Petroleum Filling Station Inspection Audit Report v2.11

Malta Resources Authority, Millennia 2nd floor, Aldo Moro Road, Marsa MRS 9065, Malta.
Tel: +356 21220619; Fax: +356 22955200; E-mail: enquiry@mra.org.mt
PETROLEUM FOR THE INLAND (RETAIL) FUEL MARKET REGULATIONS - S.L. 423.37
PETROLEUM-FILLING STATION INSPECTION AUDIT REP
To be compiled and filled in by the Competent Person as p
Inspection Date:
Report Ref. No:
03 January 2013
Disclaimer
This Petroleum-filling Station Inspection Audit Report is intended to be used only as a basic (de minimis) document to serve as a basis for the certification by the competent person on Petroleum-Filling Stations as required by the Malta Resources Authority. The Competent Person and t
Provider shall undertake and are wholly responsible to add any necessary data and information together with this report, if necessary. This report does not relieve the Competent Person from his professional obligations and duties. Neither should the report be construed as, and/or shou
be understood and/or be deemed to relieve the Competent Person and/or the Authorised Provider from observing, or carrying out any requirement or to comply with a provision of any law or any other legal requirement. MRA makes no warranty about the content of this document and ca
liable under any circumstances for any direct or indirect damages resulting from its use.
1.0 Petroleum-Filling Station (PFS) Details:

Trading Title / Site Name:
Authorised Provider:
Site Operator (if different from Authorised Provider):
Address of PFS:
#N/A
same as authorised provider
#N/A
MRA Authorisaiton Number:

ID Card / Company Reg No:
Site Operator ID Card No.
#N/A
#N/A
#N/A
2.0 Audit Inspection Summary

Documentation
Shop / Kiosk / Office
OPT / Self-service Petrol Station^
PFS Signage
Forecourt
Vents
Drainage
Fuel Distributor Delivery Stand
Tanks & Underground Pipe-work
Dispensers
CHECKLIST OVERALL COMPLIANCE
NEXT REPORT DATE (Not Later Than)
3.0 Competent Person Details and Declaration:

Competent Person Name:
Warrant Number:
I, the undersigned competent person, hereby declare that I have exercised reasonable skill and care when carrying out the audit and inspection of the above-mentioned petroleum-filling station described in Section 1.0 on the 'Inspection Date' indicated above and that thi
true and correct report of the audit and inspection. I further declare that I have risk-assessed this petroleum-filling station and that in my judgement, it is overall safe for public use. I have explained the contents and results of this report to the authorised provider and rec
another follow-up inspection as indicated in the 'Next Report Date' in Section 2.0.
MRA/100/v2-10-10/12
Front Page: Page 1 of 21
Signature of Competent Person and date

(in wet ink)
MRA/100/v2-10-10/12
4.0 Details on tanks:

Tank No:
1
2
3
4
5
6
7
8
9
10
5.0 Details on Dispensers:
Dispenser No:
Fuel Type:
No of Nozzles:
Tank Capacity (Litres):
Storage Location:
Manufacturer:
Single / Double Skin:
Tank manufacture year:
Model No:
Tank installation year:
Serial No:
6.0 Declaration by the Authorised Provider:
I, the undersigned Authorised Provider of the above-certified Facility described in Section 1.0, declare that I have understood all the contents of this 'Petroleum-filling Station Inspection Audit Report', after such contents having been explained to me by the competent per
to implement the corrective actions described in Part 2 of the report by not later than the target dates specified. Furthermore I declare that I will submit another follow-up 'Petroleum-filling Station Inspection Audit Report' to the Malta Resources Authority as per due date s
Section 2.0. I also understand and accept that in the case of failure to submit on time a follow-up Report and to submit the necessary proof of the corrective actions implementation thereof, I shall be making myself liable for any necessary action by the Malta Resources
including the suspension of my authorisation and the imposition of administrative fines. I understand and agree that the Authority may require further inspections to be made when so required.
MRA/100/v2-10-10/12
Signature of Authorised Provider and date (in wet ink)

Name and surname in BLOCK CAPITALS together
with the ID Card No should also be included
MRA/100/v2-10-10/12
PETROLEUM-FILLING STATION INSPECTION AUDIT REPORT

