‫الــفـــريــــق الســتــشــــارات الســـالمــــة‬

TEAM SAFETY CONSULTANTS L.L.C

EXAMINATION AND TEST OF ________________ TANK

Job No.: Certificate/Report No.:

Name & Address of Owner of Equipment: Name & Address of Maker or Supplier of Equipment:

Location: Reference Regulations: Survey Requested by:

Date of Previous Test: Previous Test Done By: Type of Inspection:

STORAGE MEDIUM : REMARKS / RECOMMENDATION

Serial / ID No:
Check points A B C
Records
Tank Material: Surface damages

Tightness of fasteners
Size of Tank: Corrosion

Foundation
Year of manufacturing / installation: Support column condition

Wall & roof condition

Model / Type: Stay bar / Support (Inside)

Level controller
Capacity:
Level Indicators

Access (In / out)

Man hole size: Tank Cleaning (In / out)

Free from leaks

TSC Test Method No.: TSC Test Equipment No.: Date of Inspection Date of Expiry
TSC / TM / TSC / EQ /

A – Satisfactory B – Not Satisfactory C – Not Applicable

Name and position of person who

:carried out the inspection and test EQUIPMENT STATUS:
SATISFACTORY
Inspection Engineer
NOT SATISFACTORY

TEAM SAFETY CONSULTANTS L.L.C, TRADE LICENSE NO. 500714, AL-GARHOUD, P. O. BOX: 112349, DUBAI -UAE,
TEL: 04-2828868,FAX: 04-2865265 EMAIL: info@tsc-uae.ae, WEBSITE: https://www.tsc-uae.ae/

TSC-F-91P (Rev.03) (22/01/2023) Page 1 of 1