Site Name: Date :

Contractor: JCI W/O No:

Time In:

Work description :

Please check and tick √ in the columns provided

TANK TYPE SYSTEM PIPE FILL

Single Wall Double Wall Pressurize Suction Single Wall Double Wall Remote Direct
Not
S/N LOCATION REFERENCE CHECKS OK OK NA Remarks
1 ATG & LEAK Figure 1 Check for any activated alarm displayed on Veeder Root console
DETECTION SYSTEM *Print a copy of inventory / sensor status report for reference & attached

2 TANK AREA
2a Tank Type
Single Wall Tank Figure 1.1 Conduct manual dip check for any presence of water in tank

Double Wall Tank Figure 2.1 to 2.2 Conduct manual dip check for any presence of water in tank

2b IS space Check for availability of a IS sensor. Yes No

(Double Wall tank) IF there is a sensor:

Check if there is any alarm from sensor? Yes No

Dry IS Figure 2.3 to 2.5 Check for presence of product*

*Please indicate in remarks if there is findings
*Product presence may indicate Primary wall failure
Check for presence of water** Yes No

*Water presence may indicate Secondary wall failure

 Brine filled IS Figure 2.3 to 2.5 Check on status of Brine level in IS, for;
a) Increase in volume Yes No

b) Decrease in volume Yes No

*Please indicate findings in REMARKS, if lower volume of BRINE is found, please check tank
for any BRINE residue found. Any increase in volume, please check for liquid in IS.
If it is water or product. Observation for the BRINE may varies IF there has a leak, many
factors / observation is dependant on several condition, example product level and
groundwater level at the moment of inspection, and which tank wall has failed

2c Tank Sump Figure 3.1 to 3.2 Visual check for product / Vapour presence in sump Yes No

IF vapour/product is present in Tank Sump

IF YES, proceed to 2(d) and follow up with 2(e) or 2(f)
IF NO, proceed to 2(d) and go to 3 directly

2d Monitoring Well Figure 4 Visual check for product / vapour presence in monitoring well
(Observation Well)
Check and measure water table level
Measure from ground flooring level to water surface level.
*Please indicate in remarks for findings
*Water table level will be important information for Single wall tank system,losses.

IF available for inspection. Information will arrive useful; IF tank has any frequent water in tank
history or product
For:
2e Pressure System Figure 5 Conduct line pressure test at shear valve test port with pressure
gauge for operating pressure
General guide: (Please refer to your zone standard if varies)
Check for operating pressure of STP
For 0.75 HP, 27 to 30 psi
For 1.5 HP, 29 to 33 psi
For 2 HP, 29 to 43 psi

Check pipe fitting in tank sump / STP assembly and other related fittings
in sump
*If any doubt, please refer to your STP inspection checklist
 For:
2f Suction System Figure 6 Please indicate if site is using Safe Suction system Yes No

Visual check on all pipe pits / sump

Check for product / vapour presence
Check for water ponding in pits / sumps
Note:
*Remove water in pits / sump if present

3 PIPE MANIFOLD SUMP Figure 7.1 to 7.3 Check for presence of product / vapour in sump

Visual check on all fittings for wet joints

4 DIRECT FILL Figure 8 Check for product / vapour presence in sump

5 REMOTE FILL Figure 9.1 to 9.3 Single wall pipes

Check for product / Vapour presence in sump/pit/bunk walls
*where applicable

Double wall pipes

Check for presence of product / vapour in sump and inspect joints if they
are wet *where applicable

6 VENT PIPE Figure 10 Single wall pipes

Observed for signs of product overflow on vent pipe

Double wall pipes

Observed for signs of product overflow on vent pipe
Check vent pipe transition box for product / vapour and inspect joints if
they are wet.
7 PRODUCT PIPING (Single Wall pipes - For Pressure OR suction system)
Single Wall Visual check for leaks on joints
Check for presence of product / vapour in pits / sumps

(Double wall pipe - For Pressure OR suction system)

Double Wall Figure 11.1, 11.2 Visual check for leaks on joints
& 11.3 Check for presence of product / vapour in pits / sumps
Check for product presence in secondary pipe's drain tube
*Ensure that drain plug is not plugged

FORECOURT AREA
8a Dispenser / Pump Figure 12 Visual check for product / vapour presence in sump
sump (applicable for Double wall pipe - For Pressure OR suction system)

8b Dispenser / Pump Conduct visual checks on the following fittings connection:

hanging hardware's Figure 13.1 Swivel
Figure 13.2 Spacer hose
Figure 13.3 Breakaway coupling
Figure 13.4 Hose couplings
Figure 13.5 Nozzle

Conduct visual checks for product presence on the followings:

8c Dispenser / Pump Figure 14.1 to Pumping Unit (Displacement unit)
cabinets 14.2 Pipe manifold for pumping Unit
All other visible connection joints

8d Emergency Shut off Figure 15 Visual check for wet joints

valve (also known as
shear valve, Impact
valve)
9 OTHER AREA
Drain
Internal (within station)Figure 16.1 Visual check for product presence.
Figure 16.2
External (station surrounding) Visual check for product presence
Underground pits Figure 16.3 Visual check for product presence
Electrical handholes Figure 16.4 Visual check for product presence

Time out:

ACKNOWLEDGEMENT FOR SERVICE COMPLETED