LPG Station Inspection Checklist Fesom Sr No. Points No | N/A Remarks 01 | Area is well barricade to restrict unauthorized access. (02 | Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies. NIN 03 | Employees are trained in the use of emergency equipment. Emergency pian is regularly reviewed and updated as Not. 4 | required. wu Ayeilable List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders Is Prominently displayed near the station 05 | Signage are displayed to aware personnel working ‘round/nearby the station, 0¢ | Fire point provide with powder-type fire extinguishers Provided at station. 07 | Areany cylinders blocking an exit way? og | Are cylinders stored on a flat, level and on a oncombustible surface? ‘09 | Extinguishers are located near dispensers or other item being protected. 10 | ls 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 cata sheets (MSDSs) are readlly available and maintained, AS era aes ee 15 | Areals free from combustible & flammable material that could potentially leads to fire. Initiated By: (Name) Position Signature Date | Rtas tape Kamel OuUsé ougeer | MO ( (02/2223 EBON —OSH Template [sored ‘GHSE wanes (Doe. Omer Stems Pas (Doe. 1D No. ESOMOSH FROG Revision: 00 [Page tofLPG Station Inspection Checklist ESOM Sr. No. Points Yes N/A Remarks on ‘Area is well barricade to restrict unauthorized access. 02 Emergency procedures are avallable for fre, equipment failure and other potential abnormalities or emergencies. 03 Employees are trained in the use of emergency equipment. ~ v ae Emergency plan is regularly reviewed and updated as required. not fyorfable List of emergency numbers, including the fire brigade, ‘ambulance services and other emergency responders Is prominently displayed near the station 05, Signage are displayed to aware personnel working around/nearby the station, 06 Fire point provide with powder-type fire extinguishers Provided at station. 07 ‘Are any cylinders blocking an exit way? Are cylinders stored on a flat, level and ona oncombustible surface? Extinguishers are located near dispensers or other item being protected. 10 Is the storage area clear of ignition sources? 1 Are all gas appliances in a safe working condition? 2 Are all gas supply pipes and hoses in good condition? 13 Extinguishers are accessible without undue danger inan ‘emergency. 4 Material safety data sheets (MSDSs) are readily available and maintained, 15 ‘Area is free from combustible & flammable material that could potentially leads to fire, ee Initiated By: (Name) Position Signature Masten Ker GSR StIeEy 2/03 es) ESOM — OSH Template ‘Approved: (GHSE Manager Revision: 00 ‘Doe. Owner Sharma Palace oe. ID No, ESOM-OSH-FR-OG Page 10f4LPG Station Inspection Checklist ESOM Sr. No. Points & N/A Remarks on ‘Area is well barricade to restrict unauthorized access. 02 Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies. 03 Employees are trained in the use of emergency equipment. NIENIN a Emergency plan Is regularly reviewed and updated as required. : “pveclable 05, List of emergency numbers, including the fire brigade, ‘ambulance services and other emergency responders is prominently displayed near the station 05, Signage are displayed to aware personnel working around/nearby the station. 06 Fire point provide with powder-type fire extinguishers provided at station. 07 ‘Are any cylinders blocking an exit way? og Are cylinders stored on a fiat, level and ona noncombustible surface? Extinguishers are located near dispensers or other item being protected, 10 {s the storage area clear of ignition sources? 1 Are all gas appliances in a safe warking condition? R Are all gas supply pipes and hoses in good condition? 2B Extinguishers are accessible without undue danger in an emergency. “4 Material safety data sheets (MSDSs) are readily avallable and maintained, 15 ‘Area is free from combustible & flammable material that could potentially leads to fire. a a Initiated By: (Name) Position Signature Date Mustaja Kam G USE op pier ite 03 /039/rr? ESOM ~ OSH Template ‘Approves: HSE Manager Revision: 00 Doe. Owner Sharma Palace oe. ID No. ESOMOSHFR-OS Page tofLPG Station Inspection Check ist ESOM no Points Yes | wa Remarks 01 | Area is well barricade to restrict unauthorized access. ‘02 | Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies. 03 | Employees are trained in the use of emergency equipment. ‘04 | Emergency plan is regulariy reviewed and updated as. required. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is prominently displayed near the station 05 | Signage are displayed to aware personnel working ‘around/nearby the station, 06 | Fire point provide with powder-type fire extinguishers Provided at station. SESE GESNISSIS 07 | Are any cylinders blocking an exit way? ‘0g | Are cylinders stored ona flat, level and ona noncombustible surface? (0g | Extinguishers are located near dispensers or other item being protected. 