Checklist template

Gas Station / Petroleum Retailer

A ready-to-use checklist with 76 items in 4 sections, covering General Requirements, Dispenser and Underground Tank Requirements, Cages, Liquid Petroleum Gas Requirements. Use it as-is in Bindy, or adapt it to your own standards in minutes.

  • 4 Sections
  • 76 Items
  • 76 Yes / No checks
  • 75 Points

Use this template How audits work

1. General Requirements 27 items

  1. Emergency procedures are available for fire, spillage, accident, equipment failure and other potential abnormalities or emergencies Yes / No 1 pt
  2. Employees are trained in the use of emergency equipment Yes / No 1 pt
  3. Emergency plan is regularly reviewed and updated as required Yes / No 1 pt
  4. Spill kit is complete and readily available Yes / No 1 pt
  5. Telephone is located adjacent to the control console Yes / No 1 pt
  6. List of emergency telephone numbers, including the fire brigade, ambulance services and other emergency responders is prominently displayed near the control centre (console) telephone Yes / No 1 pt
  7. Main emergency stop is available to shut off power to all dispensing units Yes / No 1 pt
  8. Main emergency stop is readily accessible in an emergency (i.e. there is clear access to the emergency stop with no obstructions such as racks, shelves or spill kits) Yes / No 1 pt
  9. Main emergency stop activation device (e.g. switch or button) is clearly labelled ‘EMERGENCY STOP’ Yes / No 1 pt
  10. Main emergency stop is routinely tested to ensure it functions properly Yes / No 1 pt
  11. Note: Every emergency stop point at LP Gas installations must be tested at least monthly Yes / No 1 pt
  12. Areas around the dispensers and payment unit are sufficiently lit to provide a safe working environment whenever the unit is available for service Yes / No 1 pt
  13. User should be able to read the signs without strain. A minimum value of 50 lux is required for LP Gas filling and is recommended for flammable liquid filling) Yes / No 1 pt
  14. Minimum of two powder-type fire extinguishers provided at service station Yes / No 1 pt
  15. Minimum rating of at least 2A 60B(E) per extinguisher Yes / No 1 pt
  16. Extinguishers are located near dispensers or other item being protected Yes / No 1 pt
  17. Extinguishers are accessible without undue danger in an emergency Yes / No 1 pt
  18. Fire extinguishers are routinely serviced at least every 6 months Yes / No 1 pt
  19. Each extinguisher location is marked by a ‘FIRE EXTINGUISHER’ sign mounted at least 2 m above ground Yes / No 1 pt
  20. Manifest is available and maintained Yes / No 1 pt
  21. Site plan is available and maintained Yes / No 1 pt
  22. Risk assessment is available and maintained Yes / No 1 pt
  23. Material safety data sheets (MSDSs) are readily available and maintained Yes / No 1 pt
  24. Dangerous goods register is available and maintained Yes / No 1 pt
  25. Inventory records are maintained and reconciled for flammable and combustible liquids received, stored and dispensed Yes / No 1 pt
  26. Whenever discrepancies in the records indicate possible leakage, the dangerous goods installation is checked and any leaks rectified Yes / No 1 pt
  27. Records are maintained for operational training and retraining in use of the LP Gas system including, maintenance, inspection and managing abnormal incidents and near misses Yes / No 1 pt

2. Dispenser and Underground Tank Requirements 6 items

  1. Emergency stop on each dispenser is regularly tested (e.g. monthly) for compliant operation Yes / No 1 pt
  2. Impact protection is installed (e.g. bollards) or dispenser is located so potential damage (e.g. from vehicles) is minimised Yes / No 1 pt
  3. Hoses are free of cracks, fractures, leakage, or movement between hose and fittings Yes / No 1 pt
  4. Prominent ‘STOP ENGINE – NO SMOKING’ sign is displayed on or near the dispenser Yes / No 1 pt
  5. Lettering on the ‘STOP ENGINE – NO SMOKING’ sign is at least 50 mm high Yes / No 1 pt
  6. There is no latching device on the nozzle of self-service dispensers or where there is a preset facility (i.e. a dispenser where a value or quantity of fuel may be pre-selected) Yes / No 1 pt

