UPI 2018 Site Inspection

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Does this location have a "manned" office?

  Yes

  No

Safety Plans/Documentation

• There is a readily available site specific Emergency Action Plan.

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• Observation

• Corrected By and Date Corrected:

• There is a readily available proof of training (sign in sheet, meeting minutes, etc...) regarding the information in the Emergency Action Plan.

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• Observation

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• There is random proof of knowledge regarding the information in the Emergency Action Plan.

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• Observation

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• The safety board is readily available to all employees and appears to meet company standards for content and compliance.

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• Observation

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• The first aid kit and related supplies is readily available to all employees and appears to meet company standards for content and compliance.

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• Observation

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• There is a plan in place to ensure all forklift operators have been adequately trained, evaluated, and certified.

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• Observation

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• There is a site specific LOTO program, appropriate equipment, and proof of training/review.

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• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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• Observation

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Other Concerns

• Electrical breakers are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Exits and non-exits are labeled properly.

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• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have a shop?

  Yes

  No

• Does this facility have used oil?

  Yes

  No

Used Oil

• Used oil is properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Used oil is stored in proper receptacle.

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• Observation

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• Proper disposal information is posted/available.

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• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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• Observation

• Corrected By and Date Corrected:

Guarding

• Does this area have equipment requiring a 6 sided guard?

  Yes

  No

• 6 sided guards are complete and installed properly.

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• Observation

• Corrected By and Date Corrected:

• Does this area have a bench grinder?

  Yes

  No

• Guards on grinder are set properly. 1/4" Tongue and 1/8" Rest

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• Observation

• Corrected By and Date Corrected:

• Does this area have any other machines requiring guards?

  Yes

  No

• Guards on other machines are set properly.

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• Observation

• Corrected By and Date Corrected:

Signage

• Are there areas requiring eye protection?

  Yes

  No

• Appropriate eye protection warning signs are posted.

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• Observation

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• Exits and Non-Exits are properly labeled.

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• Observation

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• Proper and adequate eyewash is available.

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• Observation

• Corrected By and Date Corrected:

• Does this area have electrical overhead doors?

  Yes

  No

• All overhead doors have proper and adequate crush protection. (Sign or Photo Eyes)

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• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Does this area have shelving and storage?

  Yes

  No

• Shelving and storage is properly anchored.

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• Observation

• Corrected By and Date Corrected:

• Combustible materials/trash are in a steel can with lid.

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• Observation

• Corrected By and Date Corrected:

• The general cleanliness of this area promotes prevention of slips, trips, and falls.

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• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have Liquid Operations?

  Yes

  No

General

• Tanks and their contents are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have elevated walkways and/or platforms?

  Yes

  No

• Access to elevated walkways, platforms, and tanks is controlled to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Elevated walkways and platforms are constructed to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

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• Containment structures are in good repair and appear to be functioning properly.

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• Observation

• Corrected By and Date Corrected:

• There is a proper and adequate eyewash/safety shower station located on site.

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• Observation

• Corrected By and Date Corrected:

Signage

• Exits and Non-Exits are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Proper and adequate warning signs have been posted.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have electrical overhead doors?

  Yes

  No

• All overhead doors have proper and adequate crush protection. (Sign or Photo Eyes)

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• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Is this facility required to have a fire extinguisher?

  Yes

  No

• Fire extinguishers are hung properly.

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• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have shelving and storage?

  Yes

  No

• Shelving and storage is properly anchored.

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• Observation

• Corrected By and Date Corrected:

• The general cleanliness of this area promotes prevention of slips, trips, and falls.

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• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have Dry Operations?

  Yes

  No

General

• The contents of all bins are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have elevated walkways and platforms?

  Yes

  No

• Access to elevated walkways and platforms is controlled to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Elevated walkways and platforms are constructed to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

Signage

• Exits and Non-Exits are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Proper and adequate labels have been posted.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have electrical overhead doors?

  Yes

  No

• All overhead doors have proper and adequate crush protection. (Sign or Photo Eyes)

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• Observation

• Corrected By and Date Corrected:

Guarding

• 6 sided guards are complete and have been installed properly.

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  Media

• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• The general cleanliness of this area promotes prevention of slips, trips, and falls.

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  Media

• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have a Chemical Warehouse, Seed Storage, Treatment area?

  Yes

  No

Signage

• Exits and Non-Exits are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Proper and adequate warning signs have been posted.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have electrical overhead doors?

  Yes

  No

• All overhead doors have proper and adequate crush protection. (Sign or Photo Eyes)

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• Observation

• Corrected By and Date Corrected:

Guarding

• Does this facility have equipment requiring 6 sided guards?

  Yes

  No

• 6 sided guards are complete and installed properly.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have other equipment requiring guards?

  Yes

  No

• Other guards are complete and installed properly.

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• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have shelving and storage?

  Yes

  No

• Shelving and storage is properly anchored to floor or wall.

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• Observation

• Corrected By and Date Corrected:

• The general cleanliness of this area promotes prevention of slips, trips, and falls.

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  Media

• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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  Media

• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have Grain Operations?

  Yes

  No

Grain Storage

• Adequate and proper crash protection is installed as necessary.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• All guarding is installed, intact, and appears to be appropriately effective.

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• Observation

• Corrected By and Date Corrected:

• Elevated walking/working surfaces are constructed to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Confined spaces and other potentially dangerous environments are marked according to company policy.

