Belin d gsy LPG Station Inspection Checklist oe ESOM [ sr. No. Points No | N/A Remarks 91 | Areais well barricade to restrict unauthorized access, Yes oe 2 | FrerEeNcy Procedures are avaliable for fre, equipment failure and other potential abnormalities or emergencies, | 1—| pee 08 | Employees are trained in the use of emergency equipment. 104 | Emergency plan is regulary reviewed and updated as ee Fequired, Uist of emergency numbers, including the fre brigade, 05 | ambulance services and other emergency respondersis |) Prominently displayed near the station 05 | Signage are displayed to aware personnel ‘working ‘around/nearby the station, \ | Fire point provide with powdler-type fire extinguishers ~_| Provided at station, ae 07 | Are any cylinders blocking an exit way? t| 8 | Ave cylinders stored on a flat, level and on a Noncombustible surface? 09 | Extinguishers are located near dispensers or other tara Le | being protected, ail 10 | Is the storage area clear of ignition sources? ea ibe ee Ee 11 | Areall gas appliances in a safe ‘working condition? 12 | Areall gas supply pipes and hoses in 00d condition? 7 | Extinguishers are accessible without undue danger m an emergency, 14 | Material safety data sheets (MSDSs) are readily avaliable | and maintained. 15 | Areais free from combustible & flammable material that 2 could potentially leads to fire. Initiated By: (Name) Position Signature Date Peer Grae trie | Gillean 27-08-22 SOM — OSH Template Approved: ‘QHSE Manager Revision: 00 4 os. Owner Shara Palace Doc. 1D No. ESOMOSIFFR-OS Page 1 oft5 Bat ESOM it Points Yes | No N/A Remarks Ot | Area is well barricade to restrict. ‘unauthorized access. 02 | Emergency procedures are available for fre, equipment fallure and other potential abnormalities or ‘emergencies, 03 | Employees are trained in the use of emergency equipment, 04 | Emergency plan is regularly reviewed and updated as Fequired. List of emergency numbers, including the fre 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, 6 | Fire point provide with powder-type fire extinguishers ™ | Provided at station, 7 | Areany cylinders blocking an ext way? og | Are cylinders stored on a fiat, level and on a noncombustible surface? 0g | Fxtinguishers are located near dispensers or other item being protected, 10 | Is the storage area clear of ignition sources? 11 | Areall gas appliances in a safe ‘working condition? 12 | Are all gas supply pipes and hoses in 00d condition? 7 | Extinguishers are accessible without undue dangar ivan emergency, 14 | Material safety data sheets (MSDSs) are readily avaliable and maintained. 15 | Areas fee from combustible & flammable material that could potentially leads to fire, VAISS AIS Initiated By: (Name) Position Signature Date Zetee [ve ater 08- 03-42 ESOM-OSH Template Approved: (HSE Manager Revision 00| Dos. Owner: Shana Palaco ‘Boe: 1D No. ESOMOSHFROS Page 1 oft LJB LPG Station Inspection Checklist *“ rd eral ef] Fesom Sr. a Poms Yes | No N/A Remarks O1 | Area is well barricade to restrict unauthorized access, 02 | -tperBency procedures are avaliable for fie, equipment ‘allure and other potential abnormalities or emersorcie, 03 Employees are trained in the use of ‘emergency equipment. _ a a 04 | Emergency plan is regularly reviewed and updated as Fequired, List of emergency numbers, including the fre brigade, 05 / ambulance services and other, emergency responders is Prominently displayed near the station x 5 | Slanage are displayed to aware personnel Working around/nearby the station, «| Fite point provide with powder-type fire extinguishers ~ | Provided at station, \ 97 | Are any cylinders blocking an exit. way? og | Are cylinders stored on a flat, level and ona oncombustible surface? 10 | Is the storage area clear of ignition sources? 11 | Areall gas appliances in a safe ‘working condition? 12 | Are all gas supply pipes and hoses in |B00d condition? + | Extinguishers are accessible without undue danger ivan emergency. 14 | Material safety data sheets (MSDSs) are realy avalable and maintained, 15 | Areas free from combustible & flammable material hat could potentially leads to fire, Initiated By: (Name) Position Signature Sates I, CUusE of faze Gees 09-08 ~22 ESOM—OSH Template Approved: (GHSE Manager Revision: 00 Doc. Owner: Sharma Palae oe. ID No. ESOMOSH-FROS Page tofLPG Station Inspection Checklist be 6 ‘Ming 57 ESOM he Ser vith could potentially leads to fire. Sr a Points Yes | No | N/A Remarks 01 | Area is well barricade to restrict unauthorized access. L—| ‘02 | Emergency procedures are available for fre, equipment failure and other potential abnormalities or emergencies. | + 93 | Employees ae trained in the use of emergency equipment. |, Emergency plan is regularly reviewed and updated as | required. ies Puted oh Dy 12 ff List of emergency numbers, including the fire brigade, = 05 | ambulance services and other emergency responders is | prominently displayed near the station 5 | Signage are displayed to aware personnel working LS around/nearby the station. | Fire point provide with powder-type fire extinguishers lie 5 | provided a station, Ly es 07 | Are any cylinders blocking an exit way? a Are cylinders stored on a flat, level and on a °8 | noncombustible surface? al 9 | Extinguishers are located near dispensers or other iter [ being protected, | 10 | Is the storage area clear of ignition sources? ae 11 | Areall gas appliances in a safe working condition? ona 12 | Areall gas supply pipes and hoses in good condition? 