Title Page

  • Site name

  • Location
  • Conducted on

  • Prepared by

  • Document No.

Underground bulk fuel tank

  • Immediate area free of fuel spills?

  • Fuel marker discs present and in good condition?

  • Fill point cover plates present and in good condition?

  • Fill point cap(s) present and correctly fitted?

  • Isolation valve clearly marked and functional (i.e. valve moves freely)?

  • Vent pipes - hazardous warning signage in place and visible?

  • Vent pipes clear of foliage/debris?

Fuel transfer pipes, hoses and gantries

  • Transfer hoses and pipes in good physical condition with no signs of corrosion, physical damage or wear?

  • Gantry in good physical condition with no signs of corrosion, cracking, physical damage or wear?

  • Water is free of any fuel sheen?

Fuel dispensers on marina

  • Dispensers in good physical condition and free from corrosion?

  • Fuel hoses and connection points in good physical condition and free of cracking / corrosion?

  • Fuel calibration sticker(s) displayed on each dispenser and are current?

  • Dispenser nozzles and holsters in good visual condition and free of damage?

  • Card reader in good condition and operational?

  • Emergency procedure and contact numbers clearly displayed and legible?

  • Emergency stop button clearly displayed and in good condition?

Spill kits

  • 200 litre portable spill kit available near fuel dispenser(s)?

  • Tamper proof seal fitted on spill kit lid and intact?

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.