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PETROL FILLING STATION AUDIT AND INSPECTION 1. General Information Date: Inspecting Officer: Site Name & Address Company Owned Type of Operation Dealer Operated Attended Self Service Contact Name: Independent Attended Service Unattended Service Post Code Retail Petrol Filling Station/Workplace/Farm Tel No. No of Staff Employed E-mail: No of Competent Persons (For Assisted Deliveries) Driver Controlled Delivery Total Quantity Stored on Site: No of Petrol Tanks and capacity of tanks: No of Diesel Tanks: No of Other Fuel Tanks: 2. Administrative Records & Procedures Audit Item Statutory Reason Satisfactory & Comments Current Petroleum Licence & PCA Section 1 Yes Conditions available? No Are there Special or Additional PCA Section 2 Yes Conditions of Licence? No Are staff aware of Conditions of DSEAR Regulation 11 Yes Licence? No Are there any current Site Plans DSEAR ACoP L136 Yes available? Control & Mitigation No Is there a current tank to pump Yes diagram? No Is there an Electrical Test Certificate DSEAR Regulation 6; Yes that covers the hazardous areas? Electricity at Work Regs NI No 1991 Are there current Hazardous Waste Licence Conditions 4.2; Yes Transfer Notes or Certificate DSEAR Reg 6 ACoP L137 No available? Safe Maintenance N/A Does the Operator maintain a Site Best Practice Yes Register? No Are Wet Stock Records/delivery Licensing Conditions 4.1; Yes certificates maintained? DSEAR Reg 6 L136 No Controls From the records is there any evidence Licensing Conditions 4.1; Yes of significant gains or losses? DSEAR Reg 6 ACoP L136 No Controls Does the Site Operate Statistical Licensing Conditions 4.1; Yes Inventory Reconciliation? (SIR) DSEAR Reg 6 ACoP 136 No Controls Is there a Site Operating Manual kept? DSEAR Regulation 9 Yes No Is there a risk assessment in DSEAR Reg 5 ACoP L138 Yes accordance with DSEAR? General Requirements No N/A Does the DSEAR Risk Assessment DSEAR Reg 5 ACoP L133 Yes include Tanker Deliveries? Tanker Deliveries No N/A Is there a Competent Person in charge Licensing Conditions 1.4; Yes of the Site? DSEAR Regulations 6 & 9 No Are there any Staff Training Records? DSEAR Regulation 9 Yes No Does the site have an Emergency DSEAR Regulation 8 Yes Action/Response Plan? No Are there safety procedures in place to DSEAR Regulation 8 Yes protect employees against a No Dangerous Substance? Eg SDS & PPE Is there a First Aid Kit on site? DSEAR Regulation 8 Yes No Are there records of maintenance of Licensing Condition 4.2 Yes fire fighting equipment? DSEAR reg 8 No Is there an Accident/Incident Book DSEAR Reg 8 Yes held on site? No Is there a Pollution Response or DSEAR Reg 8 Yes Restoration Plan in place? No 3. Storage Tanks, Vents & Vapour Recovery Inspection Item Statutory Reason Satisfactory & Comments Types of Tanks known? Best Practice Yes Single Skin Steel;/Double Skin No Steel/GRP/Composite Are there discontinued Tanks on site? DSEAR Regulation 6 Yes No Have they been made either DSEAR Regulation 6 Yes permanently or temporary safe No Are there any Above Ground Tanks? DSEAR Regulation 6 ACoP Yes If so are they Bunded and free from L135 Storage No debris? Are there any LPG Storage Vessels DSEAR Regulation 6 Yes on site?