36C26218Q0225-005.pdf

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VISUAL INSPECTIONS AST AND UST AT VA GREATER LOS ANGELES HEALTHCARE SYSTEM
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36C26218Q0225
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36C26218Q0225 D.4 - MONTHLY PHYSICAL INSPECTION CHECKLIST 2 OF 2.pdf

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AST INSPECTION STANDARD 4 SEPTEMBER 2011

COPYRIGHT© 2011 Steel Tank Institute

STI SP001 Monthly Inspection Checklist

General Inspection Information:

Inspection Date: Retain Until Date: (36 months from inspection date)

Prior Inspection Date: Inspector Name:

Tanks Inspected (ID #’s):

Inspection Guidance:

For equipment not included in this Standard, follow the manufacturer recommended inspection/testing schedules and procedures.

The periodic AST Inspection is intended for monitoring the external AST condition and its containment structure. This visual inspection does not require a Certified

Inspector. It shall be performed by an owner’s inspector who is familiar with the site and can identify changes and developing problems.

Upon discovery of water in the primary tank, secondary containment area, interstice, or spill container, remove promptly or take other corrective action. Before discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.

(*) designates an item in a non-conformance status. This indicates that action is required to address a problem.

Non-conforming items important to tank or containment integrity require evaluation by an engineer experienced in AST design, a Certified Inspector, or a tank manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comment section.

Retain the completed checklists for 36 months.

In the event of severe weather (snow, ice, wind storms) or maintenance (such as painting) that could affect the operation of critical components

(normal and emergency vents, valves), an inspection of these components is required as soon as the equipment is safely accessible after the event.

Item Task Status Comments

1.0 Tank Containment

1.1 Containment

structure

Check for water, debris, cracks or fire hazard

Yes* No N/A

1.2 Primary tank Check for water Yes* No

1.3 Containment

drain valves Operable and in a closed position

Yes No* N/A

1.4 Pathways and

entry

Clear and gates/doors operable

Yes No* N/A

2.0 Leak Detection

2.1 Tank Visible signs of

leakage Yes* No

2.2 Secondary

Containment

Visible signs of leakage from tank into secondary containment

Yes* No

2.3 Surrounding soil Visible signs of

leakage

Yes* No N/A

2.4 Interstice Visible signs of

leakage

Yes* No N/A

AST INSPECTION STANDARD 5 SEPTEMBER 2011

Item Task Status Comments

3.0 Tank Equipment

3.1 Valves a. Check for leaks. Yes* No N/A

b. Tank drain valves must be kept locked.

Yes* No N/A

3.2 Spill

containment boxes on fill pipe

a. Inspect for debris, residue, and water in the box and remove.

Yes* No N/A

b. Drain valves must be operable and closed.

Yes* No N/A

3.3 Liquid level

equipment

a. Both visual and mechanical devices must be inspected for physical damage.

Yes No* N/A

b. Check that the device is easily readable

Yes No* N/A

3.4 Overfill

equipment

a. If equipped with a "test" button, activate the audible horn or light to confirm operation.

This could be battery powered. Replace the battery if needed

Yes No* N/A

b. If overfill valve is equipped with a mechanical test mechanism, actuate the mechanism to confirm operation.

Yes No* N/A

3.5 Piping

connections

Check for leaks, corrosion and damage

Yes* No

4.0 Tank Attachments and Appurtenances

4.1 Ladder and

platform structure

Secure with no sign of severe corrosion or damage?

Yes No* N/A

5.0 Other Conditions

5.1 Are there other conditions that should

be addressed for continued safe operation or that may affect the site spill prevention plan?

Yes* No

AST INSPECTION STANDARD 6 SEPTEMBER 2011

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