To be compiled and filled in by the Competent Person as per SL 423.37
e as a basis for the certification by the competent person on Petroleum-Filling Stations as required by the Malta Resources Authority. The Competent Person and the Authorised
ecessary. This report does not relieve the Competent Person from his professional obligations and duties. Neither should the report be construed as, and/or should in any way
g out any requirement or to comply with a provision of any law or any other legal requirement. MRA makes no warranty about the content of this document and cannot be held
#N/A
#N/A
#N/A
ut the audit and inspection of the above-mentioned petroleum-filling station described in Section 1.0 on the 'Inspection Date' indicated above and that this report is a
ation and that in my judgement, it is overall safe for public use. I have explained the contents and results of this report to the authorised provider and recommend
MRA/100/v2-10-10/12
MRA/100/v2-10-10/12
Dispenser No(s):
Serial No:
derstood all the contents of this 'Petroleum-filling Station Inspection Audit Report', after such contents having been explained to me by the competent person. I agree
hermore I declare that I will submit another follow-up 'Petroleum-filling Station Inspection Audit Report' to the Malta Resources Authority as per due date specified in
mit the necessary proof of the corrective actions implementation thereof, I shall be making myself liable for any necessary action by the Malta Resources Authority
he Authority may require further inspections to be made when so required.
MRA/100/v2-10-10/12
MRA/100/v2-10-10/12
Part 1 - Inspection Audit Checklist

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Result
Comments
Documentation
MRA Authorisation
Risk Assessment (less than 12 months old)
Updated Forecourt Layout drawing
Updated Tank Farm Layout drawing
Updated Filling pipe work drawing
Updated Suction pipe work drawing
Updated Air Vent pipe work drawing
Updated Vapour Recovery pipe work drawing
Updated Warning Signs and Other Fire-fighting and Emergency Equipment Layout drawing
Updated Hazardous Zone drawing
Adequate Operating Procedures to cover Delivery
Adequate Operating Procedures to cover Dispensing
Adequate Operating Procedures to cover Emergency Procedures
Adequate Operating Procedures to cover Contractors on Site
Adequate Operating Procedures to cover Wet Stock Monitoring / leak detection
Training Records for all personnel covering all effective Operating Procedures
Proper Wet-stock records (Minimum 12 months) (not mandatory for tanks and pipes with
class 1 or class 2 leak detection)
Electrical Preventive Maintenance Schedule
All electrical equipment properly serviced as per schedule and service records available
Mechanical Preventive Maintenance Schedule
All mechanical equipment properly serviced as per schedule and service records available
All documentation neatly filed and well kept
Documentation SCORE
MRA/100/v2-10-10/12
Part 1- Audit Inspection Report: Page 9 of 21

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
x
x
x
x
x
Result
Comments
Shop / Kiosk / Office

All the ducts into the building sealed
Electrical Distribution Board correctly labelled, neat and unobstructed
Telephone functional and readily available to control staff
Emergency Stop Switch labelled, easily accessible, unobstructed and properly functional
Operating Software IFSF Standard and as per MRA specifications
Leak Detection System to EN 13160 Class 1 or 2 present & fully functional
Oil Separator Alarm(s) present & fully functional
Tank contents gauge(s) functional and correctly labelled with number, grade, safe working
capacity
Tank water content alarm(s) present & fully functional
Shop / Kiosk / Office SCORE
x
x
x
x
x
x
x
x
x
OPT / Self-service Petrol Station^

Emergency phone available 24hrs with emergency contact number displayed OR a directly
linked Emergency Call Point available 24hrs
Emergency Stop Switch prominently labelled, easily accessible, unobstructed and properly
functional
Fireman switch isolating the entire complex electrical supply prominently labelled at
entrance
OPT Operating Instructions legible, comprehensive and displayed next to OPT
Fire cabinet present for fire extinguishers and sand buckets during after-office hours
Transaction limit 100 litres
Transaction time limited to 3 minutes on each transaction
CCTV system present & working satisfactorily
OPT is ATEX compliant OR out of hazardous zones if non-ATEX compliant
OPT / Self-service Petrol Station^ SCORE

^ Section N/A when OPT is not present
MRA/100/v2-10-10/12

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
Result
Comments
PFS Signage
'No smoking'; 'Turn off Engine'; 'No use of Mobile Phones' signs legible and prominently
displayed
All signage corresponding to Warning Signs and Other Fire-fighting and Emergency
Equipment Layout drawing legible and prominently displayed
Price display updated, easily legible and prominently displayed
Fuel Supplier designation prominently displayed
PFS Signage SCORE
x
x
x
x
x
x
x
x
x
x
Forecourt
Hazardous zones free from rubbish / combustible / sources of ignition / sales goods
Forecourt adequately protected to prevent fire spreading from adjacent sites
Required number of fire extinguishers supplied and serviced
Required number of buckets of sand with dry sand supplied
Lighting on the forecourt and delivery area satisfactory
No Overhead conductors present*
Lighting does not present fire risk and has electrical circuit protection
Hazardous Area Zones 0 and 1 free from non-ATEX certified Electrical Equipment
Forecourt surface impermeable to fuel
Canopy is present & meets flame retardant standards as per Class E of EN 13501-1
Forecourt SCORE
* Compliance may not necessarily depend on the Authorised Provider
MRA/100/v2-10-10/12

