Title Page

  • Customer Name

  • Conducted on

  • Location

Customer info

Customer info and Signatures

  • Customer Mrn

  • Job card Number

  • Customer Signature

  • Technician Signature

Aboveground tanks

Aboveground Tank

  • Is there on the external tank shell corrosion and paint failure?

  • Attention Required

  • Is there on the tank ladder ,platform and handrails corrosion or paint failure?

  • Attention Required

  • Tank platform safe to enable operators to conduct tank gauging ?

  • Attention Required

  • Any corrosion or leakage on flanges and nozzles?

  • Attention Required

  • Manholes and bolts secured in place?

  • Attention Required

  • Valves in normal operation and no leakage?

  • Attention Required

  • Tank vent free off any blockage?

  • Attention Required

  • Tank checked for water by using water finding paste?

  • Water draw off valve in normal operation and residue water drained off?

  • Is dip cap assembly still sealing?

  • Attention Required

  • Replace Seal immediately......

  • Tank level gauge in normal operation?

  • Attention Required

  • Tank steel saddles not corroded and holding down bolts are secured in foundation?

  • Attention required

  • Tank bonded to an earth conductor?

  • Attention required

Pipelines

  • Denso wrapping along pipeline in good condition?

  • Attention Required

  • Replace Denso wrapping

  • Pipeline and associated fittings leaking?

  • Attention Required

  • Any surface corrosion,pitting or paint failure on pipeline?

  • Attention Required

  • Pressure test underground pipeline with Nitrogen to 500 kpa,

  • Attention Required

  • Pipeline checked according to API 570 standard?

  • Ultrasonic thickness test result?

  • Attention Required

Tank bund walls and foundation

  • Any spalling,settlement and cavities in tank foundation?

  • Attention Required

  • Any structural damage and cracks in bund wall and floor?

  • Attention Required

  • Rubble and combustible material inside bundwall?

  • Bund outlet valve close/locked and in good condition?

Meter Box and Fittings

  • Meter box lockable?

  • No corrosion or paint failure off meter box?

  • Attention Required

  • Hose securely rolled onto hose reel?

  • Any signs off sweating,pinhole leaks,circumferential bulges,deep exterior cuts,abrasions breakage or collapse on hose?

  • Attention Required

  • Take hose out of service and replace with new hose.....

  • Nozzle and clamps leaking and in normal operation?

  • Attention Required

  • Any leaks on pipe fittings or meters?

  • Attention Required

Transfer Pump

  • Pump and motor securely mounted to pump base?

  • Attention Required

  • Coupling guard fitted and secured?

  • Any leaks on seals?

  • Attention Required

Safety

  • Fire extinguishers available at meter box area?

  • Record last inspection date

  • Any emergency spill containment available?

  • Engen emergency contact number(0800036436) available?

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.