Title Page

  • Conducted on

  • Prepared by

  • Annual reminders:
    • Hold SPCC Briefing for all oil-handling personnel (and update briefing log in the Plan);
    • Check contact information for key employees and response/cleanup contractors and update
    them in the Plan as needed;

Annual Facility Inspection Checklist

  • This inspection record must be completed each year. If any response requires further elaboration, provide comments in Description & Comments space provided. Further description and comments, if necessary, must be provided on a separate sheet of paper and attached to this sheet. *Any item that receives “yes” as an answer must be described and addressed immediately.

Storage Tanks

Tank FO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank G-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank UO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank UO-2

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank HO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank MO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Water/product in interstice of double-walled tank

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank HO-2

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Water/product in interstice of double-walled tank

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank AL-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank GO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank MNO-1

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank UO-3

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank FO-2

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank FO-3

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank FO-4

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank FO-5

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Tank FO-6

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank surface shows signs of corrosion or thinning

  • Description & Comments

  • Tank is damaged, rusted, deteriorated

  • Description & Comments

  • Bolts, rivets, or seams are damaged

  • Description & Comments

  • Tank support is deteriorated or buckled

  • Description & Comments

  • Tank foundation has eroded or settled

  • Description & Comments

  • Level gauge or alarm is inoperative

  • Description & Comments

  • Vent is obstructed

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

Dikes

  • Secondary containment is stained

  • Description & Comments

  • Dike drainage valve is open or is not locked

  • Description & Comments

  • Dike walls or floors are cracked or are separating

  • Description & Comments

  • Dike is retaining water (following large rainfall)

  • Description & Comments

Piping

  • Valve seals, gaskets, or other appurtenances are leaking

  • Description & Comments

  • Fill pipe and discharge pipes are in good condition

  • Description & Comments

  • Pipelines or supports are damaged or deteriorated

  • Description & Comments

  • Joints, valves and other appurtenances are leaking

  • Description & Comments

  • Catch pans are in good condition

  • Description & Comments

  • Valves are locked in the closed position

  • Description & Comments

Loading/unloading and transfer equipment

  • Connections are not capped or blank-flanged

  • Description & Comments

  • Concrete berm is damaged or stained

  • Description & Comments

Security

  • Fencing, gates, or lighting is non-functional

  • Description & Comments

Response equipment

  • Response equipment inventory is incomplete

  • Description & Comments

  • Additional Remarks:

  • Print Name and Sign

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