Title Page

  • Site conducted

  • Conducted on

  • Site

  • Prepared by

  • Location

Site Security

  • Is vehicle access to site restricted to authorised persons only (i.e. behind gates/fences etc)

  • Does filling station have adequate protection against accidental vehicle impact (i.e. bollards, wheel stop guttering, cages etc)

  • Do all critical/vulnerable components of filling station have adequate protection from tampering/sabotage

  • are all locks/padlocks present and locked

  • Does site have the appropriate signage installed and clearly visible

  • Is access to recycled water restricted to access fob key holders only

Site Condition

  • Site hard standing areas are free from significant cracks/defects

  • all vehicle separation devices (bollards, cages, wheel stops) in good working condition

  • No sign of any visible leaks

  • No visible damage to pipes, meters, hoses, fob readers, valves

  • Is site free from garbage, vegetation and debris

  • Are recycled water filling points operational (water flow test/s conducted)

  • Do master water meters and fob key meters record consumption (water flow test/s conducted)

  • Is there sufficient lighting in place for after hours users

  • Is site free from sign of graffiti, tampering or sabotage to infrastructure

  • Overall condition of site

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.