Title Page

  • Conducted on

  • Prepared by

  • Location

Oil-filled Equipment/Containers

  • Any leaks observed at valves, bushings, seams, flanges or other fittings?

  • What actions were taken?

  • Any signs of corrosion/deterioration on equipment/containers?

  • What actions were taken?

Secondary Containment

  • Is there an accumulation of oil within containment berm?

  • What actions were taken?

  • Is there an oil sheen on retained water?

  • What actions were taken?

  • Is there any surface staining observed?

  • What actions were taken?

  • Is the berm/dike in good condition?

  • What actions were taken?

Security

  • Are the fences and gates intact?

  • Are all gates locked

  • Is all security lighting properly working?

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.