< 5 5 to 10 11 to 20 21 to 50 > 50 What days does this site typically operate? (please circle all that apply) Monday to Friday Saturday Sunday Boilers Are boilers used on site for heat / steam production? Yes No Unknown How are these boilers fired? (please circle all that apply) Gas Wood waste Diesel / oil Coal Other – please specify: Protection measures in place: (please circle all that apply) Safety interlocks Located in fire-rated room Spare capacity Low-water level alarm Electrical Are annual thermographic scans of electrical boards and motors completed? Yes No Unknown What is the approximate age of the wiring? < 5 years 5 to 10 years 11 to 30 years > 30 years Flammable Gas Operations Does this site process or store flammable gases? Yes – process & store Yes – process only Yes – store only No Protection measures in place: (please circle all that apply) Bunding around tanks Grounding / bonding Rated electrics in hazardous areas Ignition source control Separation of tanks holding flammable gases Where are flammable gases stored? Outside Separate building Fire-rated room Main production / storage area Flammable / Combustible Liquid Operations Does this site process or store flammable / combustible liquids? Yes – process & store Yes – process only Yes – store only No Protection measures in place: (please circle all that apply) Bunding around tanks Grounding / bonding Rated electrics in hazardous areas Ignition source control Separation of tanks holding flammable / combustible liquids Where are flammable / combustible liquids stored? Outside Separate building Fire-rated room Main production / storage area Hot Oil Systems Are heat transfer / hot oil systems used in the process? Yes No Unknown
< 5 5 to 10 11 to 20 21 to 50 > 50 What days does this site typically operate? (please circle all that apply) Monday to Friday Saturday Sunday Boilers Are boilers used on site for heat / steam production? Yes No Unknown How are these boilers fired? (please circle all that apply) Gas Wood waste Diesel / oil Coal Other – please specify: Protection measures in place: (please circle all that apply) Safety interlocks Located in fire-rated room Spare capacity Low-water level alarm Electrical Are annual thermographic scans of electrical boards and motors completed? Yes No Unknown What is the approximate age of the wiring? < 5 years 5 to 10 years 11 to 30 years > 30 years Flammable Gas Operations Does this site process or store flammable gases? Yes – process & store Yes – process only Yes – store only No Protection measures in place: (please circle all that apply) Bunding around tanks Grounding / bonding Rated electrics in hazardous areas Ignition source control Separation of tanks holding flammable gases Where are flammable gases stored? Outside Separate building Fire-rated room Main production / storage area Flammable / Combustible Liquid Operations Does this site process or store flammable / combustible liquids? Yes – process & store Yes – process only Yes – store only No Protection measures in place: (please circle all that apply) Bunding around tanks Grounding / bonding Rated electrics in hazardous areas Ignition source control Separation of tanks holding flammable / combustible liquids Where are flammable / combustible liquids stored? Outside Separate building Fire-rated room Main production / storage area Hot Oil Systems Are heat transfer / hot oil systems used in the process? Yes No Unknown