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 CO-1 (east of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Wastewater treatment plant does not provide containment

  • Description & Comments

Tank CO-2 (east of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Wastewater treatment plant does not provide containment

  • Description & Comments

Tank D-1 (cooling shed)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-2 (west of the cafeteria)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-3 (west of the processing plant)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-4 (wastewater generator tank)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank EG-5 (engine room 5 generator tank)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank FO-1 (east of the processing plant and south of the wastewater treatment office)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank FO-2 (pickup truck)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank HE-1 (west of the transportation office)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

Tank HO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank HO-2 (live receiving)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank HO-3 (west side hydraulic room)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank K-1 (warehouse #1)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank MO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank UO-1 (south of the truck shop)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

Tank UO-2 (engine room 5)

  • Tank surface shows signs of leakage

  • Description & Comments

  • Tank is damaged, rusted, deteriorated or corroded

  • 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

  • Interstitial space contains no liquid

  • Description & Comments

D-1 Drums (engine room 5)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-2 Drums (truck shop)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-3 Drums (engine room 1 and 4)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-4 Drums (engine room 2)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-5 Drums (engine room 3)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-6 Drums (air compressor room)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-7 Drums (warehouse #1)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

D-8 Drums (parts inventory room)

  • Drum surface shows signs of leakage

  • Description & Comments

  • Drum is damaged, rusted or deteriorated

  • Description & Comments

  • Drum foundation has eroded or settled

  • Description & Comments

  • Secondary containment is damaged or stained

  • Description & Comments

Piping

  • Valve seals, gaskets, or other appurtenances are leaking

  • Description & Comments

  • Pipelines or supports are damaged or deteriorated

  • Description & Comments

  • Joints, valves and other appurtenances are leaking

  • Description & Comments

  • Fill and discharge piping is not properly connected

  • Description & Comments

Loading/unloading and transfer equipment

  • Connections are not capped or blank-flanged

  • Description & Comments

Security

  • Fencing, gates, or lighting is non-functional

  • Description & Comments

Response equipment

  • Response equipment inventory is incomplete

  • Description & Comments

  • Additional Remarks:

  • Title:

  • Print Name and Sign

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.