(Autogas or Bulk Storage) No See footnote 1 Do LPG Storage Vessels appear in DSEAR Regulation 6 Yes good condition, free from corrosion? No N/A Are LPG Storage Vessels in a secure DSEAR Regulation 6 Yes Compound and protected against No impact collision? N/A Method of Tank Filling satisfactory? DSEAR Regulation 6 ACoP Yes (Off Set Fills or Direct) L133 Tanker Deliveries No Are Tanks tagged and labelled DSEAR Regulation 10; Yes ACoP L135 Storage No Are Fill Pipes securely locked? DSEAR Regulation 6; ACoP Yes L135 Storage No Has the number of Drop Lines for DSEAR Regulation 6 ACoP Yes deliveries been specified? L133 Tanker Deliveries PPC No Regulations (Permit Requirements) Does the Driver check the Ullage DSEAR Regulation 6 ACoP Yes Space before dropping? L133 Tanker Deliveries; No PPC Regulations (Permit Requirements Dedicated Tanker Stand DSEAR Regulation 6 ACoP Yes provided? L135 Storage No Is the tanker stand satisfactory with DSEAR Regulation 6 ACoP Yes dedicated drainage? L133 No Gauge Measurement System (or Licensing Condition 4.1; Yes Dipsticks) working? DSEAR Regulation 6 No Are Tank Chambers free from surplus DSEAR Regulation 6 Yes water ACoP L135 Storage No Are all visible pipe/cable ducts sealed DSEAR Regulation 6; ACoP Yes in manhole chambers? L136 Controls No Is all visible pipe work free from DSEAR Regulation 6 Yes excess corrosion and sound? No Are manhole Lifting Key (s) DSEAR Regulation 6 Yes available? No Are Manhole Chambers and Covers DSEAR Regulation 6 Yes in good condition? No Has a Vapour Recovery Permit been PPC Regulations Yes issued (Permit Requirements) No Is Vapour Recovery Warning and DSEAR Regulation 10 Yes Indication Tags provided? No Are Vents & Vapour Recovery Lines DSEAR Regulation 6 Yes secure and undamaged? PPC Regulations No Is there any opening within 1.5 DSEAR Regulation 6 Yes metres with VR or within 3 metres PPC Regulations No for natural venting? Are all vent lines tagged and DSEAR Regulation 10; PPC Yes labelled? Regulations (Permit No Requirements) Is there evidence of any test on the PPC Regulations (Permit Yes VR System? Requirements) No Has any maintenance taken place on Licensing Condition 4.2 Yes the VR installation? PPC Regulations No permit Has the site installed Stage 2 Vapour PPC Regulations Yes Recovery? (Permit Requirements) No Is Stage 2 VR fitted and monitored PPC Regulations (Permit Yes and working? Requirements) No Is any dedicated Tanker Stand DSEAR Regulation 6 Yes Lighting working? ACoPL133 Tanker No Deliveries Is there an Unassisted Delivery DSEAR Regulation 6 ACoP Yes Cabinet provided for the Tanker L133 Tanker Deliveries No Driver? Emergency Switch provided in the DSEAR Regulation 6 ACoP Yes Cabinet? L133 Tanker Deliveries No 4. Pumps/Dispensers & Electrical Aspects Inspection Item Statutory Reason Satisfactory & Comments Are all Pumps numbered clearly? DSEAR Regulation 6 Yes No Do all Automatic Nozzle Shut Offs Licensing Condition 2.4; Yes operate? DSEAR Regulation 6 No Are all Delivery Hoses in good Licensing Condition 2.4; Yes condition free from leaks? DSEAR Regulation 6 No Are visible Joints /Couplings free Licensing Condition 2.4; Yes from any signs of wear and leaks? DSEAR Regulation 6 No Have all Trigger Latches been DSEAR Regulation 6 Yes removed? No Are dispenser Housings Ventilated DSEAR Regulation 6 ACoP Yes properly? L134 Design of Plant & No Equipment Are there any cavities at the base of DSEAR Regulation 6 ACoP Yes the pumps (old types)? L134 Design of Plant & No Equipment Are Check Valves (Suction System) DSEAR Regulation 6 ACoP Yes fitted? L134 Design of Plant & No Equipment Is a sump (pressure system) fitted? DSEAR Regulation 6 ACoP Yes (dispenser will be smaller, unlikely to L134 Design of Plant & No find these) Equipment Are Lead Seals in position on DSEAR Regulation 6 ACoP Yes metering devices? L136 Controls No Are Pump Operating Instructions DSEAR Regulation 6 Yes clearly displayed? No Are Fuel Grades marked clearly? DSEAR Regulation 6 Yes No Are there any obvious signs of Licensing Condition 2.4; Yes leakage? DSEAR reg 6 No Are all Dispensers secure on their DSEAR Regulation 6 Yes mountings? No Are spillage control facilities