Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location

GENERAL NOTES

  • Current site layout and equipment

  • Proposed site layout and equipment

SITE INFORMATION

General

  • Description of Geography and typical temperature ranges

  • Is there a requirement to fuel in Hazardous Areas?

  • Approx number of HEAVY vehicles for auto-id?

  • Approx number of LIGHT vehicles for auto-id?

  • Notes

  • Site photos

  • Site sketch

Engineering

  • Are Engineering Drawings available?

  • Are General Assembly drawings available?

  • Are P&ID drawings available?

  • Is lightning/Surge Protection Required?

  • Is wireless ethernet Available?

  • What is Power Supply? (24VDC or 12VDC)

SERVICE/FUEL TRUCKS

SERVICE / FUEL TRUCK

  • Name & number of truck!

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

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

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

  • Are Identification keys or cards required?

  • Are there existing flow meters for outgoing fuel?

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

  • Are there existing control valves for outgoing fuel?

  • What voltage is the Truck?

  • Diameter of the outgoing pipe line?

  • Is outgoing filtration required?

  • Maximum flow rate of the outgoing line?

  • Are nozzle holsters required?

  • Photos

  • Sketch

Lubes & Coolant

  • Are lubes & coolant required to be monitored on this truck ?

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

  • Do the current lubes & coolant lines have actuated shut off valve?

  • Do the current lubes & coolant lines have flow meters complete with pulse output devices?

  • What is the diameter of the lubes & coolant lines?

  • Record manufacturer, make, model #, size, length of hose and location of existing hose reels.

  • Gather information on pumps ( double diaphragm, positive displacement, make, model etc)

  • Photos

  • Sketch

ADDITIONAL HARDWARE

  • Are there existing loading arms or hose reels?

  • Model # and manufacturer of HOSE REELS

  • Model # and manufacturer of LOADING ARMS

  • 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

  • Sketch

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. You should independently determine whether the template is suitable for your circumstances.