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
x
x
x
Result
Comments
Vents
Adequate Collision Protection
Flame arrestors present and serviced
No items attached / fixed to vent pipes
Distance from electrical equipment more than 2m (1m if vapour balanced)
Vent heights > 4m above ground level and are not underneath a ceiling / awning
Pipes are galvanised, have no bends / kinks
Cylindrical distance > 3m from windows / openings
Vents SCORE
x
x
x
x
x
Drainage
Car Wash (if present) incorporates an Oil Separator to EN 858 (separate to the one for fuel
spillages) that is regularly serviced and in good repair(i.e. look inside)
Drainage Gullies & gutters present, clean and fit for purpose
Oil Separator(s) to EN 858 present, regularly serviced and in good repair (i.e. look inside)
Oil Separator has a minimum of 7000 litre storage capacity and adequately sized
Oil Separator vent pipe(s) present, protected, & satisfactory
Drainage SCORE
x
x
x
x
x
x
Fuel Distributor Delivery Stand

Offset fills locked and correctly labelled with number, grade, safe working capacity
Adequately sized fuel Spillage containment kit present and readily available
Parking surface Impermeable to fuel
Fill-points 4m from public thoroughfare / property boundary / PFS kiosk
Fill-points 12m from residences / public buildings
Stage 1b Vapour Recovery available, labelled and operational if necessary
Fuel Distributor Delivery Stand SCORE

MRA/100/v2-10-10/12

Mandatory
Applicable if
Checklist Field
available
MRA/100/v2-10-10/12
Result
Comments

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
x
x
x
x
x
x
x
x
x
Result
Comments
Tanks & Underground Pipe-work

Manhole Covers satisfactory and properly labelled
Tank access chambers clean and fuel leak-proof
Duct entries to Manholes sealed
Access to fuel is locked and correctly labelled with number, grade, safe working capacity
Dipsticks correctly labelled for each tank (n/a for tanks with electronic contents gauges)
Unused tanks properly decommissioned
Visible pipe-work sound and corrosion free
Flow is by suction system & non-return valve is present
Automatic Tank Gauging system to EN 13352 present and fully functional
Overfill Prevention Devices to EN 13616 present & fully functional
Tanks are double wall type to EN12285-1 with leak detection to EN 13160 Class 1 or 2
Pipe routing is underground and NOT underneath buildings
Underground Pipe-work double-walled to EN 14125 with leak detection to EN 13160 Class
1 or 2
Tanks & Underground Pipe-work SCORE
MRA/100/v2-10-10/12

Mandatory
Applicable if
Checklist Field
available
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
x
Result
Comments
Dispensers
Adequate Collision Protection
Pump hose to EN 13483 and visually satisfactory
Hose length is retractable or less than 4 meters (or risk-assessed if in excess of 4m)
Hose to pump joint satisfactory
Nozzle latch absent
Nozzle correctly coloured according to fuel type
Sight glass satisfactory
Pump electrics visually satisfactory
Junction boxes and wiring meet required standards
Wiring free from damage
Fixed parts free from contact with moving parts
All joints dry
Pump base satisfactory
Pump secure to island
Break-away couplings to EN 13617-2 present
Fuel Type designation legible & prominently displayed at the pump
Signs related to information on BioFuels legible & prominently displayed at the pump
Pumps' calibration verified by MCCAA* and seals are sound
Nozzles to EN 13012
All Pumps certified to EN 13617-1
Fill-points 4m from public thoroughfare / property boundary / PFS kiosk
Fill-points 9m from residences / public buildings
Stage 2 Vapour Recovery for EN 228 available, labelled and operational if necessary
Dispensers SCORE
* Compliance may not necessarily depend on the Authorised Provider
MRA/100/v2-10-10/12

Mandatory
Applicable if
Checklist Field
available
Result
Comments
Other (Please fill-in as appropriate)
OTHER SCORE
CHECKLIST OVERALL COMPLIANCE
CHECKLIST OVERALL COMPLIANCE SCORE
MRA/100/v2-10-10/12
Part 2 - Corrective Actions

