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OSM 3.17 Exhibit 2 - Annual Visual Inspection

OSM 3.17 Tank Inspection Program Exhibit 2 - Annual Visual Inspection 11/19/2020; Replaces 12/19/2017
UNVR - 0913 - Chicago 68th St.
04/19/2023

OSM 3.17 Exhibit 2 - Annual Visual Inspection

OSM 3.17 Tank Inspection Program Exhibit 2 - Annual Visual Inspection 11/19/2020; Replaces 12/19/2017

    Tank ID

    SAP Tank#

    Size

    Status

    Product

    Material of Construction

    Original Shell Thickness

    Flame Arrestor?

    • Yes
    • No
    • N / A

    Grounded?

    • Yes
    • No
    • N / A

    Design Code

    Year Constructed

    Year Installed

    Anchored

    Tank Located Indoors/Outdoors

    Above Ground or Below Ground

    Number of Vents (N/A if zero vents)

    Vent 1 Size (N/A if zero vents)

    Vent 2 Size (N/A if zero vents)

    Vent 3 Size (N/A if zero vents)

    Vent 4 Size (N/A if zero vents)

    Lined?

    • Yes
    • No
    • N / A

    Tank Diameter

    Tank Length

    ID/Serial Plate

    Level Indicator?

    • Yes
    • No
    • N / A

    Level Indicator Type

    High Level Alarm?

    • Yes
    • No
    • N / A

    High Level Alarm Type

    In Containment?

    • Yes
    • No
    • N / A

    Insulated?

    • Yes
    • No
    • N / A

    Steam Coil?

    • Yes
    • No
    • N / A

    Electric Heat Trace

    • Yes
    • No
    • N / A

    Fire Proofed?

    • Yes
    • No
    • N / A

    Scrubbed?

    • Yes
    • No
    • N / A

    Confirm Tank Mgmts Data

    Check For Signs of Spill, Debris, Cracks or Fire Hazards

    • Pass
    • Flag
    • Fail

    Drain Valves Operable and Closed Position

    • Pass
    • Flag
    • Fail

    Clear Access In/Out of Tank Farm

    • Pass
    • Flag
    • Fail

    Signs of Visible Tank Farm Containment Leakage

    • Pass
    • Flag
    • Fail

    Check Pumps & Piping For Leaks, Corrosion or Damage

    • Pass
    • Flag
    • Fail

    Check Tank Ladder & Platform For Signs of Corrosion or Damage

    • Pass
    • Flag
    • Fail

    Check Tank Foundation For Settlement or Washout

    • Pass
    • Flag
    • Fail

    Check Tank Foundation For Cracking or Spalling

    • Pass
    • Flag
    • Fail

    Check That Water Drains Away From Tanks

    • Pass
    • Flag
    • Fail

    Check Tank Farm Coatings For Damage

    • Pass
    • Flag
    • Fail

    Check Bonding, Grounding Cables For Physical Damage

    • Pass
    • Flag
    • Fail

    Verify Grounding System Annual Maintenance Completed

    • Pass
    • Flag
    • Fail

    Check Tank Anchors For Signs of Corrosion or Damage

    • Pass
    • Flag
    • Fail

    Verify Vents Are Not Obstructed

    • Pass
    • Flag
    • Fail

    Check All Valves For Signs of Corrosion, Leaks and Damage

    • Pass
    • Flag
    • Fail

    Check Pressure Regulators For Proper Operation

    • Pass
    • Flag
    • Fail

    Check Relief Valve Is In Proper Orientation & Check Certification

    • Pass
    • Flag
    • Fail

    Follow Manufacturer's Instruction For Testing Flame Arrestors

    • Pass
    • Flag
    • Fail

    Check Fire Safe Valves Can Manually Cycle & Move Freely

    • Pass
    • Flag
    • Fail

    Check That The Strainer Is Clean & In Good Condition

    • Pass
    • Flag
    • Fail

    Inspect Liquid Level Equipment For Physical Damage

    • Pass
    • Flag
    • Fail

    Has Liquid Level Equipment Been Tested?

    • Yes
    • No
    • N / A

    Does Liquid Level Operate As Required?

    • Yes
    • No
    • N / A

    Does The Overfill Prevention System Work As Required?

    • Yes
    • No
    • N / A

    Check Condition of Insulated Tanks For Missing Sections, Moisture or Damage

    • Pass
    • Flag
    • Fail

    Ensure All Labels & Tags Are Intact and Readable

    • Pass
    • Flag
    • Fail

    Inspector's Signature:

    Click here to sign
Source: UNVR - 0913 - Chicago 68th St. (Community Member)

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