Petrol Station Inspection Checklist Q Sr. me Points Yes | Wo NYA Remarks Emergency procedures are available for fre spillage, 01 | accident, equipment failure and other potential abnormalities or emergencies. 02 | Employees are trained in the use of emergency equipment. 03 | Emergency plan is regularly reviewed and updated as required. 04 | Spill kit is complete and readily available. st of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is Prominently displayed near the station 06 | 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 spil kits) og | Main Emergency Stop activation device (e.g. switch or button) is clearly labelled "EMERGENCY STOP", Maain emergency stop is routinely tested fo ensureTE 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. 11. | provided at station, 12. | Extinguishers are located near dispensers or other Item being protected, 1g | Extinguishers are accessible without undue danger in an emergency. 14 | Material safety data sheets (MSDSs) are readily avallable and maintained, 15 | Areais free from combustible & flammable material that could potentially leads to fire, Initiated By: (Name) Position Signature Date. Uaie-at (isto FISE Offized. 15/08/2028 SOM ~OSH Template ‘Approved: (GHSE hanager Revision: 00 ‘Bos. Owner: Sharma Palace Doe. ID No, ESOMOSHFR-DS Page 1 oftPetrol Station Inspection Checklist Sr. No. Points Yes No | N/A Remarks on Emergency procedures are avaliable for fre, spillage, accident, equipment failure and other potential abnormalities or emargencies. Employees are trained in the use of emergency equipment. Emergency plan is regularly reviewed and updated as Fequired. Spill kit is complete and readily available. List of emergency numbers, including the fire brigade, 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, o7 Main emergency stop is readily accessible in an emergency (ve. there is clear access to the emergency stop with no Obstructions such as racks, shelves or spill kits). 08 Main Emergency Stop activation device (e.g switch or button) is clearly labelled EMERGENCY STOP’ , 09 Main emergency stop 5 routinely tested ensue functions properly. x 10 ‘Areas around the dispensers and payment unit are sufficiently lit to provide a safe working environment ‘Whenever the unit is avallable for service. nu re POI POWGET-LY PETITE EXOTIBTIS provided at station, n Extinguishers are located near dispensers or other item being protected, 3 Extinguishers are accessible without undue danger in an. emergency. “ Material safety data sheets (MSDSs) are readily available and maintained, Area is free from combustible & flammable material that could potentially leads to fire. Initiated By: (Name) Date Lut-an felam 16/03/2028 SOM ~OSH Template Approved: (GHSE Manager Revision: 00 os. Gwner: Sharma Paiaos Doc. 1D No. ESOMOSHLFR-OS Page 1 oftPetrol Station Inspection Checklist bsom S Points Yes | No nA, Remarks Emergency provedures are available for fre, spillage, Of | accident, equipment failure and other potential we abnormalities or emergencies. 02 | Employees are trained in the use of emergency equipment. | 3 | Emergency plan is reguiarty reviewed and updated as ‘ ¥ required 04 | Spill kits complete and readily available. ¥ st of emergency numbers, including the fire brigade, ambulance services and other emergency responders is Prominently displayed near the station 05 | Main emergency stop Is avaliable to shut off power to all Z dispensing units. Main emergency stop is readily accessible in an emergency (We. there is clear access to the emergency stop with no v ‘Obstructions such as racks, shelves or spill kts). ‘03 | Main Emergency Stop activation device (e.g. switch or yg button) is clearly labelled EMERGENCY STOP", ‘Main emergency stop TOUtinely Sted w aTSUTETE 09 | functions properly. ‘Areas around the dispensers and payment unit are 10 | sufficiently lit to provide a safe working environment v Whenever the unit is available for service. PONT Pr Ovice WIE OWT *CY IS THE EXC TEUISTIE 11 | provided at station, 42. | Extinguishers are located near dispensers or other item eo being protected, a3_| Extinguishers are accessible without undue danger in an y ‘emergency. 1g | Material safety data sheets (MSDSs) are readily available 7 and maintained. 15 | Areais free from combustible & flammable material that a could potentially leads to fire. Initiated By (Name) Position Signature Date {acan fpslon PF 0fitet. (Galae 16/o3 hoes ESOM—OSH Template OHSE Banager Revision: 00 Doo. ID No, ESOMOSHFR OS Page tof f Dos. Oaner: sharma PalacePetrol Station Inspection Checklist Fesom e Sr. z Ne Points Yes | No | N/A Remarks Emergency procedures are available for fire, spillage, 01 | accident, equipment falliure and other | potential o. abnormalities or emergencies. 