Information

  • Conducted on

  • Prepared by

  • Personnel

Relevant questions

  • Any visible signs of liquid spills or leaks to unsealed areas of the site?

  • Any chance of liquid spills or leaks to sewer or trade waste?

  • Are there any liquids stored in unbunded areas?

  • Are there any bunds that do not have capacity to hold 110% of the the largest storage vessel?

  • Are there any bunds that have not been integrity tested in the last 12 months to ensure they don't leak?

  • Do any of the bunds have drain valves that could be left open accidently?

  • Are there any liquid containers damaged or leaking?

  • Is there any spillage, contamination, debris or litter present on the ground?

  • Have areas with liquid storage got spill kits near by?

  • Do any of the spill kits lack supplies and/ or contain rubbish?

  • Are there any nearby employees that are not trained in the use of these spill kits?

  • Does the Site have a storm water shutoff to stop storm water leaving the site, and could it accidentally be left open?

Sign Off

  • On site representative

  • Auditor's 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.