Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Add location
  • RMP document information up to date

  • Maps Updated and Coordinates Accurate

  • SDS' s Current

  • Inventory Updated and Accurate

  • Bulk tanks

  • Nurse tanks

  • Total Quantity

  • Bulk Plant data Documented & Current (Data plate, Pop-off, hydrostat info.)

  • Plant Equipment Current (Bulk head, Crash Protection, ESV, Breakaways, etc.)

  • Bulk head

  • Crash Protection

  • Saddles 1/3 Circumference of storage tanks

  • Emergency shut off (Liquid & Vapor)

  • Pull away protection on Load out

  • Pop off Valves Installed Correctly

  • Hydrostatic relief valves Installed Correctly

  • 150 Gallon Water Tank or Larger

  • Leak Check (Every 5 Years)

  • 911 Number and Physical Address Posted on Site

  • Proper Marking of Storage tanks

  • Proper Marking of Nurse tanks

  • Hazard Review Completed and Documented

  • Hazard Review Current (Every 5 years)

  • Operating Procedures Up to Date, Site specific, and include:

  • Initial Start Up

  • Normal Operations

  • Temporary Operations

  • Emergency Shut Down and Operation

  • Normal Shurdown

  • Startup following a shutdown or major change

  • Consequence of Deviation and steps to avoid deviation

  • Equipment Inspections Completed

  • ANSI Inspection Checklist Completed

  • Refresher Training (Every 3 years)

  • Hands on Training (site specific)

  • Maintenance Documented and Updated

  • Asmark Maintenance Manual Completed

  • Mainenance inspection Checklist Completed

  • Compliance Audit Completed

  • Compliance Audit Current (Every 3 Years)

  • Two most recent Compliance Audits Present

  • Compliance Audit deficiencies Completed within Alloted time

  • Emergency Actions have been Coordinated with Local Planning and Response Organizations

  • Adequate PPE and Respirators on site

  • Add signature

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.