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RETAIL PREVENTATIVE MAINTENANCE CHECKLIST

Use this checklist as a preventive maintenance program because it is an important part of successful facility management. It keeps equipment operating efficiently, increases the safety of your employees, and helps you avoid large and costly repairs down the road.
Retail PM
02/14/2023

RETAIL PREVENTATIVE MAINTENANCE CHECKLIST

Use this checklist as a preventive maintenance program because it is an important part of successful facility management. It keeps equipment operating efficiently, increases the safety of your employees, and helps you avoid large and costly repairs down the road.

    General

    Site Name:

    Contact Person:

    Telephone:

    Site Type:

    Date:

    Report Number:

    Pump/ Dispenser Number:

    Product:

    Pump

    UST 1 (Product/ Tank Capacity):

    UST 2 (Product/ Tank Capacity):

    UST 3 (Product/ Tank Capacity):

    UST 4 (Product/ Tank Capacity):

    Filter

    Clean Filter

    • Pass
    • Flag
    • Fail

    Gasket

    • Pass
    • Flag
    • Fail

    O-Ring

    • Pass
    • Flag
    • Fail

    Strainer

    • Pass
    • Flag
    • Fail

    Replace

    • Pass
    • Flag
    • Fail

    Comments

    V-Belt

    Check Tension

    • Pass
    • Flag
    • Fail

    Replace Belt

    • Pass
    • Flag
    • Fail

    Comments

    Pulley

    Alignment of Pumping Unit

    • Pass
    • Flag
    • Fail

    Alignment of Motor Pulley

    • Pass
    • Flag
    • Fail

    Comments

    Pumping Unit

    Check for Leakage

    • Pass
    • Flag
    • Fail

    Mounting - Bolts and Nuts

    • Pass
    • Flag
    • Fail

    Gasket

    • Pass
    • Flag
    • Fail

    Comments

    Flexi-hose

    Seals

    • Pass
    • Flag
    • Fail

    Cork Gasket

    • Pass
    • Flag
    • Fail

    Check Valve

    • Pass
    • Flag
    • Fail

    Pressure Release Valve

    • Pass
    • Flag
    • Fail

    Air Separator

    • Pass
    • Flag
    • Fail

    Bolts and Nuts

    • Pass
    • Flag
    • Fail

    Comments

    Piston Meter

    Check for Leaks

    • Pass
    • Flag
    • Fail

    Comments

    Encoder

    Mountings

    • Pass
    • Flag
    • Fail

    Wiring

    • Pass
    • Flag
    • Fail

    Tampering Visible

    • Pass
    • Flag
    • Fail

    Comments

    Solenoid Valve

    Leakage (Replace Kit)

    • Pass
    • Flag
    • Fail

    Seals

    • Pass
    • Flag
    • Fail

    O-Ring

    • Pass
    • Flag
    • Fail

    Diaphgram

    • Pass
    • Flag
    • Fail

    Comments

    Pump Light

    Holde

    • Pass
    • Flag
    • Fail

    Replace Tubelight

    • Pass
    • Flag
    • Fail

    Wiring

    • Pass
    • Flag
    • Fail

    Comments

    Totalizer

    Good Condition

    • Pass
    • Flag
    • Fail

    Need to Replace

    • Pass
    • Flag
    • Fail

    Comments

    Hose - Short Piece

    Leakage

    • Pass
    • Flag
    • Fail

    Comments

    Hose - Long Piece

    Leakage

    • Pass
    • Flag
    • Fail

    Comments

    Break Away Coupling

    Leakage

    • Pass
    • Flag
    • Fail

    Comments

    Panels

    Check battery terminals for corrosion & battery life

    • Pass
    • Flag
    • Fail

    Dents on Panels

    • Pass
    • Flag
    • Fail

    Alignments

    • Pass
    • Flag
    • Fail

    Locks

    • Pass
    • Flag
    • Fail

    Paint and Logos

    • Pass
    • Flag
    • Fail

    Comments

    Motor

    Power Supply

    • Pass
    • Flag
    • Fail

    Wiring

    • Pass
    • Flag
    • Fail

    Mounting - Bolts and Nuts

    • Pass
    • Flag
    • Fail

    Alignment

    • Pass
    • Flag
    • Fail

    Comments

    Presets

    Preset Stickers and buttons working correctly?

