Dover OPW SiteSentinel iSite - Appendix L: Annual Inspection Checklist

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Appendix L: Annual Inspection Checklist
Facility ID#:
Facility Name/Address:
Qualified Technician Signature:
Date:
If any problem is found,
contact:
Contact
information:
Console
Description
N/A
Tank 1
Tank 2
Tank 3
Tank 4
Tank 5
External Alarm
Alarm is functional
Alarm sounds at the proper product level
Leak Detection
ATG Console
Console has no active warnings or alarms
Alarm history shows no recurring leak alarms
Verify in-tank leak-detection tests are being completed (if used for leak
detection)
Verify correct setup parameters for electronic line-leak detector (if present)
Verify piping leak-detection tests are being completed (if used for leak
detection)
Interstitial
Monitoring
Tank interstitial access is present
“Dry” tank sensor tested and functional, replaced at bottom of tank
“Wet” tank sensor functional, replaced in proper position
“Wet” tank leak-detection liquid depth within range specified by manufacturer
Sump & Pan
Monitoring
“Dry” Sump and Pan sensor tested and functional, replaced at bottom of
Pan/Sump