Petrol Station Inspection Checklist Besom ee Points Yes | No | N/A Remarks Emergency procedures are available for fire, spillage, 01 | accident, equipment failure and other potential abnormalities or emergencies 02. | Employees are trained in the use of emergency equipment. Emergency plan is regularly reviewed and updated as 03 required, aa 04 | Spill kit is complete and readily available. Ree List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is | prominently displayed near the station og | Mein emergency stop is avaiable to shut offpowertoal | dispensing units. Main emergency stop is readily accessible in an emergency 3 07 | (i.e. there is clear access to the emergency stop withno |< ~~ ‘obstructions such as racks, shelves or spill kits). og. | Main Emergency Stop activation device (e.g. switch or al button) is clearly labelled ‘EMERGENCY STOP’. Main emergency stop is routinely tested to ensure t 09 | functions properly. ‘Areas around the dispensers and payment unit are 10 | sufficiently lit to provide a safe working environment era whenever the unit is available for service. | 41. | Fire point provide with powder-type fire extinguishers +4 | provided at station a Extinguishers are located near dispensers or other item 2 being protected. a Extinguishers are accessible without undue danger in an a emergency. cal Material safety data sheets (MSDSs) are readily available *4 | and maintained | 4s | Areais ree from combustible & flammable material that | (| could potentially leads to fire. Initiated By: (Name) Position, signa Date Pauls od M shaven Que o 1 QR os sx SOM ~ OSH Template Aaprove Revision: 00 Doo. Owner: Sharma Palace D No, ESOMOSH-FRO3 Page oftPetrol Station Inspection Checklist ESOM Sr. ee Points Yes No | N/A Remarks Emergency procedures are available for fire, spillage, 61 | accident, equipment failure and other potential abnormalities or emergencies. a 02 | Employees are trained in the use of emergency equipment. ‘oa | Emergency plan is regularly reviewed and updated as. required. ‘ 04 | Spill kit is complete and readily available. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is prominently displayed near the station ‘og | Main emergency stop is available to shut off power to all dispensing units. Main emergency stop is readily accessible in an emergency 07 | (ie. there is clear access to the emergency stop with no obstructions such as racks, shelves or spill kits). ‘Main Emergency Stop activation device (e.g. switch or ° | button) is clearly labelled ‘EMERGENCY STOP’. ‘Main emergency stop is routinely tested to ensure It 09 | functions properly. ‘Areas around the dispensers and payment unit are 10 | sufficiently lit to provide a safe working environment whenever the unit is available for service. Ena Fire point provide with powder-type fire extinguishers and maintained, + | provided at station, 1_| Extinguishers are located near dispensers or other item ee being protected. a3 | Extinguishers are accessible without undue danger inan | emergency. 14_| Material safety data sheets (MSDSs) are readily available e4 ag | Areais free from combustible & flammable material that could potentially leads to fire Initiated By: (Name) Positjon KSeodlaod 1d raion Que obic or } 05 [YX] ESOM — OSH Template aye [oe | ‘Approved! Revision: 00 oe, Owner: Sharma Palace -SOM-OSH FRO3 Page totPetrol Station Inspection Check ist 6 ESOM RU Points Yes | No | N/A Remarks Emergency procedures are available for fire, spillage, 01 | accident, equipment failure and other potential Se abnormalities or emergencies. 02 | Employees are trained in the use of emergency equipment. 03 Emergency plan is regularly reviewed and updated as es required, 04 | Spill kit is complete and readily available. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is prominently displayed near the station Main emergency stop is available to shut off power to all 06 r dispensing units, ce Main emergency stop is readily accessible in an emergency 07 | (ie. there is clear access to the emergency stop withno | | ‘obstructions such as racks, shelves or spill kits). 08 Main Emergency Stop activation device (e.g. switch or eel button) is clearly labelled ‘EMERGENCY STOP’. ‘Main emergency stop Is routinely tested to ensure it 09 | functions properly. | Areas around the dispensers and payment unit are 10 | sufficiently lt to provide a safe working environment We whenever the unit is available for service. Fire point provide with powder-type fire extinguishers : 14 | provided at station ee Extinguishers are located near di: 2 being protected. | Extinguishers are accessible without undue danger in an 3 emergency. a 14_| Material safety data sheets (MSDSs) are readily available | | and maintained. 18 Area is free from combustible & flammable material that could potentially leads to fire. Initiated By: (Name) Posen Sere Date eosin Vrtobe Qeue otic ew ESOM — OSH Template Approved GHSE Manager Revision 00 Doe. Owner: Sharma Palace Dee. 1D No. -SOMOSHFR0B Page toltPetrol Station Inspection Checklist ESOM a Points Yes | No | N/A Remarks Emergency procedures are availabe for fire, spillage, 01 | accident, equipment failure and other potential ee abnormalities or emergencies. 02. | Employees are trained in the use of emergency equipment. ‘o3_| Emergency plan is regularly reviewed and updated as Pe required 04 | Spill kit is complete and readily available. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency respondersis. | -~| prominently displayed near the station Main emergency stop is available to shut off power to all 0 © | dispensing units ea Main emergency stop is readily accessible in an emergency 07 | (i. there is clear access to the emergency stop with no obstructions such as racks, shelves or spill kits). 