3. Cages 16 items

  1. Cylinder cages are outdoors Yes / No 1 pt
  2. The capacity of each cylinder within a cage is 25 L or less Yes / No 1 pt
  3. The maximum aggregate capacity of cylinders per cage, or groups of cages, is 2,500 L Yes / No 1 pt
  4. The front of each cage has a dangerous goods class label (i.e. red diamond-shaped sign for Division 2.1 flammable gases) measuring 250 mm square. Yes / No 1 pt
  5. The front of each cage has a ‘FLAMMABLE GASES – NO SMOKING, NO FLAME’ warning sign Note: Standard warning symbols may be used instead Yes / No 1 pt
  6. Cages are separated by at least 3 m from groups of cylinder cages (no more than 2,500 L per group) Yes / No 1 pt
  7. Cages are separated by at least 1 m from any building opening Yes / No 1 pt
  8. Cages are separated by at least 1 m from the hose reach of an LP Gas decanting cylinder Yes / No 1 pt
  9. Cages are separated by at least 1.5 m horizontally from any ignition source Yes / No 1 pt
  10. Cages are separated by at least 0.5 m vertically from any ignition source Yes / No 1 pt
  11. Cages are separated by at least 1.5 m from any pit, drain, basement, public place 5 or fuel dispenser Yes / No 1 pt
  12. Cages are separated by at least 5 m from any LP Gas tank Yes / No 1 pt
  13. Cages are separated by at least 3 m from any above-ground tank containing dangerous goods other than LP Yes / No 1 pt
  14. Cages are separated by at least 3 m horizontally from any accumulation of combustible materials (e.g. rubbish bin, firewood, engine oil) Yes / No 1 pt
  15. Cages are separated by at least 2 m from any structure limiting access past the cage Yes / No 1 pt
  16. Cages are clear on at least two sides from any wall, solid display or other item that could restrict air flow Yes / No 1 pt

4. Liquid Petroleum Gas Requirements 27 items

  1. An emergency information panel (EIP) placard is posted on above-ground tanks or at tank storage areas Yes / No 1 pt
  2. There is a sign at the above-ground tank or tank storage area showing the phone number of the tank owner or a contractor that provides 24-hour specialist advice for LP Gas Note: This information can be provided on the EIP Yes / No 1 pt
  3. There is a sign at the above-ground tank or tank storage area showing either standard warning symbols of at least 100 mm diameter or words saying ‘FLAMMABLE GAS’ and ‘NO SMOKING’, or a warning sign (in lettering of at least 50 mm high) prohibiting smoking and ignition sources Yes / No 1 pt
  4. If the area is isolated by a fence, the signs must be visible from outside the fence and all points of access Yes / No
  5. Each activation point for the LP Gas emergency shut-down system is marked ‘LP GAS EMERGENCY STOP’ in red lettering at least 40 mm high on a white background Yes / No 1 pt
  6. Each activation point for the emergency shut-down system has a sign with instructions (in red or dark lettering at least 20 mm high on a white background) on how to activate the system Note: The instructions may be given on same sign as ‘LP GAS EMERGENCY STOP’ Yes / No 1 pt
  7. Tanks are at least 6 m from any other above-ground tank, package store or filling area for flammable or combustible materials Yes / No 1 pt
  8. Tanks are at least 2 m from any vent outlet of a flammable liquid store (e.g. vents for underground tanks) Yes / No 1 pt
  9. Tank impact protection is at least equivalent to highway crash barriers (i.e. ‘W’ guard railing), and is about 700 mm high and at least 1.5 m from the tank Yes / No 1 pt
  10. There are no combustible materials within 3 m of the LP Gas tanks Yes / No 1 pt
  11. The site has a clear exit for fuel tankers so vehicles leave by driving forward without needing to reverse Yes / No 1 pt
  12. Tanks that are no longer in service have been decommissioned and gas-freed Yes / No 1 pt
  13. For single tanks with a capacity of 8,000 Liters or less, there must be access to a tap with sufficient water pressure to operate a garden hose Yes / No 1 pt
  14. Hose reels are installed near all tanks with capacities greater than 8,000 Liters - Note: Fire extinguishers of type 2A 60B(E) may be substituted for hose reels where there is a single tank with a capacity of 16,000 Liters or less and the water supply is insufficient Yes / No 1 pt
  15. There are enough hose reels to ensure that water hose nozzles can reach everywhere within 5 m of the tank and tanker standing area Yes / No 1 pt
  16. The ground below tanks and for at least 1.5 m beyond each tank is either paved or resistant to saturation by flammable liquids Yes / No 1 pt
  17. There must be no smoking or ignition sources within 3 m of any point where flammable liquid might be exposed Yes / No 1 pt
  18. Vehicle engines are switched off while refuelling Yes / No 1 pt
  19. Pilot lights that could come into contact with flammable vapour must be turned off in camper vans and caravans before refuelling Yes / No 1 pt
  20. Spillage and overfilling must be prevented during the filling of storage tanks Yes / No 1 pt
  21. Fill and dip caps (e.g. underground tanks) must be maintained in a liquid-tight condition Yes / No 1 pt
  22. Plastic containers that do not comply with AS/NZS 2906 are not permitted to be filled Yes / No 1 pt
  23. Containers must be on the ground while being filled at a fuel dispenser (i.e. must not be in or on a vehicle or trailer) Yes / No 1 pt
  24. There are procedures to manage spills, especially a spill of flammable liquid on clothing Yes / No 1 pt
  25. Children under the age of 15 years are not permitted to operate fuel dispensers Yes / No 1 pt
  26. There are no combustible materials in the fill point spill box for underground tanks Yes / No 1 pt
  27. There is no liquid in the spill containment sumps (if fitted) under spill boxes Yes / No 1 pt

About this template

This checklist is part of the Bindy template library. Yes / No checks score 1 point when met; ratings score the points shown for each option. The overall score is the percentage of points earned, with N/A answers excluded. In Bindy you can add photos, assign corrective actions, require sign-off and compare results across sites.

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