TANK INSPECTION CHECKLIST

PRINTED NAME AND SIGNATURE OF INSPECTOR: Laura Gimpelson

Inspection Results Comments Resolution

Zone: A Issue resulting in the No response Action to address the No response. Include WO # and
Location & Content Content: Diesel date completed.
Access to tank and containment Yes No N/A South side blocked with trees/bushes. Elm Need to issue RFP due to cost. RFP process takes 120
unit's sides, top and bottom not tree branches overhead. days before work can start.
blocked

Label with content and safety Yes No No label or diamond on or near emergency Issue work order 325 through Ames system on
diamond visible from access paths generator unit. 2/12/2013.
"No Smoking" Sign Present Yes No No sign on or near emergency generator See above
Metal containment unit free of Yes No N/A Rust is noted along air intake filter screen. Need to issue RFP due to cost. RFP process takes 120
spills, water, debris, cracks, rust and days before work can start.
other signs of damage or leaks

Area around/under/above tank Yes No Tank top inside generator unit had signs of Issue work order 326 through Ames system on
free of debris, cracks, staining and staining and rust. 2/12/2013.
other signs of releases or damage

Protective bollards in good Yes No N/A Need to install to protect loading area when Need to issue RFP due to cost. RFP process takes 120
condition and in place refilling tank days before work can start.
Exterior of tank free of rust, dents, Yes No
spills, drips and signs of damage or
releases

Tank supports including bolts and Yes No N/A

fittings are free of rust, dents and
other signs of damage or releases

Tank hoses/fittings free of patches, Yes No Fuel filter shows signs of rust Issue work order 350 through Ames system on
tears, patches, and other signs of 2/12/2013 to replace fuel filter.
damage or releases

Tank vent and instrument piping Yes No

free of signs of rusts, releases,
dents and other signs of damages
or spills
No petroleum or other organic Yes No
odors detected
Transfer lines to generator or Yes No N/A
dispenser pump free of cracks,
leaks, tape and other signs of
damage or releases.
Space in between double-walled Yes No N/A
tanks free of liquids, solids, cracks,
rust and other signs of damage or
releases.

Spill kit is present Yes No N/A No spill kit in area Purchase spill kit for area.
Concrete containment pad is free Yes No N/A Base of unit has a plant growing out of it Issue work order 360 through Ames system on
of cracks, staining, broken edges and has cracks present at midpoint of 2/12/2013 to clean out leaves and litter and work
and other signs of damage or interior. Leaves and litter has accumulated order 370 to have engineering determine if
releases. in the containment unit containment unit integrity has been compromised.

Access to fill bucket is restricted Yes No N/A

Area lighting is working and allows Yes No N/A
signs of leaks or releases to be seen
Interstitial space monitoring device & Yes No N/A
rupture basin warning lights working as
specified.

Red = result of inspection

Version 03/09/2025
First Steps
1. Open theTank Inspection sheet.
2. Open View Menu. Then open header and footer view. Add zone id to top of spreadsheet. Save the
changes.
3. Save the spreadsheet file as Tank Inspection - blank form .xls. Each month, open Blank Drum
Inspection.xls and save as a new file as Tank Inspections - date of inspections as month year. Repeat this step
each month to create a new set of inventory inspection sheets by zone.

Second Steps
1. Open the "Blank Form" tab.
2. Print out and complete the date of inspection and name of inspector before heading out.
3. Fill in the column with information requested. Open the "Example Instruction Form" tab if you are unsure
of what to fill in and look at during your inspection.

4. Tank ID number is the unique number assigned to the tank or associated generator by Asset
Management. It is included on all work and purchase orders.
5. Describe where the tank is located. Be accurate. Examples include outside west wall of food services
building or west of F&S complex..
6. List what the tank holds such as diesel, kerosene, used cooking oil, used motor oil, virgin oil or diesel.
7. Circle the correct answer to each questions. A 'NO" answer means some is wrong and must be noted in
the comment section along with a solution. A "yes" answer means nothing is wrong.

8. When the "NO" answer has been corrected, note the date and action in the 'Resolution" column. Do not
allow the resolution column to remain blank for more than 30 days. The statement "No action is planned
until 10/2/2013 is better than a blank space.

9. Fax a copy of the completed signed Inspection Form and pictures to the EHS Department using
fax number 407-823-1291 or e-mail jennifer.hill@ucf.edu
DATE OF INSPECTION: Equipment Number
PRINTED NAME AND SIGNATURE OF INSPECTOR:

Inspection Results Comments Resolution

Zone: Issue resulting in the No Action to address the No
Location & Content Content: response response. Include WO # and
date completed.
Access to tank and containment Yes No N/A
unit's sides, top and bottom not
blocked
Label with content and safety Yes No
diamond visible from access paths
"No Smoking" Sign Present Yes No N/A
Metal containment unit free of spills, Yes No N/A
water, debris, cracks, rust and other
signs of damage or leaks
Area around/under/above tank free Yes No
of debris, cracks, staining and other
signs of releases or damage
Protective bollards in good condition Yes No N/A
and in place
Exterior of tank free of rust, dents, Yes No
spills, drips and signs of damage or
releases
Tank supports including bolts and Yes No N/A
fittings are free of rust, dents and
other signs of damage or releases

Tank hoses free of patches, tears, Yes No

patches, and other signs of damage or
releases
Yes No
Tank vent and instrument piping free of
signs of rusts, releases, dents and other
signs of damage or spills

No petroleum or other organic odors Yes No

detected
Transfer lines to generator or dispenser Yes No N/A
pump free of cracks, leaks, tape and
other signs of damage or releases.

Space in between double-walled tanks Yes No N/A

free of liquids, solids, cracks, rust and
other signs of damage or releases.

Spill kit is present Yes No N/A

Concrete containment pad is free of Yes No N/A
cracks, staining, broken edges and other
signs of damage or releases.

Access to fill bucket is restricted Yes No N/A

Area lighting is working and allows signs Yes No N/A
of leaks or releases to be seen
 Interstitial space monitoring device & Yes No N/A
rupture basin warning lights working as
specified.

Notes:
1. Record the asset management id number in the upper right hand corner of the page.
2. Tank contents and fire safety diamond must be visible at least 3 feet away so fire department can respond safety.
3. Use extended reach wand to check underneath or behind tanks with limited clearance.
4. If applicable, print interstitial probe test receipt.
5. Circle the answer to each questions that most accurately reflects what you see. Notes at the bottom of the inspection form
discuss what to look for and how to describe what you see. A "yes" answer means nothing is wrong with the item in question.
A "NO" answer means sometime is wrong with the item in question and the details must be noted in the Comment column of
the Inspection form.

6. When the "NO" answer has been corrected, the date and solution description goes into the 'Resolution" column. Do not
allow the resolution column to remain blank for more than 30 days. The statement "No action is planned until 10/2/2013." is
better than a blank space.

7. Fax a copy of the completed signed Inspection Form and pictures to the EHS Department using fax number 407-823-1291 or
e-mail jennifer.hill@ucf.edu