STI SP001 SPCC Plan Inspection Form WISCONSIN

STI SP001 Annual Inspection Checklist (6th Edition)
General Inspection Information:

Inspection Date: __________________ Prior Inspection Date:
Inspector Name (print):
Inspector’s Signature
Tank(s) inspected or ID #s
Inspection Guidance:
● This checklist is intended as a model. Locally developed checklists are acceptable as long as they are substantially equivalent (as applicable).
● 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 per paragraph 4.1.2 of the standard.
● Remove promptly standing water or liquid discovered in the primary tank, secondary containment area, interstice, or spill container. Before
discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.
● In order to comply with EPA SPCC (Spill Prevention, Control and Countermeasure) rules, a facility should regularly test liquid level sensing devices
to ensure proper operation (40 CFR 112.8(c)(8)(v)).
● 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 at least 36 months.
● Complete this checklist on an annual basis, supplemental to the owner monthly-performed inspection checklists.
● Note: If a change has occurred to the tank system or containment that may affect the SPCC plan, the condition should be evaluated against the
current plan requirement by a Professional Engineer knowledgeable in SPCC development and implementation.
ITEM STATUS COMMENTS/DATE CORRECTED
Tank Foundation/Supports
Free of tank settlement or foundation washout? □ Yes □ No
Concrete pad or ring wall free of cracking and spalling? □ Yes □ No □ NA
Tank supports in satisfactory condition? □ Yes □ No □ NA
Is water able to drain away from tank if tank is resting on a foundation

□ Yes □ No □ NA
or on the ground?
Is the grounding strap between the tank and foundation/supports in

good condition?
Tank Shell, Heads, and Roof
Free of visible signs of coating failure? □ Yes □ No
Free of noticeable distortions, buckling, denting, or bulging? □ Yes □ No
Free of standing water on roof? □ Yes □ No □ NA
Are all labels and tags intact and legible? □ Yes □ No
Tank Manways, Piping, and Equipment

Flanged connection bolts tight and fully engaged with no sign of wear or
corrosion?
Tank Equipment
Normal and emergency vents free of obstructions? □ Yes □ No

Normal vent on tanks storing gasoline equipped with pressure/vacuum
vent?
1
Are flame arrestors free of corrosion and are air passages free of
blockage?
Is the emergency vent in good working condition and functional, as
required by manufacturer? Consult manufacturer’s requirements. Verify □ Yes □ No □ NA
that components are moving freely (including long-bolt manways).
Is interstitial leak detection equipment in good condition? Are windows
on sight gauges clear? Are wire connections intact? If equipment has a □ Yes □ No □ NA
test function, does it activate to confirm operation?”
Are all valves free of leaks, corrosion and other damage? Follow
manufacturers’ instructions for regular maintenance of these items.
Check the following and verify (as applicable):
□ Anti-siphon valve □ Yes □ No □ NA

□ Check valve □ Yes □ No □ NA
□ Gate valve □ Yes □ No □ NA
□ Pressure regulator valve □ Yes □ No □ NA
□ Expansion relief valve □ Yes □ No □ NA
□ Solenoid valve □ Yes □ No □ NA
□ Fire valve □ Yes □ No □ NA
□ Shear valve □ Yes □ No □ NA
Are strainers and filters clean and in good condition? □ Yes □ No □ NA
Insulated Tanks
Free of missing insulation?
Insulation free of visible signs of damage? □ Yes □ No □ NA
Insulation adequately protected from water intrusion?
Insulation free of noticeable areas of moisture? □ Yes □ No □ NA
Insulation free of mold? □ Yes □ No □ NA
Free of visible signs of coating failure? □ Yes □ No □ NA
Tank / Piping Release Detection
Is inventory control being performed and documented if required? □ Yes □ No □ NA
Is release detection being performed and documented if required? □ Yes □ No □ NA
Other Equipment
Are electrical wiring and boxes in good condition? □ Yes □ No □ NA
Has the cathodic protection system on the tank been tested as required
by the designing engineer?
Additional Comments:

STI SP001 SPCC Plan Inspection Form WISCONSIN

Uploaded by

Copyright:

Available Formats

STI SP001 SPCC Plan Inspection Form WISCONSIN

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

STI SP001 SPCC Plan Inspection Form WISCONSIN

Uploaded by

Copyright:

Available Formats

STI SP001 Annual Inspection Checklist (6th Edition)

General Inspection Information:

Free of tank settlement or foundation washout? □ Yes □ No

Concrete pad or ring wall free of cracking and spalling? □ Yes □ No □ NA

Tank supports in satisfactory condition? □ Yes □ No □ NA

Is water able to drain away from tank if tank is resting on a foundation

Is the grounding strap between the tank and foundation/supports in

Free of visible signs of coating failure? □ Yes □ No

Free of noticeable distortions, buckling, denting, or bulging? □ Yes □ No

Free of standing water on roof? □ Yes □ No □ NA

Are all labels and tags intact and legible? □ Yes □ No

Tank Manways, Piping, and Equipment

Normal and emergency vents free of obstructions? □ Yes □ No

□ Anti-siphon valve □ Yes □ No □ NA

Are strainers and filters clean and in good condition? □ Yes □ No □ NA

Insulation free of mold? □ Yes □ No □ NA

Free of visible signs of coating failure? □ Yes □ No □ NA

Tank / Piping Release Detection

Is inventory control being performed and documented if required? □ Yes □ No □ NA

Is release detection being performed and documented if required? □ Yes □ No □ NA

Are electrical wiring and boxes in good condition? □ Yes □ No □ NA

You might also like