Self-Service Motor Fuel Facility Inspection
This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to current activities. The inspection shall be completed in all areas of the facility that are applicable.
MaintainX
07/22/2022
Self-Service Motor Fuel Facility Inspection
This inspection checklist monitors the compliance activities at the facility. It also serves as a hazard assessment to current activities. The inspection shall be completed in all areas of the facility that are applicable.
Facility
Address
Owner/Manager
Date of Inspection
City/Town
License (FP-002) to store flammable liquids posted
Certificate of Registration
Permit to store flammable and combustible liquids
Fire suppression system inspected semi-annually
Fuel nozzles shall not surpass outer PLB grooves
In no event fuel hose shall exceed 18ft
Automatic shutoff fuel dispensing nozzles installed with hold/latch open device (new and under maintenance facilities)
Portable fire extinguisher on island(s) minimum 80 BC rating inspected annually by a company with Certificate of Registration
Fire suppression system installed, according to State Fire Marshal
Console operator has been instructed and trained on operations of the service facility including the suppression system emergency controls
Positive Limiting Barrier (PLB) installed/maintained according to site plans. (Free of dirt and debris)
“Extinguish All Smoking Materials & Stop Engine While Refueling” sign posted on both ends of pump dispensing island. Shall consist of block letters no less than 2 inches in height and either be red letters on white background or white letters on red background
Controlling console in constant attendance by operator during pump operations
Intercom system maintained in proper operating conditions on each island
Convex mirrors or CCTV cameras & monitors are installed and maintained to provide visibility
Clear and unobstructed view to dispensing island from console operator
Controlling console includes an emergency shut off switch which instantly cuts all pumping power to all fuel pumps
Automatic credit card reading device installed and does not activate dispenser
Split island facility: Emergency switch installed and accessible on full service islands, which activate fire suppression system and deactivate power to self-service dispensers
Comments:
Inspected By:
Operator Name (print):
Date:
Operator Signature
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Source: MaintainX (Community Member)