DFM Inspection Check Sheet

• Name of Site

• Conducted on

  Date

• Weights & Measures Inspector

• Address
  Address

Class 1.0 LPG Dispenser

Pump Info

• Pump #

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• Fuel Type

  LPG

  CNG

• Legend Details

  Media

• Approval Number

• General Requirements

  Select Total Price Units of Volume Product Minimum Delivery Price per Unit

  • Total Price
  • Units of Volume
  • Product
  • Minimum Delivery
  • Price per Unit

• Enter details of non-compliance

Sealing

• Meter Stamped and Sealed

  Yes

  No

  N/A

• Photo of unsealed meter

  Media

Certificate of Accuracy Details

• Instrument has current certificate of accuracy?

  Yes

  No

  N/A

• AP number

• Expiry Date

  Date

Totaliser

• Totaliser Start (L)

• Totaliser Finish (L)

• Totaliser

  Pass

  Fail

Meter Accuracy

• Current Trading Standards MM Correction factor 0.9987

• Stabilising run of 100 Litres complete?

  Yes

  No

  N/A

• Record litres delivered (L)

• Temperature @ 50 L

• Temperature @ 75 L

• Temperature @ 100 L

• Is variation <0.5 C

  Yes

  No

  N/A

• Stabilising run of 100 Litres complete?

  Yes

  No

  N/A

• Record litres delivered (L) - as indicated on MUT

• Temperature @ 50 L

• Temperature @ 75 L

• Temperature @ 100 L

• Is variation <0.5 C

  Yes

  No

  N/A

• Proving run of 100 Litres, within MPE (+/- 1%)? <br>*MM1 x MF = MM1c - MUT = Error (Convert to %) Apply MPE for delivered volume<br>

  Within MPE

  Exceeds MPE

• Record litres delivered (L) - as indicated on MUT

• Proving run of 100 Litres, within MPE (+/- 1%)? <br>*MM1 x MF = MM1c - MUT = Error (Convert to %) Apply MPE for delivered volume<br>

  Within MPE

  Exceeds MPE

• Record litres delivered (L) - as indicated on MUT

• Variation between two consecutive deliveries <0.4%

  Pass

  Fail

Pre-set test and Price Computation

• Pre-set (MPE +/- 2 cents)

  Within MPE

  Exceeds MPE

• Note litres delivered

• Note litres delivered

• Price per litre

• Price Computation

  Pass

  Fail

Meter Performance

• Additional Requirements

  Select Interlock Hose Dilation* Anti-drain Valve* Not Leaks Visible Securely Mounted

  • Interlock
  • Hose Dilation*
  • Anti-drain Valve*
  • Not Leaks Visible
  • Securely Mounted

• Add details of non compliance

• Add media

  Media

• Class 0.5 DFM

Class 0.5 Driveway Flow Meter

Pump Info

• Pump #

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  • 20

• Legend Details

  Media

• Approval Number

• General Requirements

  Select Total Price Units of Volume Product Minimum Delivery Price per Unit

  • Total Price
  • Units of Volume
  • Product
  • Minimum Delivery
  • Price per Unit

• Enter details of non-compliance

Meter Performance

• Pump details and test results

TEST RESULTS

Hose Details

• Fuel Type

  91

  95

  98

  Diesel

  LPG

• Meter Stamped and Sealed

  Yes

  No

  N/A

• Photo of unsealed meter

  Media

Certificate of Accuracy Details

• Instrument has current certificate of accuracy?

  Yes

  No

  N/A

• AP number

• Expiry Date

  Date

Totaliser

• Totaliser Start (L)

• Totaliser Finish (L)

• Totaliser

  Pass

  Fail

Pre-set test and Price Computation

• Pre-set

  Pass

  Fail

• Note litres delivered

• Note litres delivered

• Price per litre

• Price Computation

  Pass

  Fail

Meter Accuracy

• 20 Litre Fast (1) - MPE 100 ml

  Within MPE

  Exceeds MPE

• Note litres delivered

• 20 Litre Fast (2) - MPE 100 ml

  Within MPE

  Exceeds MPE

• Note litres delivered

• 20 Litre Variation (Fast 1 - Fast 2) <40ml

  Pass

  Fail

• Air Separator

  Pass

  Fail

  N/A

• 20 Litre Slow - MPE 100 ml

  Within MPE

  Exceeds MPE

• Note litres delivered

• 5 Litre - MPE 25 ml

  Within MPE

  Exceeds MPE

• Note litres delivered

Meter Performance

• Additional Requirements *Fail if indicator advances more than MPE for the minimum delivery (20ml if min = 2 L)

  Select Interlock Hose Dilation* Anti-drain Valve* Not Leaks Visible Securely Mounted

  • Interlock
  • Hose Dilation*
  • Anti-drain Valve*
  • Not Leaks Visible
  • Securely Mounted

• Add details of Non-compliance

• Add media

  Media

• Reconciliation Advice Notice

Reconciliation Advice

The following Driveway Flowmeters were tested and all product was returned to storage tanks

• Pump #

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• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• Pump #

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  • 20

• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• Pump #

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  • 1
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  • 13
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  • 15
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  • 17
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  • 20

• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• Pump #

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  • 1
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  • 20

• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• Pump #

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  • 10
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  • 12
  • 13
  • 14
  • 15
  • 16
  • 17
  • 18
  • 19
  • 20

• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• Pump #

  Select 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20

  • 1
  • 2
  • 3
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  • 5
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  • 10
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  • 13
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  • 20

• Grade

  91

  95

  98

  Diesel

  LPG

• Litres Dispensed

• General Advice Notice

General Advice

Weights and Measures Act 1987 You are advised to

• Advice

• Add signature

  Sign