MONTHLY OIL-FILLED EQUIPMENT CHECKLIST Location: ______________________________ Date: ____________________ Completed by: _______________________ Equipment: Equipment: Is there any evidence of oil-filled equipment deterioration including, but not limited to, the equipment, equipment Yes Yes coating, piping, foundation, drainage, and safety equipment? If No No yes, specify below. Yes Yes Is there any accumulation of water or oil in the storage area No No containment? N/A N/A Are there any conditions that may be fire, safety, or Yes Yes environmental hazards? No No Yes Yes Is there any evidence of a release? No No Yes Yes Is a spill kit available? No No Comments: _________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Any deficiencies noted during the inspection must be corrected as soon as possible. If there are any questions, call the Department of Environmental Health and Safety at 814/865-6391
MONTHLY OIL-FILLED EQUIPMENT CHECKLIST Location: ______________________________ Date: ____________________ Completed by: _______________________ Equipment: Equipment: Is there any evidence of oil-filled equipment deterioration including, but not limited to, the equipment, equipment coating, piping, foundation, drainage, and safety equipment? If yes, specify below. Yes No Yes No Is there any accumulation of water or oil in the storage area containment? Yes No N/A Yes No N/A Are there any conditions that may be fire, safety, or environmental hazards? Yes No Yes No Is there any evidence of a release? Yes No Yes No Is a spill kit available? Yes No Yes No Comments: _________________________________________________________________________________________________ ___________________________________________________________________________________________________________ Any deficiencies noted during the inspection must be corrected as soon as possible. If there are any questions, call the Department of Environmental Health and Safety at 814/865-6391
monthly_oil-filled_equipment_checklist.docx