CPI Bulk Fuel

• Site conducted

  Select

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Overall Appearance of the plant.

• Are the grounds around the plant free of debis, trash, unecessary parts, and overgrown weeds,, etc.?

  Yes

  No

  N/A

• Is the ground around the plant free from visible leaks or spillage?

  Yes

  No

  N/A

• Is the emergency contact sign present and current?

  Yes

  No

  N/A

• Does the emergency sign include the 911 address?

  Yes

  No

  N/A

• Are the tanks clearly identified and marked? Visible from 50'?

  Yes

  No

  N/A

• Are there NFPA placards present and not faded?

  Yes

  No

  N/A

• Is the plant fenced and locked during non business hours?

  Yes

  No

  N/A

• Are the tanks locked and secured when not in immediate use?

  Yes

  No

  N/A

Containment

• Type of containment

  Earthen

  Concrete

• Condition of containment

  Safe

  At Risk

  N/A

• Condittion of the liner

  Safe

  At Risk

  N/A

• Is the area inside of the containment clean and dry?

  Yes

  No

  N/A

• Method for removing accumulated rain water.

  Pump

  Gravity

• Is the rainwater being checked for contamination prior to discharging outside of contain, ent?

  Safe

  At Risk

  N/A

• Is the pumping / rainwater discharge being documented and signed?

  Yes

  No

  N/A

• If contaminated what is the procedure for dealing with contaminated rainwater?

Storage tanks

• Are the storage tanks equipped with overfill alarms?

  Yes

  No

  N/A

• What method is used to prevent overfilling of storage tanks?

• Are there any visible leaks in the tanks?

  No visible leaks

  Visible leaks

• Are the quarterly visual tank integriety testing being completed and documented?

  Yes

  No

  N/A

Plumbing

• Is all of the piping above ground and not prone to rusting?

  Yes

  No

  N/A

• Are there any visible leaks in any of the plumbing?

  No visible leaks

  Visible leaks

• Monthly visual checks of all piping, flange joints, and valves for any visible leaks and documented?

  Yes

  No

  N/A

Unload / loadout pads

• Loadout pad

  Earthen

  Concrete

• Is the loadout pad clean and free from signs of spillage?

  Yes

  No

  N/A

• Bonding cable present at loadout site and properly attached to a grounding rod?

  Yes

  No

  N/A

• Unload pad

  Earthen

  Concrete

• Is the catch basin under the hose connection clean and sufficient?

  Yes

  No

  N/A

• Are the unload/load out instructions present and legible in accordance with D.O.T. Subpart B, 177.834?

  Yes

  No

  N/A

• Is there area around the unloading area clean and free from obvious spillage?

  Yes

  No

  N/A

• Are ther "No Smoking" signs present?

  Yes

  No

  N/A

Spills and leaks

• Has there been a spill in the past 12 months?

  Yes

  No

  N/A

• Have all spills in the past 12 months been properly documented?

  Yes

  No

  N/A

Fire extinguisher

• Are all fire extinguishers mounted so as not to rust at the bottom?

  Yes

  No

  N/A

• Have all fire extinguisher been annually serviced by an outside agency?

  Yes

  No

  N/A

• Have all fire extinguishers been inspected monthly by an employee?

  Yes

  No

  N/A

• Select date

  Date

• Mark Hueftle

  Sign

• Personal Fall Protection in safe condition?

  Yes

  No

  N/A

• Free of Slip and Trip Hazards?

  Yes

  No

  N/A

• Is there adequate lighting at the plant?

  Yes

  No

  N/A

• Are the Electrical Systems Compliant?

  Yes

  No

  N/A

• Machine Guarding Compliant?

  Yes

  No

  N/A

• Any other Corrective Actions Needed?

  Yes

  No

  N/A