Petrol Station Competent Person's & Contractors Audit - Petrol Delivery

• Conducted on

  Date

• Prepared by

• Location
  Address

Tanker Delivery Audit on a Competent Person

• Audit is to be completed on the Competent Person, not the Tanker Driver

• Audit can not be completed on DCD or Authorised Unassisted Sites

• Competent Persons Name

• Fuel Brand Fuel Petroleum Delivery Certificate has been fully and correctly completed & the ullage correctly calculated before the delivery commences?

  Yes

  No

• Station Receipt Record has been started and fully calculated before the delivery commences & completed when the delivery has concluded?

  Yes

  No

• No more than 2 product lines connected at any time?

  Yes

  No

• Competent Person is aware of control measures identified/implemented in the site’s Risk Assessment.

  Yes

  No

• Competent Person has the correct PPE ? - High Viz, Covered Shoes etc

  Yes

  No

• Competent Person is able to discuss the emergency response procedure on major spillage

  Yes

  No

• Competent Persons training is completed and site specific?

  Yes

  No

• Competent Person stays throughout the operation of the delivery

  Yes

  No

• Competent Person is alert to all possible dangers. <br>

  Yes

  No

• Pictures of completed: Station Receipt Record Tanker Delivery Advice Note Tanker Delivery Certificate

  Media

Contractor Audit

• Contractor

Recommended Practices

• Has the Clearance Certificate been completed correctly?

  Yes

  No

  N/A

• Is there an appropriate Method Statement and Risk Assessment?

  Yes

  No

  N/A

• Are the service station staff aware of the work taking place?

  Yes

  No

  N/A

• Is significant work going ahead in accordance with method statement?

  Yes

  No

  N/A

Protective Equipment

• Eye/Face Protection

  Yes

  No

  N/A

• Fall Prevention/Fall Arresting Equipment

  Yes

  No

  N/A

• Fire Resistant Clothing

  Yes

  No

  N/A

• Gloves

  Yes

  No

  N/A

• Hearing Protection

  Yes

  No

  N/A

• Hard Hats

  Yes

  No

  N/A

• Hi Vis Vest

  Yes

  No

  N/A

• Safety Footwear

  Yes

  No

  N/A

• Have the hazards been correctly identified?

  Yes

  No

  N/A

• Are the required control measures being observed?

  Yes

  No

  N/A

• Has the work area been secured correctly to prevent access?

  Yes

  No

  N/A

• Is the equipment suitable and fit for purpose (visual check)?

  Yes

  No

  N/A

• Does the contractor know how to raise the alarm?

  Yes

  No

  N/A

• If being used is mechanical equipment sited correctly?

  Yes

  No

  N/A

• Is welding, soldering or burning equipment being used and sited correctly?

  Yes

  No

  N/A

• If fall protection is provided is it used correctly?

  Yes

  No

  N/A

• Are housekeeping standards acceptable?

  Yes

  No

  N/A

• Is equipment stored safely/securely?

  Yes

  No

  N/A

• Is gas monitoring being recorded (if required)?

  Yes

  No

  N/A

• Pictures of the work in progress & the contractor(s)

  Media

• Contractor / Competent Person

  Sign

• Auditor

  Sign