Information
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Document No.
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Audit Title
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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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The Fueling Operation is Being Monitored (1)
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All Emergency Shutoff buttons labeled and accessible (2)
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All Emergency phones are functional and labeled (3)
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First Response procedure for fires sign displayed (4)
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Rescue blankets are available in all applicable locations (5)
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Eye Solution bottles available in required locations (6)
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Handheld radios & Headsets in use by applicable associates (7)
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Associates can explain how to respond to fire on fuel court (8)
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E - 2-1: ( Store associates must explain this process fully as outlined below.)
* Hit the emergency stop button
* Call 911
*Call Central Station -
First aid for Fuel Exposures for Fires Sign displayed (9)
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Tyvek suits are available in required location (10)
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No Alarms active on the tank monitoring system (11)
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Environmental Compliance Binder is up-to-date (12)
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Fuel court and tank field are free of exterior safety cones (13)
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All Fuel Dispensers are clean and functional (14)
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All Fuel pricing is consistently advertised (15)
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All Spill Kit Valets are fully stocked (16)
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Definition: All spill kit valets are stocked with at least (1) pair of safety glasses, (1) pair of chemical resistant gloves, (3) spill booms, (5) double spill pads, & (1) white bucket filled to the handles with granular absorbent.
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Exterior Extinguishers and Casings are functional/labeled/clean (17)
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SS Stores - All Fuel court intercoms are clean/functional (18)
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All Windshield washer stations are clean/properly stocked (19)
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Fuel court trash receptacles are not overflowing (21)
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Fuel Court pad is free of debris (22)
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Tank Field Pad is free of debris (23)
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External Overfill Alarm is Functional (24)
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UST fill/vapor recovery spill buckets locked/free of debris (25)
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Air pump is clean and functional (26)