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• Observation

• Corrected By and Date Corrected:

• The general cleanliness of working areas promotes, prevention of slips, trips, and falls.

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• Observation

• Corrected By and Date Corrected:

• Energy sources are properly labeled and accounted for during operations as well as shutdown.

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• Observation

• Corrected By and Date Corrected:

Grain Legs, Augers, Conveyors

• Adequate and proper crash protection is installed as necessary.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• All guarding is installed, intact, and appears to be appropriately effective.

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• Observation

• Corrected By and Date Corrected:

• Elevated walking/working surfaces are constructed to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Confined spaces and other potentially dangerous environments are marked according to company policy.

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  Media

• Observation

• Corrected By and Date Corrected:

• The general cleanliness of working areas promotes, prevention of slips, trips, and falls.

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• Observation

• Corrected By and Date Corrected:

• Energy sources are properly labeled and accounted for during operations as well as shutdown.

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• Observation

• Corrected By and Date Corrected:

Grain Pits

• Adequate and proper crash protection is installed as necessary.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• All guarding is installed, intact, and appears to be appropriately effective.

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  Media

• Observation

• Corrected By and Date Corrected:

• Elevated walking/working surfaces are constructed to industry standards.

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  Media

• Observation

• Corrected By and Date Corrected:

• Confined spaces and other potentially dangerous environments are marked according to company policy.

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  Media

• Observation

• Corrected By and Date Corrected:

• The general cleanliness of working areas promotes, prevention of slips, trips, and falls.

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• Observation

• Corrected By and Date Corrected:

• Energy sources are properly labeled and accounted for during operations as well as shutdown.

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• Observation

• Corrected By and Date Corrected:

Grain Dryers

• Adequate and proper crash protection is installed as necessary.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• All guarding is installed, intact, and appears to be appropriately effective.

• Add media

  Media

• Observation

• Corrected By and Date Corrected:

• Elevated walking/working surfaces are constructed to industry standards.

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  Media

• Observation

• Corrected By and Date Corrected:

• Confined spaces and other potentially dangerous environments are marked according to company policy.

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  Media

• Observation

• Corrected By and Date Corrected:

• The general cleanliness of working areas promotes, prevention of slips, trips, and falls.

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  Media

• Observation

• Corrected By and Date Corrected:

• Energy sources are properly labeled and accounted for during operations as well as shutdown.

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• Observation

• Corrected By and Date Corrected:

• Does this facility have railroad operations?

  Yes

  No

Railroad Loadout

• Adequate and proper crash protection is installed as necessary.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• All guarding is installed, intact, and appears to be appropriately effective.

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  Media

• Observation

• Corrected By and Date Corrected:

• Elevated walking/working surfaces are constructed to industry standards.

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  Media

• Observation

• Corrected By and Date Corrected:

• Confined spaces and other potentially dangerous environments are marked according to company policy.

• Add media

  Media

• Observation

• Corrected By and Date Corrected:

• The general cleanliness of working areas promotes, prevention of slips, trips, and falls.

• Add media

  Media

• Observation

• Corrected By and Date Corrected:

• Energy sources are properly labeled and accounted for during operations as well as shutdown.

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  Media

• Observation

• Corrected By and Date Corrected:

Other Concerns

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have LP Operations?

  Yes

  No

General

• Adequate and proper crash protection is installed.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• Tank is properly labeled.

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• Observation

• Corrected By and Date Corrected:

• Emergency shutdowns are properly labeled and in working order.

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• Observation

• Corrected By and Date Corrected:

Guarding

• 6 sided guards are complete and properly installed.

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  Media

• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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  Media

• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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  Media

• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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  Media

• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have Bulk Fuel Operations?

  Yes

  No

General

• All tanks are properly and adequately labeled.

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• Observation

• Corrected By and Date Corrected:

• All loadout racks are constructed and maintained to industry standards.

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• Observation

• Corrected By and Date Corrected:

• Adequate measures have been taken to provide site security.

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• Observation

• Corrected By and Date Corrected:

• Means of containment are in good repair and appear to be working properly.

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• Observation

• Corrected By and Date Corrected:

• Proper and adequate crash protection is installed to industry standards.

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• Observation

• Corrected By and Date Corrected:

Fire Extinguishers

• Fire extinguishers are hung properly.

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  Media

• Observation

• Corrected By and Date Corrected:

• Monthly inspections have been properly documented.

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  Media

• Observation

• Corrected By and Date Corrected:

Other Concerns

• Electrical breakers are properly labeled.

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  Media

• Observation

• Corrected By and Date Corrected:

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

Contact Information

• 911 contact information sign is up to date.

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• Observation

• Corrected By and Date Corrected:

• Non-essential 911 information is updated or removed.

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• Observation

• Corrected By and Date Corrected:

Other Concerns

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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• Observation

• Corrected By and Date Corrected:

• Does this location have a forklift?

  Yes

  No

General

• Horn is in working order.

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• Observation

• Corrected By and Date Corrected:

• Seatbelt is in working order.

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• Observation

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• Documented proof of visual inspection is readily available.

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• Observation

• Corrected By and Date Corrected:

Other Concerns

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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  Media

• Observation

• Corrected By and Date Corrected:

Other Concerns

Additional Safety Issues

• If this box is not checked you have the following additional concerns to address:

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  Media

• Observation

• Corrected By and Date Corrected:

Review and Sign

• Add signature

  Sign

• Add signature

  Sign

• Add signature

  Sign

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  Sign

• Add signature

  Sign

• Add signature

  Sign