Uniform Monthly Tank Inspection Report - Tank 143

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

1. Foundation

• Are there any visible cracks?

  Yes

  No

  N/A

• Is discoloration present?

  Yes

  No

  N/A

• Are there any puddles of stored material?

  Yes

  No

  N/A

• Are there signs of settlement?

  Yes

  No

  N/A

• Are there signs of washout near the concrete ring?

  Yes

  No

  N/A

2. Site Drainage

• Is the site draining away from the tank?

  Yes

  No

  N/A

• Are the dike drains operating properly?

  Yes

  No

  N/A

• Are the drain valves closed?

  Yes

  No

  N/A

• Are there any signs of product leakage?

  Yes

  No

  N/A

3. Tank Shell

• Are there any signs of paint failure, pitting, or corrosion?

  Yes

  No

  N/A

• Are any flanges, valves, or bolts leaking?

  Yes

  No

  N/A

• Is the insulation sealed around all manways and nozzles?

  Yes

  No

  N/A

• Are any mixer motors leaking?

  Yes

  No

  N/A

4. Piping and Manifolds

• Is the the piping supported properly?

  Yes

  No

  N/A

• Are the signs of excess pipe deflection?

  Yes

  No

  N/A

• Are any flanges or valves leaking?

  Yes

  No

  N/A

• Are there any signs of excess corrosion or pitting?

  Yes

  No

  N/A

5. Area

• Is there a buildup of trash or dead vegetation in the area?

  Yes

  No

  N/A

6. Dike Walls

• Are there any signs of excess erosion, settlement, or breaching at the dike walls?

  Yes

  No

  N/A

• Inspected by:

  Sign