Petroleum Facility Safety Inspection Checklist Form
Complete this checklist to ensure all key safety aspects of the petroleum facility are inspected and compliant.
Inspector Name
*
First Name
Last Name
Inspection Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Facility Name/Location
*
Fire Extinguishers Accessible and Inspected
*
Checked and in good condition
Emergency Exits Clearly Marked and Unobstructed
*
Checked and compliant
Hazardous Material Storage Proper and Labeled
*
Inspected and compliant
Spill Containment Systems Functional
*
Tested and operational
Equipment and Machinery in Safe Working Order
*
Inspected and safe
Personal Protective Equipment (PPE) Compliance
*
Observed and compliant
Comments or Additional Observations
Submit Inspection
Should be Empty: