PETROLEUM SAFETY DIVISION (PSD)

PETROL STATIONS CHECKLIST (PSMA 1984)

PART A COMPANY BACKGROUND

Name of dealer : __________________________________________________________

Brand : PETRONAS / SHELL / PETRON / BHP / CALTEX / OTHERS: __________

Address : __________________________________________________________

__________________________________________________________

__________________________________________________________

KPDNKK Serial No. : PDA_________________________CSA_________________________

Ownership : CODO / DODO / COCO Number of dispenser/Island: ________

Person In charge: ________________________________________

Telephone No. : _______________ Fax No. : _____________ Email: _________________

Date of Starting the Operation: ____________________________

Time of Operation: ____________________________

No. of Employees: _____________ Citizen (M: ___________F: _______________)

Foreigners (M: ___________F: _______________)

Volume of 95: _____________ Quantity of Tank: _____________

Volume of 97: _____________ Quantity of Tank: _____________

Volume of Diesel: _____________ Quantity of Tank: _____________

NGV: Mother / Daughter / Conventional

 PART B UNLOADING FROM TANKER

No. Zone Inspection Element Yes No Remarks

Measures to control spills and
leaks during transfer.
Measures to control static
electricity during transfer.
i.e.: earthing.
Safe Operating Measures to control source of
1 Procedure / Safe ignition during transfer.
Work Procedure
Vapour recovery system is applied.
Document on safe transfer or
unload of fuel
Trained operator

PART C UNDERGROUND STORAGE TANK

No. Zone Inspection Element Yes No Remarks

Risers are in good condition.

Riser Fuel type identification (color

1
(Filling Point) coding / tagging)

Secured / Locked

Pressure / vacuum vent cap

present. (if required)
Tank Venting a. Type of venting
2
Equipment b. Available
c. Functioning
Sump / manhole cover in good
condition (create proper sealed
Sump: and no crack)
3 Containment and Sump seals in good condition
fittings (no crack or loose seals)
Clean, empty and dry - no water,
product, dirty, debris.
 Sump integrity (free of cracks,
bulges, holes).
Sump: Connector/ fitting :
3 Containment and Free of leaks
fittings
Appearance of piping (free of rust,
discoloration, delamination,
swelling, disintegration, etc)
Available:
Overfill Type : (Flapper Valve / Ball Float
4 Valve / Float Sensor / etc)
Protection
Devices Functioning properly

Overfill alarm
Rectifier operating within normal
Cathodic
limits
5 Protection (if
Proper operation verified by
required)
qualified person
Type: (Aluminum / etc)
6 Dipstick
Dipstick end protected : (Teflon /
Brass / etc)
Available
Automatic Tank
7
Gauge (ATG)
ATG equipment functional

Any leak detector installed?

Leak Detector Type: (MLLD / PLLD / etc)

e.g: vacuum
8
gauge Functioning properly

Tested

Groundwater
9 Monitoring tube/ Record on usage available
Monitoring Well

10 Signage Available and noticeable

 PART D DISPENSING AREA
No. Zone Inspection Element Yes No Remarks
Type:
(Pressure / Suction)
(Manufacturer : Tatsuno / Gilbargo
Dispenser / / Wayne / etc)
Pump Anchoring
1 and Grounding Bolts are well tightened
to Earth
Free from corrosion damage

Grounding test for hanging

hardware is regularly done.
Clean, empty and dry - no water,
Dispenser Sump product, oil, debris
2
Containment Sump Integrity (free from cracks,
bulges, holes)

One shear valve for each fuel line.

Shear Valve on
3 Pressurized Properly secured and anchored.
Product Lines
Free from leaks.

Available at each dispenser and

located in a conspicuous position.
Emergency Stop Clearly labeled.
4
Button i.e.: "EMERGENCY STOP"

Routinely tested. (at least yearly)

Free from cracks, cuts, fractures,

leakage, and movement between
hose and fittings.
Hanging
Hardware Nozzle sensor functioning properly.
5 (Hosepipes /
Breakaway / Nozzles Splash guard available
Nozzles) Valid breakaway (expired dated)
Manufacturer : (OPW / etc)
Labeling of product
 Standard warning symbols.
i.e.: "STOP ENGINE", "NO
SMOKING" are displayed at or
adjacent to the filling area

Labeling of product

Available and noticeable

6 Signage
Dispensing instruction is stated
clearly.

Reminder.
e.g.: Do not leave pump
unattended to ensure spillage or
overfilling are prevented during
the filling stated at dispenser
Bollards are in place to protect
7 Bollards
against vehicles impact
Available at each dispenser and
8 Oil Floor Trap flow is not interrupted to oil
interceptor.
Available and flow from oil floor
9 Oil Interceptor
trap is not interrupted

