LPG Bulk Customer Checklist

Name of Customer

Customer Number

Address

Date

Inspected By:

Access to tank is easy/safe

• Yes
• No
• N / A

Good line of sight possible

• Yes
• No
• N / A

Ignition source further than 3M (10FT)

• Yes
• No
• N / A

Hose appropiately hidden from damage

• Yes
• No
• N / A

Safety distance maintened

• Yes
• No
• N / A

Site free of combustible materials

• Yes
• No
• N / A

Site appropriately debushed

• Yes
• No
• N / A

Tank is painted

• Yes
• No
• N / A

Tank is on concrete support

• Yes
• No
• N / A

Tank legs functional/free of rust

• Yes
• No
• N / A

Tank is anchored to support

• Yes
• No
• N / A

Is there suitable access for fill coupling

• Yes
• No
• N / A

Is there logo/emergency numbers

• Yes
• No
• N / A

Is there "No Smoking" sign

• Yes
• No
• N / A

Is filler valve operational (not leaking)

• Yes
• No
• N / A

Is service valve operational (not leaking)

• Yes
• No
• N / A

Is vapour return valve operational (not leaking)

• Yes
• No
• N / A

Is pressure relief valve operational (not leaking)

• Yes
• No
• N / A

I reguator operational (not leaking)

• Yes
• No
• N / A

Is pipe line operational (not leaking)

• Yes
• No
• N / A

Is pipe line free of rust

• Yes
• No
• N / A

Pipe line properly supported

• Yes
• No
• N / A

Pressure gauge operational (free of defects)

• Yes
• No
• N / A

Float gauge working

• Yes
• No
• N / A

Fixed liquid level gauge working

• Yes
• No
• N / A

Protective caps present

• Yes
• No
• N / A

Fire extinguisher present

• Yes
• No
• N / A

Tank utilization/size

• Yes
• No
• N / A

Tank location satisfactory

• Yes
• No
• N / A

Earth/bonding present

• Yes
• No
• N / A

Tank Size

Number of tanks

Remarks

Sales Executive Print Name

Sales Executive Signature

Customer Name:

Customer Signature

Date: