Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
Legend
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Compliant - Completed, no problems found
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Non-compliant - Completed, problems noted & repairs required
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Rectified - Completed, problems corrected
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Incomplete - Unable to perform inspection or additional work to be done.
General
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Banlaw Job Number:
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Order Number:
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Work started
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Work completed
ZP2R
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01-Power light operational
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02-Operation of ZP2R control panel
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03- Membrane damaged or worn
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04-Conduit entry undamaged
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05-Lack of water ingress
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Add media
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Add drawing
Actuated ball valve
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01-Operation valve via control panel
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02-Operation via manual override
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03-Check lack of damage
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04-Check lack of water ingress
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Add media
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Add drawing
Level sensor
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01-Check normal operation
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02-Check lack of damage
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03-Check lack of water ingress
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Add media
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Add drawing
Loading arm
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01-800 LPM receiver cap attached
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02-800 LPM receiver free of damage or leaks
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03-1000 LPM receiver cap attached
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04-1000 LPM receiver free of damage or leaks
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05-Hose clamps tight
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06-Hose free of damage or leaks
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07-Actuated valve free of damage or leaks
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08-Actuator secure to ball valve
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09-Pipe mounts free of damage
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10-Pipe work free of damage or leaks
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11-Tank entry free of leaks
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12-Painted parts free of wear or fading
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Add media
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Add drawing
Tank vents
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01-Vents free of damage or blocking
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02-Overflow hose free of damage or kinks
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03-Remote filter assembly free of blockage
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04-Fuel tank free of damage (e.g. swelling)
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05-Level sensor has tight fit & free of leaks
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Add media
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Add drawing
Commission system
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01-System operates as designed
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02-System free of leaks
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03-Check pressure gauge & record pressure
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04-Confirm overflow hose is expelling air while refueling
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05-Overflow hose free of leakage
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Add media
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Add drawing
Fuel truck 672
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01-Flow rate
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02-Correct nozzle type fitted
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03-Correct nozzle spring setting
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04-Nozzle in good condition
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05-Holster, plug etc in good condition
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Add media
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Add drawing
Refueling process
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01-Operator wipes receiver
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02-Nozzle has shut off restrictor (i.e. o-ring)
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03-Operator understands the Fillsafe system
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Add media
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Add drawing
Issues & remarks
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Inspection Comments
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Recommendations
Signoff
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Inspected by
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Inspected by
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Inspected by
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Approved by
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NOTE: All non-compliant results will followed up by Banlaw Service. Work required will be quoted then submitted for review, approval and scheduling.
