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Jul 16 ZU11 Ub : 4b AM eensAe 1rucA Leasing Lo. L. e. b1U/ /_-)b446 G//6 / Ti•uckZaa,-/ray M0�47HL AGILITY SAFETY/ENVIRONMENTAL CHECKLIST Completed by(print name) w✓ Facility Lc I L' lnstrt.ictians: 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 foremane,or designee. on a monthly rolatlonal basis. Submit to District Manager by the 61h of each month for appropriate action Deficient XX Ara all vehicles on the premises locked. XX Are keys proporly secured. 1 First-aid properly stocked and mounted t')f e c' .l`j d a S T� 2 Al[ air hoses and light cords in proper repair. 3. Bench grinder rest properly set. 3 All tires properly chained and secured. L 5. Fire extinguishers inspected annually and monthly,cleaned and properly tagged. 5. Lockout/tpgoul 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 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. 13 Wheel chocks in place an vehicles in shop. t/ 14 Facility air compressor drained,decal lisling last service date in place on compressor. 15 outside security lights working properly. 16. Check bulletin board for workers'compensation and OSHA information. V 17. Check security mounts on any lifting apparatus. 18, Check contents and expiration date of eye wash bottle. 19. Check housekeeping practices throughout facility. /1 01 6,. 20 Check fuel island,gas&diesel pump for working order anct condition. Check operation of fuel nozzle hooks 21 Fuel dispenser hoses in good condition and not leaking il 22 Dispenser pan(s)and piping sumps)clean and dry23 Dispenser labels not faded and legible 24 Underground Storage Tank(s)(UST)fill port color coding not faded and legible. �J� 25 UST fill ports locked. `_. 26. Spill containment kit stocked and readily accessible_ ' 27. Electronic tank gauge system conducting daily or weekly leak tests and results retained for 1-year.fvp A C T 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 spills. 31. Are AST vent lines free of restrictions and ancillary equipment functioning properly. 32 Is the AST and sul•rounding area free of conditions which may pose a safety, fire,or other environmenial hazard. 33 Drums containing product and transfer containers labeled wilh manufacturer label of NFPA label 34. Drums containing waste labeled with Hazardous Waste or Non-Hazardous Waste label and property closed �.% 35. Labels on hazardous waste drums indicate accumulation dale and are not stored longer than 90-days �j 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 39 If not on scheduled clean out, indicate number of inches of sludge/oil in prelreatment device. 1 /inches o! sludge, f t inches of oil, �i -10 The yard and storm drains are free of debris,oil sheen. and stains. 41. Emergency Response Contact List posted by all phones, including pay phone. 42, New products Introduced into tite shop included on the Chemical Inventory, 43. All new employees have been fully trained, 44 Environmental files are up-to-date,separated waste receipts by type and year, ✓' 45 SLorrnwater Monthly.Quarterly forms,visual observation,and/or sampling performed. Attached required forms