1 Extinguishers are accessible without undue danger in an 13 | emergency. | Material safety data sheets (MSDSs) are readily available 1 | and maintained “| 15 | Areais free from combustible & flammable material that | Initiated By: (Name) Jo 7s 1 nbz ESOM —OSH Template [pened GSE Vanager Revision: 00 [ [bec Owner Sarva Palas Doc. ID No. ESOMOSH-FR-O5 Page tftLPG Station Inspection Checklist ESOM Sr ; No. Points Yes | 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. ie 03 | Employees are trained in the use of emergency equipment. |_|“) (04 | Emergency plan is regularly reviewed and updated as required. List of emergency numbers, including the fire brigade, 95 | ambulance services and other emergency respondersis | «_— prominently displayed near the station 5 | Signage are displayed to aware personnel working * | around/nearby the station. Ee 106 | Fire point provide with powcier-type fire extinguishers provided at station, a 07 | Are any cylinders blocking an exit way? ea Are cylinders stored on a flat, level and on a 0 | noncombustible surface? (09 | Extinguishers are located near dispensers or other item being protected, 10 | Is the storage area clear of ignition sources? 12 | Are all gas supply pipes and hoses in good condition? Extinguishers are accessible without undue danger in an 13 emergency. Material safety data sheets (MSDSs) are readily available ae and maintained. ea ea 11 | Areall gas appliances in a safe working condition? ee ae | Area is free from combustible & flammable material that *5 | could potentially leads to fire. Initiated By: (Name) Position Signature Date Aal HEE oflicer a Los [ood ESOM—OSH Template Approved: (QHSE Manager Revision: 00| Doe. Owner Sharma Palace Doc. ID No, ESOM-OSH-FR-05 Page tof tLPG Station Inspection Checklist Fesom 3 Points Yes | No | N/A Remarks 01 | Area is well barricade to restrict unauthorized access, eel ‘02 | Emergency procedures are available for fire, equipment failure and other potential abnormalities or emergencies, 03 | Employees are trained inthe use of emergency equipment. |] Emergency plan is regularly reviewed and updated as 04 | required “| List of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is prominently displayed near the station . ))s_ | 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 ona flat, level and on a noncombustible surface? (09 | 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? Tj 12 | Areall gas supply pipes and hoses in good condition? SRN 13 | Extinguishers are accessible without undue danger in an [— emergency. 14 | Material safety data sheets (MSDSs) are readily available and maintained, 15. | Afeais free from combustible & flammable material that could potentially leads to fire. Initiated By: (Name) Position ignature See iy HSE OF ficex none 12, of 23 ESOM ~OSH Template ‘Approved: ‘QHSE Manager Revision: 00 Doe. Owner: Shara Palace Doc. 0 No. ESOM-OSH-FR-O5 Page tofLPG Station Inspection Checklist [Sr ESOM Points No. Yes | No | N/A Remarks 91 | Areal well barricade to restrict unauthorized access, wt 02 | Fmetgency procedures are available for fre, equipment fallure and other potential abnormalities o+ emergencies, eA 98 | Employees are trained in the use of emergency equipment, 04 | Emergency plan is regularly reviewed and Updated as Fequired. List of emergency numbers, including the fre 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, 5 | Fite point provide with powder type fre ‘extinguishers Provided at station, oa O7 | Are any cylinders blocking an exit. way? 0g | Are cylinders stored on a flat, level and ona Honcombustible surface? 09 | Fatinguishers are located near dispersers or other item being protected, 10 | Is the storage area clear of ignition /sources? 11 | Areall gas appliances in a safe working condition? 12 | Are all g2s supply pipes and hoses in |B00d condition? 32, | Extinguishers are accessible without undue danger ivan 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. BS AN GARIN IN EN Initiated By: (Name) Lack HE officer 13/43 [9] ESOM— OSH Template Approved: (QHSE Manager Revision: 00 os. Owner: Shanta Palace ‘Doc: 1D No, ESOMOSHFROE Page {oftLPG Station Inspection Checkl ist ba Points Yes Mo | aya 01 | Area is wall barricade to restrict unauthorized access. 02 | Emergency procedures are available for fire, equipment fallure and other potential abnormalities or emergencies. 03 | Employees are trained in the use of ‘emergency equipment. or ‘ag | Emergency pian is regularly reviewed and updated as required, st of emergency numbers, including the fire brigade, ‘ambulance services and other emergency responders Is Prominently displayed near the station 1g | Slenage are cisplayed to aware personne! working ‘around/nearby the station. ne 1g | Fire point provide with powder-type fire extinguishers Provided at station. 07 | Are any cylinders blocking an exit way? ‘og | Are cylinders stored ona fiat, level and ona honcombustible surface? 1g | Extinguishers are located near dispensers or other item being protected, 10 | Is the storage area clear of ignition sources? 11 | Areall gas appliances ina safe working condition? 12 | Areall gas supply pipes and hoses in good condition? 1s | Extinguishers are accessible without undue danger in an emergency. 1g | Material safety data sheets (MSDSs) are readily available and maintained. 15 | Areais free from combustible & flammable material that Could potentially leads to fire, Initiated By: (Name) Posit [07 J 923 Hse offer Lid SOM OSH Template Approved: (QHSE Manager Revision: 00 Doc. Owner: Sharma Palace Dos. ID No. ESOMOSH EROS Page 1 oft