Fuel Station Safety Checklist
Complete this checklist to document safety conditions, hazards, and corrective actions during your fuel station inspection.
Station Name or ID
*
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Area Inspected
*
Please Select
Fuel Pumps
Storage Tanks
Forecourt
Shop/Office
Restrooms
Other
Are fire extinguishers present and accessible?
*
Yes
No
Not Applicable
Are emergency shut-off switches clearly marked and operational?
*
Yes
No
Not Applicable
Are spill kits available and fully stocked?
*
Yes
No
Not Applicable
General Cleanliness and Orderliness
*
1
2
3
4
5
List any hazards identified
Describe corrective actions taken (if any)
Inspector Name
*
First Name
Last Name
Submit Checklist
Should be Empty: