PROPANE FORKLIFT
GAS PROGRAM
Bulk Dispenser
20 Point Annual Inspection Checklist
Customer Name: _________________________________________
Account #: ___________________________________________
PAPCO Inspector: ________________________________________
Date of Inspection: _____________________________________
1. General Site
4. Piping
[ ] Registered – Business License Displayed
[ ] Proper materials used = NFPA 58 (2-4.2 : 2-5.1.2)
[ ] Fire Extinguisher – 20 lbs dry chemical with
B:C or A:B:C Rating = NFPA 58 (3-10.2.7)
[ ] System is leak free = NFPA 58 (3-2.9)
[ ] No Smoking Sign – no open flame, no ignition source
within 15 feet = NFPA 58 (3-8.4)
[ ] Lighting – if night fueling is done = NFPA 58 (3.3.7)
[ ] Personnel Trained – for safe fueling =
NFPA 58 (4-2.1.1) (1-6.1.1)
[ ] Supported, protected and painted
= NFPA 58 (3-2.7.6) (3-2.7.7) (3-2.3.1.c)
5. Hose
[ ] Approved and marked = NFPA 58 (2-4.6.3)
[ ] Good working condition = NFPA 58 (2-4.6)
2. Tank Location
[ ] 10 feet from public ways = NFPA 58 (4-3.3)
6. Dispensing Point
[ ] 25 feet from buildings, openings, pits, property lines,
railroad tracks = NFPA 58 (4-3.3)
[ ] Area not enclosed by more than 50 percent unless
complying with Chapter 7 = NFPA 58 (3-2.10.6.a)
[ ] 50 feet from outdoor public assembly = NFPA 58 (4-3.3)
[ ] 5 feet from driveways = NFPA 58 (4-3.3)
7. Hydrostatic Relief Valves
[ ] 20 feet from other fuels greater than 660 gallons capacity
= NFPA 58 (3-2.2.5)
[ ] In place and unobstructed
= NFPA 58 (3-2.8 ; 3-2.10.6 ; 4-2.3.4)
[ ] 15 feet from non-explosive proof electrical wiring and
fixtures = NFPA 58 (3-8.2)
8. Flexible Connector
[ ] 6 feet horizontally from overhead power lines of 600 volts
or greater = NFPA 58 (3-2.2.6.i)
[ ] Condition, three feet maximum = NFPA 58 (3-2.7.8)
9. Shutoff Valves
3. Tank
[ ] Data plate is legible (stainless steel if manufactured after
1989) = NFPA 58 (2-2.6.5)
[ ] Accessible, at the tank = NFPA 58 (3-2.4.6)
[ ] Paint is in good condition = NFPA 58 (3-2.3.1.f)
10. Relief Valves
[ ] Base and level = NFPA 58 (3-2.3.2)
[ ] Covered for protection = NFPA 58 (3-2.4.3)
[ ] Protection from Vehicles = NFPA 58 (3-2.3.1.c)
[ ] Markings – identified as to gas supplier and filling
instructions = NFPA 58 (general)
800-899-0747 ° 757-499-5977 ° papco.com
11. Fill Valves
16. Security
[ ] Capped for protection = NFPA 58 (3-2.4.6)
[ ] Dispensing point protected by 6 feet of industrial fence
or cabinet = NFPA 58 (3-3.6)
12. Excess Flow Valves
[ ] In tank openings = NFPA 58 (3-2.4.6)
17. Bulkhead and ESV
[ ] Piping at hose connection = NFPA 58 (3-2.10.6.f)
[ ] If tank is over 4,000 gallon capacity = NFPA 58 (3-2.7.9)
13. Scales
18. Tanks Other Than Those Being Filled
[ ] Availability, condition and accuracy = NFPA 58 (general)
[ ] Stored no closer than 10 feet from Dispenser
= NFPA 58 (general)
14. Pump
19. Tanks 2000 Gallons or More
[ ] Bypass = NFPA 58 (3-2.10.1)
[ ] Check-lock evacuation fittings are capped and not used for
bypass inlet = NFPA (general)
[ ] If check-lock is being used, remove and replace w/
REGO 7550 valve = NFPA (general)
[ ] Control switch nearby = NFPA 58 (3-2.10.1)
[ ] Secured to base or frame = NFPA 58 (3-2.10.1)
[ ] Remote control switch = NFPA 58 (3-2.10.1)
15. Meter
[ ] Supported properly = NFPA 58 (3-2.10.5)
[ ] Openings to be labeled VAPOR and LIQUID or color-coded
= NFPA 58 (3-2.4.6.e)
[ ] Pressure Gauge = NFPA 58 (3-2.4.6.f)
[ ] 7 foot extension on relief valves, with proper cover required
= NFPA 58 (3-2.4.3.b)
20. Miscellaneous
[ ] Combustibles, weeds, dry grass cleared 10 feet from tank
= NFPA 58 (3-2.2.6.b)
[ ] Class 1, Division 1 electrical wiring and fixtures
= NFPA 58 (3-8.2)
[ ] Vapor eliminator, vapor connection to tank
= NFPA 58 (general)
REMARKS:
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Customer Acknowledgement of Inspection: __________________________________________________ Date:_________________
800-899-0747 ° 757-499-5977 ° papco.com