  Media

• Sketch

  Drawing

Banlaw

• Inspected by

  Sign

• Inspected by

  Sign

• Inspected by

  Sign

Client

• Representative

  Sign