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Jul 16 6U11 Ub : 4J HM 1Yenske truck Leasing Lo• L. e. b1U/ /0b446 6b/G / g 7r1jVA-.4easroy MONTHLYAGILITY SAFETY/ENVIRONMENTAL CHECKLIST Completed by(print rlame) d 4 Facility O G ', ..'i C c' Ir r'� ; Instructions: Review each of the items and check their status. If deficient, note details on the back of this form. To be completed on the first working day of each month by the Service Manager, shop foreman@,or designee. on a monthly rotational basis, Submit to District manager by the 61h of each month for appropriate action. OK Deficlent XX Are all vehicles on the promises locked. i XX Are keys properly secured, 1. First-aid properly stocked and mounted 2 All air hoses and light cords in proper repair _ 3. Sench grinder rest properly set. 4. All tires properly chained and secured, - 5 Fire extinguishers inspected annually and monthly, cleaned and property tagged. 6 Lookoul/lagout procedures in place on all vehicles In shop 7 Reset outside timer on signs and outside lights. 8 Reset time clock for proper month, 9 Test burglar alarm system for proper operation. _ 10. All spare oxygen and acetylene cylinders properly chained and separated. 11. Air gauge test station securely mounted and in working condition. �. 12. All service truck air compressors serviced and In good condition-lest safely switch for proper operation. �_. 13 Wheel chocks in place on vehicles in shop. 14. Facility air compressor drained.decal listing last service date in place on compressor 15. Outside security lights working properly. 15. Check bulletin board for workers`compensation and OSHA Information. 17. Check security mounts on any lifting apparatus. 18. Check contents and expiration date of eye wash bottle. 19. Check housekeeping practices throughout facility. 20. Check fuel island,gas&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. /y./13 24. Underground Storage Tank(s)(UST)fill port color coding not faded and legible. 25 UST fill ports locked. 26 Spill containment kit stocked and readily accessible. 27 Electronic lank gauge system conducting daily or weekly leak tests and results retained for 1-year./ �. 28 Aboveground Storage Tank(AST)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 spjtls 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 safely, 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. T 35 Labels on hazardous waste drums indicate accumulation dale and are not stored longer than 90-days. 36 Empty drums disposed of and labels Identifying Penske removed. 37. Oil filter drums labeled Non-Hazardous Waste,if applicable. 38, Dumpster area uncluttered and free of debris l / 39. If not on scheduled clean out, indicate number of inches of studgeloil in pretreatment device, inches of sludge, riches of oil. 40 The yard and storm drains are free of debris,oil sheon, and stains 41, Emergency Response Contact List posted by all phones, including pay phone. L 42. New products introduced into the shop included on the Chemical Inventory. 43. All new employees have been fully trained. 44. Cnvironmental files are up-to-dale,separated waste receipts by type and year 1 45. Stormwater Monthly,Quarterly forms,visual observation,andlor sampling performed. Attached required forms