Tank Inspection Form
Date of Inspection
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Inspector Name
First Name
Last Name
Tank Location
Facility PBS Registration Number
Tank Number
Is the tank registered?
Yes
No
Is the tank registration certificate posted?
Yes
No
Aboveground storage tank
Rows
Satisfactory
Repair or adjustment required
Not applicable
Outer tank surface check for signs of leakage
1
2
3
Pink condition is considered good (Not rusting, no signs of corrosion or pitting)
4
5
6
No signs of separation or swelling of tank
7
8
9
Bolts, rivets, and/or seams are not damaged and appear in good condition
10
11
12
No signs of the excessive settlement of AST
13
14
15
Level gauges in alarms are working properly (push button to test alarms)
16
17
18
Vents are not obstructed
19
20
21
Valves, flanges, and gaskets are free from leaks
22
23
24
Truck loading/unloading area
Rows
Satisfactory
Repair or adjustment required
Not applicable
Fill ports are properly color-coded and labeled
25
26
27
No standing water and loading/unloading containment area
28
29
30
Warning signs are posted in area
31
32
33
Fill port containment does not have standing water
34
35
36
Drip pans are not overflowing (or have standing water)
37
38
39
Containment curbing is in good condition
40
41
42
Fill port connections are capped or bank-flanged
43
44
45
Type a question
Rows
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Service Quality
46
47
48
49
Cleanliness
50
51
52
53
Responsiveness
54
55
56
57
Friendliness
58
59
60
61
Still prevention equipment
Rows
Satisfactory
Repair or adjustment required
Not applicable
Spill prevention equipment is maintained at tank condition
62
63
64
Still prevention equipment is in good condition with adequate supplies
65
66
67
Tank pipelines
Rows
Satisfactory
Repair or adjustment required
Not applicable
Pipe services checked for signs of leakage
68
69
70
No signs of corrosion to pipelines or pipe supports
71
72
73
Buried pipelines are not exposed
74
75
76
Out of service pipelines are capped
77
78
79
Signs/barriers to protect aboveground pipes from vehicles are present
80
81
82
No leaks at valves, flanges, or other fittings
83
84
85
Secondary containment area
Rows
Satisfactory
Repair or adjustment required
Not applicable
Door to taint is in good condition
86
87
88
Door is locked
89
90
91
Available lighting system works properly
92
93
94
Inspector Signature
Submit
Should be Empty: