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Jul 1G GUll Ub :4J HM YensKe 1rucK Leasing Lo. L. e . b1U/ /Jb44e GO/G/ 406 I b?l i � 6� �,(,�, i/ r-VVICZe,1si0g MQKTHLjf FPWCILITY SAEETYiENVIRONMENTAL CHECKLIST Completed by(print name) 1=acility InStruCtionS-, Review each of the items and check their status. If deficient,note details on the back of lhls form To be completed on the first working day of each month by the Service Manager,shop foremane,or designee. an a monthly rotational oasis. Submit to District Manager by the 6th of each month for appropriate action. OK A._pficlenl XX Are all vehicles on the pramisas locked. i XX Are keys proporly secured. 1. First-aid properly stocked and mounted 2 All air hoses and light cards in proper repair, t� 3. Bench grinder rest properly set, 4. All tires properly chained and secured. 5. Fire extinguishers inspected annually and monthly, cleaned and properly lagged 6. Lockout/tagout procedures in place on all vehicles in shop. 7 Resei outside timer on signs and outside lights. S. Reset time clock for proper month. 9. Test burglar alarm system for proper operation. t� 10 All spare oxygen and acetylene cylinders properly chained and separated. 11. Air gauge lest station securely mounted and in working condition. / 12. All service truck air compressors serviced and in good condition-test safety switch for proper operation. T 13. Wheel chocks in place on vehicles in shop. � �f , Facility air compressor drained.decal listing last service date in place on compressor. i7 ,o, Outside security lights working properly. t� 16 Check bulletin board for workers'compensation and OSHA information. fi 17. Check security mounts on any lifting apparatus. 18, Check conlents and expiration date of eye wash bottle 19. Check housekeeping practices throughout facility. e c 20 Check fuel island,gas 8 diesel pump for working order and condition, Check operation of fuel nozzle hooks 21. Fuel dispenser hoses in good condition and not leaking 22. Dispenser pan(s)and piping sump(s)clean and dry. 23. Dispenser labels not faded and legible, 24. Underground Storage Tanks)(UST)fill port color coding not faded and legible 25. UST fill ports locked. 20. Spill containment kit stocked and readily accessible. 2T Electronic tank gauge system conducting daily or weekly leak tests and results retained far 1-year. 28. Aboveground Storage Tank(AS 7)labels not faded and legible. 29. Secondary containment or dike system of AST(s)clean and dry and drain valve closed 30, AST(s)in good condition(not deteriorating)with no evidence of leaks or spills. ( / 31, Are AST vent lines free of restrictions and ancillary equipment functioning properly. �- 32. Is the AST and surrounding area free of conditions which may pose a safety, fire, or other environmental hazard (/ 33. Drums containing product and transfer containers labeled with manufacturer label of NFPA label �- 34 Drums containing waste labeled with Hazardous Waste or Non-Hazardous Waste label and properly closed. �- 35, Labels on hazardolrs waste drums Indicate accumulation date and are not stored longer than 90-days L.i 35. Empty drums disposed of and labels identifying Penske removed. (� 37. Oil filler drums labeled Non-Hazardous Waste, if applicable. f� 38. Dumpsler area uncluttered and free of debris. Fig 39. If not on sched�led clean out,indicate number of inches of sludge/oil In pretreatment device. inches of sludge, y ly�nches of oil. 40. The yard and storm drains are free of debris,oil sheen,and stains. -L� 41. Emergency Response Contact Us[posted by all phones, including pay phone. 42. New products introduced Into the shop Included on the Chemical Inventory. - 43. Ail new employees have been fully trained. __t� 44. Environmental files are up-lo-dale,separated waste receipts by type and year. �- 45. Slormwaler Monthly,Quarterly forms,visual observation, and%or sampling performed. Attached required forms.