LPG Station Inspection Checklist ESOM ‘Sr. as Points Yes No N/A Remarks 01 | Area is well barricade to restrict unauthorized access. 2 | Emergency procedures are available for fire, equipment feilure and other potential abnormalities or emergencies. 03 | Employees are trained in the use of emergency equipment. SSIES 104 | Emergency plan is regularly reviewed and updated as required. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is Prominentiy displayed near the station 105 | Signage are displayed to aware personnel working around/nearby the station. 16 | Fire point provide with powder-type fire extinguishers provided at station. 07 | Are any cylinders blocking an exit way? 08 | Are cylinders stored on a flat, level and on a oncombustible surface? fog | Extinguishers are located near dispensers or other iter being protected. 10 | Is the storage area clear of ignition sources? 11 | Are all gas appliances in a safe working condition? 12 | Are all gas supply pipes and hoses in good condition? 13 | Extinguishers are accessible without undue danger in an emergency. 14 | Material safety data sheets (MSDSs) are readily available ‘and maintained, 15 | Aeals ree from combustible & flammable material that could potentially leads to fire, Ter se Initiated By: (Name) Position Signature Date Mastaje Kama | QUSE oPficer 2/o 3/2603 ESOM— OSH Temlate ‘Approved: (GHSE Manager Revilon: 00 Dos. Owner: Sharma Palace (Doc. ID No. ESOMOSHFR OS Page t of