Inspection Date
Corrective Actions
Target
Date
03 January 2013
MRA/100/v2-10-10/12
Part 2- Corrective Actions: Page 17 of 21
Part 2 - Corrective Actions
MRA/100/v2-10-10/12
Implementation
Date
MRA/100/v2-10-10/12
MRA/100/v2-10-10/12
Fill-in Instructions
To the Competent Person
1.0 This Petroleum-Filling Station Inspection Audit Report is to be filled in electronically by the Competent Person and subsequently sent to the Malta Resources Authority.
2.0 The report is to be signed in wet ink both by the Competent Person as well as by the Authorised Provider.
3.0 Start off the exercise by auditing the petroleum-filling station against the items listed in Part 1 of the Report i.e. 'Audit Inspection Report' tab.
4.0 Verify compliance or otherwise of each item and mark "Ok", "Not Ok" or "N/A" as appropriate by selecting from the drop down menu under the 'Result' Column. Nonmandatory items that are already available in the petroleum-filling station are also expected to be up to the required standards.
5.0 You may also comment appropriately for each item in the respective area provided under 'Comments'.
6.0 You may also record additional items as you deem appropriate under the last heading of Part 1 entitled: 'Other (Please fill-in as appropriate)'
7.0 Proceed by selecting 'Part2 - Corrective Actions' and list in this section the necessary corrective actions together with the respective target date as agreed with the
Authorised Provider. All items that are expected to be up to the required standards that have been marked as "Not OK" should be listed in this sheet. This sheet will
eventually be used again to verify completeness (or otherwise) of the corrective action by inserting the date and initialising under the heading "Implementation date"
8.0 Finally please fill-in the data and particulars in the respective sections as required in the 'Front Page' tab. This sheet also gives the a summary of the Inspection Audit.
Depending on your judgement please suggest the date when another updated report shall be due.
9.0 Take the time necessary to explain to the Authorised Provider the contents of the audit and resultant implications of the findings.
10.0 Please select simultaneously the first three tabs of the file and print making sure that the 'Active Sheet(s)' is selected from the 'Print What' menu. This gives the correct
number of overall pages (approx 10) intended to be printed You may also print additional copies of the report for your reference.
11.0 Please sign the Report in Section 3.0 and eventually hand a copy to the Authorised Provider to sign section 6.0 and hand over to the MRA.
12.0 Any corrective actions that have been implemented before the 'next report due date' shall be indicated by updating and sending to the MRA the sheet 'Part2 - Corrective
Actions'
MRA/100/v2-10-10/12
Fill-in Instructions: Page 21 of 21

Petroleum Filling Station Inspection Audit Report v2.11

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Malta Resources Authority, Millennia 2nd floor, Aldo Moro Road, Marsa MRS 9065, Malta.

Tel: +356 21220619; Fax: +356 22955200; E-mail: enquiry@mra.org.mt

PETROLEUM-FILLING STATION INSPECTION AUDIT REP

To be compiled and filled in by the Competent Person as p

1.0 Petroleum-Filling Station (PFS) Details:

MRA Authorisaiton Number:

2.0 Audit Inspection Summary

3.0 Competent Person Details and Declaration:

Front Page: Page 1 of 21

Signature of Competent Person and date

Front Page: Page 2 of 21

4.0 Details on tanks:

Tank Capacity (Litres):

Single / Double Skin:

Tank manufacture year:

Tank installation year:

6.0 Declaration by the Authorised Provider:

Front Page: Page 3 of 21

Signature of Authorised Provider and date (in wet ink)

Front Page: Page 4 of 21

PETROLEUM-FILLING STATION INSPECTION AUDIT REPORT

Front Page: Page 5 of 21

Front Page: Page 6 of 21

Front Page: Page 7 of 21

Front Page: Page 8 of 21

Part 1 - Inspection Audit Checklist

Part 1- Audit Inspection Report: Page 9 of 21

Part 1 - Inspection Audit Checklist

Shop / Kiosk / Office

Shop / Kiosk / Office SCORE

OPT / Self-service Petrol Station^

OPT / Self-service Petrol Station^ SCORE

Part 1- Audit Inspection Report: Page 10 of 21

Part 1 - Inspection Audit Checklist

PFS Signage SCORE

Part 1- Audit Inspection Report: Page 11 of 21

Part 1 - Inspection Audit Checklist

Fuel Distributor Delivery Stand

Fuel Distributor Delivery Stand SCORE

Part 1- Audit Inspection Report: Page 12 of 21

Part 1 - Inspection Audit Checklist

Part 1- Audit Inspection Report: Page 13 of 21

Part 1 - Inspection Audit Checklist

Tanks & Underground Pipe-work

Tanks & Underground Pipe-work SCORE

Part 1- Audit Inspection Report: Page 14 of 21

Part 1 - Inspection Audit Checklist

Part 1- Audit Inspection Report: Page 15 of 21

Part 1 - Inspection Audit Checklist

Other (Please fill-in as appropriate)

Part 1- Audit Inspection Report: Page 16 of 21

Part 2 - Corrective Actions

Part 2- Corrective Actions: Page 17 of 21

Part 2 - Corrective Actions

Part 2- Corrective Actions: Page 18 of 21

Part 2- Corrective Actions: Page 19 of 21

Part 2- Corrective Actions: Page 20 of 21

Fill-in Instructions: Page 21 of 21

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