Licensing Conditions 2.4; Yes provided for? (lids and scoops) DSEAR Regulation 6 No Are Diesel/LPG Dispensers in good DSEAR Regulation 6 Yes order? No Is visibility an issue over the DSEAR Regulation 6 ACoP Yes Dispensing area? L134 Design of Plant & No Equipment N/A Are Vehicle Parking arrangements DSEAR Regulation 6 Yes satisfactory No N/a Is all Electrical Switchgear labelled? Electricity at Work Yes Regulations NI 1991 No Type of Earthing known? Electricity at Work Yes (See Electrical Certificate) Regulations NI 1991 No Are all Electrical Ducts sealed where DSEAR Regulation 6 Yes they enter the building? No Can any uncertified electrical Licensing Condition 4.2; Yes equipment be brought into the DSEAR Regulations 6 & 7; No Hazardous Area? Eg car vac Schedule 3 If a CCTV is installed as part of the Licensing Condition Section Yes safety arrangements for dispensing, is 2 Special Condition DSEAR No it working adequately? Regulation 6 N/A Is the Public Address System DSEAR Regulations 6 & 9 Yes working and sufficiently audible No Is there an Emergency Isolation DSEAR Regulation 8 Yes Switch under the Console? No N/A Is there an Emergency Isolation DSEAR Regulation 8 Yes Switch on the fascia of any building No suitably marked? N/A If fitted, are all Canopy Lights DSEAR Regulation 6 Yes working? No N/a Are all lights and switchgear that are Licensing Condition 4.2; Yes not protected outside of the hazardous DSEAR Regulation 6 No areas? N/A Are signs provided for all emergency DSEAR Regulations 6 & Yes switches? Schedule 3 No 5. Fire Safety, Signage and Drainage Inspection Item Statutory Reason Satisfactory & Comments Are all Promotional Signs sited so not DSEAR Regulation 6 Yes causing an obstruction? No N/A Are Fire Safety & Warning Signs DSEAR Regulation 8 Yes provided and legible? No N/A Is there a written fire procedure Licensing Condition 2.4; Yes displayed or known? DSEAR L136 Controls; No N/A Are Fire Exits clear from DSEAR Regulation 8 Yes obstructions? No N/A Are LPG Cylinders stored outside on DSEAR Regulation 6 Yes the Forecourt? If so are they secure? No N/A Are all Fire extinguishers checked Licensing Condition 2.4; Yes and serviced at least once per year? DSEAR Regulation 8 No Are the numbers & types of Licensing Condition 2.4; Yes extinguishers appropriate to the risk? DSEAR Regulation 8 No N/A Have all Staff been trained in fire DSEAR Regulations 8 & 9 Yes procedures and evacuation? No N/A Is an Interceptor or Separator DSEAR Regulation 6 ACoP Yes provided? L136 Controls No N/A Is there evidence of routine checks of Licensing Condition Yes Separator? 4.2 No Are the existing arrangements Licensing Condition 4.2; Yes capable of taking up to 9,000 litres of DSEAR Regulation 6 ACoP No product? L136 Controls N/A Is the drainage system in good order Licensing Condition 2.4; Yes & clear of debris and surplus DSEAR Regulation 6 ACoP No product? L136 Controls N/A Are all Storm Drains clear of debris DSEAR Regulation 6 ACoP Yes and fuel? L136 Controls No N/A Is there drainage at the DSEAR Regulation 6 ACoP Yes entrance/exit/tanker stand? L136 Controls No 6. Other Matters/Actions Required Audit Item Statutory Reason Satisfactory & Comments Has there been any fire, explosion, Licensing Condition Yes leak or spillage on the site? 2.4 No Actions to be Taken - Tick as appropriate 1. No Action – Site is Satisfactory 2. Recommendations to be made 3. Contraventions Found – Letter to be issued 4. Contraventions Found – Improvement Notice Required 5. Dangerous Conditions Found – Prohibition Notice Required 6. Referral to other statutory body Footnote 1 – For further details in relation to inspections – Autogas, see Blue Book
"Petrol licence insp form"