Fueling Station Inspection

• Conducted on

  Date

• Prepared by

• Fire extinguishers are accessible and fully charged?

  Yes

  No

  N/A

• Emergency shut of switch is accessible and sign is intact?

  Yes

  No

  N/A

• No smoking signs are visible and easily identifiable?

  Yes

  No

  N/A

• Both gas and diesel pump handles are locked and in place?

  Yes

  No

  N/A

• Notify mechanics

• Both gas and diesel hoses are intact, free of cracks, and wear marks?

  Yes

  No

  N/A

• Notify mechanics

• Windshield washer handle and fluid are present and filled?

  Yes

  No

  N/A

• Spill kit is present, free of debris and filled?

  Yes

  No

  N/A

• Notify mechanics

• All spill clean up material is cleaned up?

  Yes

  No

  N/A

• Notify mechanics

• Area is free of all trash and debris?

  Yes

  No

  N/A

• Clean it up

• All tank caps are in place and are intact/free of breaks or cracks?

  Yes

  No

  N/A

• Notify mechanics

• All tanks are free of cracks, rust or other damage that would lead to spillage?

  Yes

  No

  N/A

• Are the fueling areas free of spills that could cause slips, trips or falls?

  Yes

  No

  N/A

• Has action been taken to mitigate spills in fueling area?

  Yes

  No

  N/A

• Is fuel storage tank free of the presence of water?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• Are all pipe connections free of leakage?

  Yes

  No

  N/A

Conclusion

• Was anything found defective

  Yes

  No

  N/A

• What was defective

• Can it be fixed in a quick manner?

  Yes

  No

  N/A

• Date and time of approval

  Date

• Approver's signature

  Sign