Information

  • Facility Name

  • Maximo ID

  • Conducted on

  • Prepared by

  • Location
  • Inspection Team

  • Use this template for brief or full site inspections. Please see the Appendix section for examples if required.

Type of inspection

  • Inspection type?

Tank Condition Assessment

  • Where required give positions as per a clock face dial with the hatch being at 6 o'clock.
    For condition scoring:
    1. Asset as new
    2. Initial signs of deterioration
    3. Satisfactory (unless in an area of high risk)
    4. Poor/action required (especially in high risk areas)
    5. Urgent action required

  • Is an internal assessment being conducted?

Internal Assessment

Cleanliness of tank?

  • Sedimentation Details

  • Describe sediment type (fine silt, sand, mud etc)

  • Max/average sediment depth (mm)

  • Coverage (patchy, floor covered, walls etc.)

Pipework Condition

  • Pipework Condition

  • Inlet/outlet configuration

  • Is the inlet/outlet caged?

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Is the inlet caged?

  • Inlet Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Is the outlet caged?

  • Outlet Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Overflow Pipe

  • Type of overflow

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Overflow has vermin proofing?

Internal Access Condition

  • Internal Access

  • Internal Access present?

  • Condition? (Using scoring criteria above)

Wall Internal

  • Wall (Internal) Condition

  • Crack Evident

  • Approximate total length (m)

  • Approximate total length (m)

  • Spalling of Concrete(Local/Widespread)

  • Area Damaged Wall (m2)

  • Area Damaged Wall (m2)

  • Overall Wall Condition? (Use scoring criteria above)

Floor Condition

  • Floor Condition

  • Floor/Ring Beam -Wall Joint/Seal Condition

  • Column Base to Floor Cracking

  • Floor Seals Condition

  • Cracks Evident

  • Approximate total length (m)

  • Total approximate length (m)

  • Is there a liner or paint/coating present on the floor?

  • Liner or Paint/Coating Condition

  • Liner/Coating is functional? (i.e. is the asset doing what it is supposed to do?)

  • Overall Condition? (Use scoring criteria above)

Column Condition

  • Column Condition

  • Columns in tank?

  • Material Type (AL, Composite, Steel, Conc,)

  • Total Number of Columns

  • Number of Columns with 4/5 Grade

  • Overall Condition? (Select worst condition grade)

Internal roof/support beams condition

  • Beam/Purlin Condition

  • Wall -Beams/Purlins Connection

  • Construction Material

  • Overall Condition? (Use scoring criteria above)

Cathodic Protection

  • Cathodic Protection Condition

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

External Assessment

  • Is an external assessment being conducted?

Safe Access

  • Grids, Grates and Cover

  • Condition? (Use scoring criteria above)

  • Ladder/Stairways

  • Condition? (Use scoring criteria above)

  • Platform/Walkways/Flight Bridges

  • Condition? (Use scoring criteria above)

  • Handrails

  • Condition? (Use scoring criteria above)

  • Davit Sleeve/Mount

  • Condition?

  • Anchor Points

  • Condition?

Access Hatch

  • Entry hatch

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Any other hatches or entry points?

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

Roof & Drainage

  • Roof Condition

  • Fastener Type

  • Fastners Overall Condition

  • Roof Ventilation Condition?

  • Number or % of Roof with 4/5 Grade

  • Overall Roof Condition? (Use scoring criteria above)

  • Drainage Condition

  • Drainage Type?

  • Drainage Apron Condition?

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Gutters Condition?

  • Functional? (i.e. is the asset doing what it is supposed to do?)

Wall External

  • Wall External Condition

  • Coating/Paint condition

  • Day plane/Joint Issues

  • Cracks Evident

  • Approximate total length (m)

  • Approximate total length (m)

  • Spalling of Concrete

  • Area Damaged Wall (m2)

  • Area Damaged Wall (m2)

  • Carbonation test done?

  • East

  • Carbonation depth

  • Cover depth

  • South

  • Carbonation depth

  • Cover depth

  • West

  • Carbonation depth

  • Cover depth

  • North

  • Carbonation depth

  • Cover depth

  • Overall Condition? (Use scoring criteria above)

Water Quality Hazards (only complete this section if conducting a full assessment)

  • Complete a Water Quality Hazard Assessment?

  • Roof Type

  • Is the floating cover free of holes and tears?

  • Is the floating cover free from water pooling?

  • Is the floating cover free of vegetation growth?

  • Do all tank hatches form an adequate seal and show no signs of tampering?

  • Are all external structures (SCADA boxes etc) adequately sealed?

  • Is there evidence of vermin or bird nesting? (Nests, droppings etc)

  • Is there any evidence of contamination within the tank (visual inspection from tank hatch)?

  • Is storage/site secure and free from vandalism?

  • Tank overflow discharge is protected from vermin accessing entry to the pipe?

  • Miscellaneous (insert any other relevant comments/observations here)

  • Roof sheeting provides an adequate seal?

  • Roof is free of entry holes for vermin and contamination?

  • Roof is free of corrosion?

  • Are all roof bolts in place?

  • Are vermin stoppers present and in good condition providing an adequate seal?

  • Do all tank hatches form an adequate seal and show no signs of tampering?

  • Are all external structures (SCADA boxes etc) adequately sealed?

  • Do all air vents provide adequate seal and do not allow direct access to contamination or vermin

  • Do all gutters drain external to the tank? (I.e. rainwater is not directed into the tank)

  • Are all gutters clear of leaf litter, vegetation and debris?

  • Is there evidence of vermin or bird nesting? (Nests, droppings etc)

  • Is there any evidence of contamination within the tank (visual inspection from tank hatch)?

  • Is storage/site secure and free from vandalism?

  • Tank overflow discharge is protected from vermin accessing entry to the pipe?

  • Miscellaneous (insert any other relevant comments/observations here)

Security Inspection

  • For condition scoring:
    1. Asset as new
    2. Initial signs of deterioation
    3. Satisfactory (unless in an area of high risk)
    4. Poor/action required (especially in high risk areas)
    5. Urgent action required

  • Fencing

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Locks

  • Condition? (Use scoring criteria above)

  • Functional? (i.e. is the asset doing what it is supposed to do?)

  • Site access

  • Condition? (Use scoring criteria above)

Site Condition/Issues

  • Long grass?

  • What does this affect?

  • Access road?

  • What does this affect?

  • Weeds?

  • What does this affect?

  • Tree?

  • What does this affect?

  • Vermin?

  • What does this affect?

  • Rubbish?

  • What does this affect?

  • Other?

Completion

  • Audit complete?

  • Add signature

Examples

  • Display examples?

Solid Roof

  • Roof sheeting not providing an adequate seal

    Roof sheeting not providing an adequate seal
  • Roof corrosion and entry hole

    no label
  • Absence of vermin stoppers

    no label
  • Wiring conduit resulting in direct entry (a)

    no label
  • Wiring conduit resulting in direct entry (b)

    no label
  • Vent cover adequately sealed

    no label
  • Vent holes allowing direct access

    no label
  • Tank gutter containing leaf litter/debris

    no label
  • Evidence of rodent activity

    no label
  • Evidence of bird nesting

    no label
  • Evidence of contamination on the surface

    no label
  • Evidence of contamination beneath the surface

    no label

Floating Cover

  • Hatch bolt missing

    no label
  • Water pooling on cover

    no label
  • Vegetation growth on floating cover

    no label
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.