9g | Main Emergency Stop activation device (eg. switch or ee button) is clearly labelled ‘EMERGENCY STOP’. Main emergency stop is routinely tested to ensure ft =a 09 | functions properiy. Areas around the dispensers and payment unit are a 10 | sufficiently lit to provide a safe working environment whenever the unit is available for service. 1 | Fite point provide with powder type fire extinguishers provided at station. 1z_| Extinguishers are located near dispensers or other item ez being protected. 1z_| Extinguishers are accessible without undue dangerinan | | emergency. 1g_| Material safety data sheets (MSDSs) are readily avalable and maintained. as_| Ave2istree from combustible & flammable material that | “| could potentially leads to fire. Initiated By: (Name) Pesitgn re Dat Kovbod) ccd QMse odhieoy [7 D / ESOM~ OSH Tomplte Aoproved ‘OHSE nanager Revsor:00, Doe. Ouner Shara Palace Doc. 10 No ESOMOSHFROG Page toftPetrol Station Inspection Checklist 6 ESOM Sr. Points No. Yes No | N/A Remarks Emergency procedures are available for fire, spillage, 01 | accident, equipment failure and other potential abnormalities or emergencies. 02 | Employees are trained in the use of emergency equipment. og. | Emergency plan is regularly reviewed and updated as required. . 04 | spill kitis complete and readily available. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is prominently displayed near the station \ Main emergency stop is available to shut off power to all dispensing units. Main emergency stop is readily accessible in an emergency 07 | (ie. there is clear access to the emergency stop with no ‘obstructions such as racks, shelves or spill kits). Main Emergency Stop activation device (e.g. switch or button) is clearly labelled ‘EMERGENCY STOP’. Main emergency stop is routinely tested to ensure it 9 | functions properly. Areas around the dispensers and payment unit are 10 | sufficiently lit to provide a safe working environment whenever the unit is available for service. Fire point provide with powder-type fire extinguishers +4 | provided at station, az_| Extinguishers are located near dispensers or other item being protected. 4ag_| Extinguishers are accessible without undue danger in an emergency. 1g | Material safety data sheets (MSDSs) are readily available and maintained. as | Areais free from combustible & flammable material that could potentially leads to fire. Ge SMAI Ned Sig) iated,By: (Name) ; Position ‘ ical ead Qe a j Pf Fos JOR ESOM- OSH Template ‘Aopraveds ‘QHSE Manager Revision: 00 Doe, Over: Sharma Palace Doc. I No. ESOM-OSH-FR-03) Page toldPetrol Station Inspection Checklist Bsom os sr = Points Yes | No | N/A Remarks Emergency procedures are available for fice, spillage, 01 | accident, equipment failure and other potential av abnormalities or emergencies 02 | Employees are trained in the use of emergency equipment. | = Emergency plan is regularly reviewed and updated as °: | required, ee 04 | Spill kit is complete and readily available. ea List of emergency numbers, including the fire brigade, 95 | ambulance services and other emergency respondersis_ | |] prominently displayed near the station Main emergency stop is available to shut off power to all os | ¥ dispensing units. | Main emergency stop Is readily accessible in an emergency 07 | (ie. thereis clear access to the emergency stop withno | “| obstructions such as racks, shelves or spill kit). og | Main Emergency Stop activation device (eg. switch or ae button) is clear labelled ‘EMERGENCY STOP’. Main emergency stop Is routinely tested to ensure t 99 | functions properly | ‘Areas around the dispensers and payment unit are 10 | sufficiently lt to provide a safe working environment whenever the unit is available for service. Fire point provide with powder type fire extinguishers 44 | provided at station. a Extinguishers are located near dispensers or other item 2 being protected. a a3 | Extinguishers are accessible without undue danger inan |_| emergency. 14 | Material safety data sheets (MSDs) are readily available | | _-f and maintained. ts | Areais free from combustible & flammable material that | \_--] could potentially leads to fire. Initiated By: (Name) sighytr Ddte Reunled Mebaws Coy Roc P- < _ESOM- OSH Template Aopraved HSE Manager Revision’ 00 Doe. Owner Shara Palaso Dos. 10 No, ESOM-OSH-FR-O8 Page 11Petrol Station Inspection Checklist 6 ESOM ie Points Yes | No | N/A Remarks Emergency procedures are available for fire, spillage, 1 | accident, equipment failure and other potential asi abnormalities or emergencies. 82 | Employees are trained in the use of emergency equipment. |, Emergency plan is regularly reviewed and updated as ° | required. ee 04 | Spill kit is complete and readily available. ae List of emergency numbers, including the fie brigade, 05. | ambulance services and other emergency responders is al prominently displayed near the station ag | Main emergency stopis availabe to shut of powertoall | dispensing units, Main emergency stop is readily accessible in an emergency 97 | (ie there is clear access to the emergency stop withno | |r obstructions such as racks, shelves or spl kits). og | Main Emergency Stop activation device (e.g. switch or button) is clearly labelled ‘EMERGENCY STOP’. — Main emergency stop is routinely tested to ensure it 09 | functions properly. Mm ‘Areas around the dispensers and payment unit are 10 | sufficiently It to provide a safe working environment whenever the unit is available for service. a 11 | Fite point provide with powder-type fire extinguishers Ps provided at station re aa_| Extinguishers are located near dispensers or other item being protected. ea 4ag_| Extinguishers are accessible without undue danger in an emergency. Re 1 | Material safety data sheets (MSDSs) are readily available and maintained. | 4s | Areais free from combustible & flammable material that could potentially leads to fire. ae Initiated By: (Name) oe Seraloo d) Ni ooondel CHBE nts \Z pS ESOM—OSH Template ‘Approved HSE Manager Revision: 00 Dos. Owner Sharma Palace Bos. 1D No, ESOMOSHFR-OS Paget