10 | Is the storage area clear of ignition sources? 11 | Are all gas appliances in a safe working condition? NIN 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 | Areais free from combustible & flammable material that could potentially leads to fire. A Initiated By: (Name) Signature Mustaga Kanal | WsE offi o4/o3/a0r3| SOM ~ OSH Template ‘Approved: QHSE Manager Revision: 00 oc. Ouner: Sharma Palace Doe. IO No. ESOMOSHFR-OS Page 1 oftLPG Station Inspection Checklist Fesom Le Points Yes | No | N/A Remarks 01 | Area is well barricade to restrict unauthorized access. ea a | Emergency procedures are malabe for fre equpment | failure and other potential abnormalities or emergencies. 03 | Employees are trained in the use of emergency equipment. | | ‘04 | Emergency plan is regularty reviewed and updated as. oe required. List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is uae prominently displayed near the station (05 | Signage are displayed to aware personnel working, we around/nearby the station, Fire point provide with powder-type fire extinguishers @ provided at station. “a 07 | Are any cylinders blocking an exit way? io Are cylinders stored ona flat, level and ona °° | noncombustible surface? wv Extinguishers are located near dispensers or other item °9 | being protected, Ao 10 | Is the storage area clear of ignition sources? We 11 | Are all gas appliances in a safe working condition? — 12 | Are all gas supply pipes and hoses in good condition? ye 1s | Extinguisher are accessibe without undue dangerinan | emergency. 14 | Material safety data sheets (MSDSs) are readily available wa | and maintained. 1s | Are2is free from combustible & flammable material that | V~ could potentially leads to fire. Initiated By: (Name) Position Signature Date Musteja karr& |Quce eppcer oS /03]ger3 ESOM— OSH Template ‘Approved: QHSE Manager Doe. Owner: Sharma Palace Doc. ID No. ESOMOSHFR-OS Revision: 00 Page 1 ofLPG Station Inspection Checklist Sr. 2 No. Points N/A Remarks 01 | Area is well barricade to restrict unauthorized access, 02 | Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies. 03 | Employees are trained in the use of emergency equipment. SIA \f@ (04. | Emergency plan is regularly reviewed and updated as required. Not Aves Ble Ust of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is Prominent displayed near the station (05 | Signage are cisplayed to aware personne! working around/nearby the station. ‘06 | Fire point provide with powder-type fire extinguishers Provided at station. 07 | Are any cylinders blocking an exit way? ‘og | Are cylinders stored ona flat, level and ona noncombustible surface? (09 | Extinguishers are located near dispensers or other item being protected, 10 | ls the storage area clear of ignition sources? AL | Are all gas appliances in a safe working condition? 12 | Areall 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 | Afeals free from combustible & fiammable material that Could potentially leads to fire, NSS Ae Meese ae os Initiated By: (Name) Position Signature Mustaje Kamel QHSE oper Date 06/e3]2023 ESOM—OSH Ternlate Approved: (QHSE Manager Reiion: 00 oe. Owner: Sharma Palace ‘Doe. 1D No. ESOMOSHFROS Page 1 ofLPG Station Inspection Checklist é, ESO < t Sr No. Points Yes N/A Romarks on Area is well barricade to restrict unauthorized access. 02 Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies, 08 Employees are trained in the use of ernergency equipment. SIS Emergency plan is regularly reviewed and updated as, required. Not Available List of emergency numbers, including the fire brigade, ‘ambulance services and other emergency responders is Prominently displayed near the station Signage are displayed to aware personne! working around/nearby the station. Fire point provide with powder-type fire extinguishers Provided at station. 07 Are any cylinders blocking an exit way? Are cylinders stored ona flat, level and ona noncombustible surface? 09 Extinguishers are located near dispensers or other item being protected. 10 's the storage area clear of ignition sources? i Areall gas appliances in a safe working condition? 2 reall gas supply pipes and hoses in good condition? Fey Extinguishers are accessible without undue danger in an emergency. 4 Material safety data sheets (MISDSs) are readily available and maintained. 158 Area is free from combustible & flammable material that could potentially leads to fire. 5 SES AI Initiated By: (Name) Mustata Kamel GHSE opp 2 F(03/200 ESOM — OSH Template ‘Approved: Doe. Owner Sharma Palace ‘GHEE Mensger Revision: 00 Doe. ID No, ESOMOSH-FR-OS Page 1 off