02 | Employees are trained in the use of emergency equipment. |__ 7 03 | Emergency plan is regularly reviewed and updated as oe required. 04 || Spill kitis complete and readily available. v st of emergency numbers, including the fire brigade, 05 | ambulance services and other emergency responders is v Prominently displayed near the station 06 | Main emergency stop is available to shut off power toll y dispensing units. Main emergency stop is readily accessible in an emergency 07 | (ie. there is clear access to the emergency stop with no v ‘obstructions such as racks, shelves or spill kts). 03 | Main Emergency Stop activation device (e.g. switch or 7, button) is clearly labelled "EMERGENCY ‘STOP’, ‘Maiti eriergency stop is routinely tested t ensure Ir 99 | functions properly. v ‘Areas around the dispensers and payment unit are +10 | sufficiently lit to provide a safe working environment v Whenever the unit is available for service. ‘11 | provided at station. v 42. | Extinguishers are located near dispensers or other item - being protected, 1s_| Extinguishers are accessible without undue danger in an oe ‘emergency. “ Material safety data sheets (MSDSs) are readily available and maintained, v 15 | Aveals free from combustible & flammable material that eS could potentially leads to fire. Initiated By: (Narne) Position Signature Date Inean pion le offrect- VI (S/o3hor ESOM —OSH Template ‘Approved: (GHSE Manager Revision: 00 ‘Doe. Owner Sharma Palace Doe. ID No, ESOMOSHLFROS Page 1 ofPetrol Station Inspection Checklist Sr. No. Points Yes | No | N/A 1 Emergency procedures are avallable for fre, spillage, accident, equipment failure and other potential abnormalities or emergencies. v Employees are trained in the use of emergency equipment. Emergency plan is regularly reviewed and updated as Fequired. Spill kit is complete and readily available, Uist of emergency numbers, including the fire brigade, ‘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. o7 Main emergency stop is readily accessible in an emergency (Le. there is clear access to the emergency stop with no Obstructions such as racks, shelves or spill kits). 08 Main Emergency Stop activation device (eg. switch or button) is clearly labelled "EMERGENCY STOP", s ‘ Waain emergency stop is routinely tested t0 ensure It functions properly, K 10 ‘Areas around the dispensers and payment unit are sufficiently lit to provide a safe working environment Whenever the unit is available for service. a PONT prove WIT BOWE -(Y PETE EXC BUISTEN Provided at station, 2 Extinguishers are located near dispensers or other item being protected. 13 Extinguishers are accessible without undue danger in an emergency. u Material safety data sheets (MSDSs) are readily available and maintained, a NS eae SEO 6 ‘Area is free from combustible & fiammable material that could potentially leads to fire. Initiated By: (Name) Position Signature Date Lmeen Plan HSE Officer 21 [03 [2023 ESOM ~ OSH Template ‘Approved: QHSE Manager Revision: 00 ‘Dos, Owner: Sharma Palace Des. 10 No. ESOMOSHFR-OS Page 1 ofPetrol Station Inspection Chec klist 2SOM a Points Yes No N/A Remarks Emergency procedures are available for fre, spillage, accident, equipment failure and other potential abnormalities or emergencies. on 4 Employees are id in the use of emergency equipment. Emergency plan is regularly reviewed and updated as required. Spill kit is complete and readily avallable. N Ust of emergency numbers, including the fire brigade, 95 | ambulance services and other emergency responders is prominently displayed near the station 106 | Matn emergency stop is available to shut off power to all dispensing units. Main emergency stop is readily accessible in an emergency 07 | (Le. there is clear access to the emergency stop with no obstructions such as racks, shelves or spill kts). (03 | Main Emergency Stop activation device (e.g. switch or button) is clearly labelled EMERGENCY STOP", ain emergency stop Is Toutinely tested fo eTSUTETE 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. os "FITS POWT. PrOovicie WIOTT BOWORT=CYPE Te EXUTEUISTET 41 | provided at station, 12_| Extinguishers are located near dispensers or other item being protected, 13_| Extinguishers are accessible without undue danger in an emergency. 1g | Material safety data sheets (MSDSs) are readily available and maintained. 15 _| Areas free from combustible & flammable material that could potentially leads to fire. Nt SEES Sais Initiated By: (Name) Position Signature Date Muse Pa Kaito QUE opycer Qo-03- 2or> ESOM —OSH Template ‘Approved: (GHSE Manager Revision: 00 Doe. Owner Sharma Palace Doe. ID No. ESOMOSHLFR-OS Page 1 oft