    • Pass
    • Flag
    • Fail

    Mouinted Correctly

    • Pass
    • Flag
    • Fail

    Comments

    Displays

    Lighting

    • Pass
    • Flag
    • Fail

    LCD Screens okay or fading?

    • Pass
    • Flag
    • Fail

    Mounted correctly?

    • Pass
    • Flag
    • Fail

    Comments

    Fascia Board

    Data Plate

    • Pass
    • Flag
    • Fail

    Nozzle Number Sticker

    • Pass
    • Flag
    • Fail

    W&M Stamping Sticker/ Seal

    • Pass
    • Flag
    • Fail

    Emergency Stop Button

    • Pass
    • Flag
    • Fail

    Comments

    General

    Pump securely mounted

    • Pass
    • Flag
    • Fail

    Bolts and Nuts

    • Pass
    • Flag
    • Fail

    Overall Pump Condition

    • Pass
    • Flag
    • Fail

    Clean up pump/dispenser sump

    • Pass
    • Flag
    • Fail

    Comments

    1 Dip and Fill Points

    Dip Point Product Tag in place

    • Pass
    • Flag
    • Fail

    Fill Point Product Tag in place

    • Pass
    • Flag
    • Fail

    Dip/ Fill Point Cap Seals

    • Pass
    • Flag
    • Fail

    Dip/ Fill Point Caps properly closed/ tightened

    • Pass
    • Flag
    • Fail

    Dip Point filled with water

    • Pass
    • Flag
    • Fail

    Replace pea gravel

    • Pass
    • Flag
    • Fail

    Fill Point filled with water

    • Pass
    • Flag
    • Fail

    Replace fittings

    • Pass
    • Flag
    • Fail

    Comments

    Dipstick

    Dipstick worn out/ damaged

    • Pass
    • Flag
    • Fail

    Bottom Datum

    • Pass
    • Flag
    • Fail

    Dipstick Spring

    • Pass
    • Flag
    • Fail

    Reference Mark (150mm)

    • Pass
    • Flag
    • Fail

    Replace/ Re-mark Dipstick/ Calibrate

    • Pass
    • Flag
    • Fail

    Comments

    Tank Chamber

    Chamber clear of water

    • Pass
    • Flag
    • Fail

    Pipe Fittings/ Product Sheen vsible in chamber/ Leak detector in place

    • Pass
    • Flag
    • Fail

    Submersible PMA/ Fittings/ Electricals submerged

    • Pass
    • Flag
    • Fail

    Entry Boot Seals Damaged

    • Pass
    • Flag
    • Fail

    Bolts and Nuts on manhole cover

    • Pass
    • Flag
    • Fail

    Comments

    Tank Vent

    Damage to vent line

    • Pass
    • Flag
    • Fail

    Rust/ corrosion visible

    • Pass
    • Flag
    • Fail

    Vent Cap

    • Pass
    • Flag
    • Fail

    Comments

    Dewatering Low Point

    Tank Low Point accessible

    • Pass
    • Flag
    • Fail

    Dewatering Point properly sealed

    • Pass
    • Flag
    • Fail

    Comments

    Water Check

    Water present in UST's

    • Pass
    • Flag
    • Fail

    Water reported by site to PE64

    • Pass
    • Flag
    • Fail

    Were Dip/ Fill Points properly close/ tightened

    • Pass
    • Flag
    • Fail

    Rubber seals present/ correctly seated

    • Pass
    • Flag
    • Fail

    Dip/ Fill Points to be replaced

    • Pass
    • Flag
    • Fail

    Water-finding paste onsite

    • Pass
    • Flag
    • Fail

    Comments

    General Tanktop Area

    Concrete damaged (tank top

    • Pass
    • Flag
    • Fail

    Tank manway chamber cover

    • Pass
    • Flag
    • Fail

    Raise manway chamber cover

    • Pass
    • Flag
    • Fail

    Raise Dip Poin

    • Pass
    • Flag
    • Fail

    Raise Fill Point

    • Pass
    • Flag
    • Fail

    Comments

    Other Comments

    Comments

    Fitter's/ Technician’s Name:

    Signature

    Click here to sign

    Date

    Site Manager's Name

    Signature

    Click here to sign

    Date

Source: Retail PM (Community Member)

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