PART E NGV DISPENSING

No. Zone Inspection Element Yes No Remarks

Sign with standard warning
symbols.
e.g.: "STOP ENGINE", "NO
SMOKING" are displayed at or
NGV Dispensing adjacent to the filling area
1
Area Dispensing instruction is stated
clearly.
Dispenser is operated by a trained
attendant only.
 NGV is not released when the
unconnected nozzle trigger is
operated.
i.e.: Not attached to a vehicle fill
point
Hoses are free of cracks, fractures,
leakage or movement between
hose and fittings
NGV Dispensing
1 Emergency stop is available and
Area
located in a conspicuous position
at each unit
Emergency stop activation device
(e.g.: switch or button) is clearly
labeled.
i.e.: "EMERGENCY STOP"
Emergency stop is routinely
tested. (at least yearly)
Gas Detector is calibrated
Mother /
2
Daughter Station Pressure safety valve is
functioning properly
Rectifier operating within normal
Cathodic limits
3 Protection
(If required) Proper operation verified by
qualified person

PART F EMERGENCY RESPONSE PLAN

No. Element Inspection Element YES No Remarks
Employees are trained in the use
of emergency environment and
use of emergency equipment
1 OSHMS
Employees are trained emergency
procedure and the use of machine
equipment
 Emergency procedures are
available for fire, spillage,
accident, equipment failure and
other potential abnormalities or
emergencies (underground
storage tank, oil dispensing or
NGV dispensing area)
Emergency plan is regularly
tested, reviewed and updated as
required
List of emergency telephone
1 OSHMS
numbers, including BOMBA,
ambulance service and other
emergency responders is
prominently displayed near the
control center (console)
telephone
Spill kit is complete and readily
available
An incident investigation
procedure is available and
employees are trained
Available to shut off power to all
dispensing units
Readily accessible in an
emergency. (e.g. there is clear
access to the emergency stop
Main Emergency
2 with no obstructions such as rack,
Stop Button
shelves or spill kits)
Clearly labeled.
i.e.: "EMERGENCY STOP"
Routinely tested.
(at least monthly)
Trained operator how to use fire
protection system
Adequately installed, tested and
maintained
Fire Protection
3 Fire extinguisher is not expired
System
Fire extinguisher is located in a
conspicuous position near
dispenser or other item being
protected
 Fire extinguisher is located in a
conspicuous position without
Fire Protection undue danger in an emergency
3
System Each fire extinguisher location is
marked by a "FIRE
EXTINGUISHER" sign

PART G OTHERS

No. Zone Inspection Element Yes No Remarks

Risk assessment is available and
maintained.
i.e.: HIRARC, HEMP, HAZOP, etc.
Safety Data Sheets (SDS) are
readily located in a conspicuous
position and maintained.
(if required)
Safety policy has been established
(if required).

Organization chart was created.

Documentation
1 Whenever discrepancies in the
and records
records indicate possible leakage,
the dangerous goods installation
is checked and any leaks rectified.
Distribution PPE records are
maintained.

Training records maintained.

Inspection and maintenance

records are maintained.
Have audit been carried out by oil
company.
Are floor holes or openings
Floor & Wall guarded by a cover, guardrail or
2
Openings equivalent on all sides? (except at
entrance to stairways or ladders)
 Are unused portions of service
Floor & Wall pits and pits not actually in use
2
Openings either covered or protected by
guardrails or equivalent.

PART H WORKSHOP / CAR WASH / MINI MARKET / RESTAURANT/SURAU/TOILET

No. Zone Inspection Element Yes No Remarks
All certificated machineries are
registered with DOSH.
i.e.: Air Compressor units
Workshop / Car Free from open flame / welding.
Wash / Mini
1 Market / Suitable PPE.
Restaurant/ Proper housekeeping.
Surau / Toilet
Acceptable signage.
Safe operating procedure.
i.e.: service, repair, etc.

NOTES:
1. Tanks are designed and constructed according to internationally accepted code / standard.
2. Only approved type of fittings and connectors are used.
Comments Auditors:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Name Auditor: 1. ____________________________________

2. ____________________________________

3. ____________________________________

Date Auditors: ______________________

Comments Section Head:

_____________________________________________________________________________________

_____________________________________________________________________________________

_____________________________________________________________________________________

Name : _________________________

Sign : _________________________

Date : _________________________