Form Sti Sp001 PDF Details

Ensuring the safety and reliability of aboveground storage tanks (ASTs) involves regular and thorough inspections, a process meticulously outlined in the STI SP001 Annual Tank Inspection Checklist. Facilitated by the Bureau of Weights & Measures Permit & Licensing Section, this checklist serves as a comprehensive guide for inspectors and tank owners in Wisconsin, detailing the necessary steps to assess the condition of ASTs and their containment structures. It emphasizes the importance of inspector familiarity with the equipment, operational methods, and manufacturer's maintenance and inspection guidelines. Although not requiring a certified inspector, the checklist mandates a designated person who is well-acquainted with the site to perform the inspection, ensuring they can detect issues like corrosion, leaks, or equipment failures early on. The form includes detailed sections on tank containment, foundation, supports, cathodic protection, and more, highlighting the need for corrective actions where discrepancies are noted. Also, it prescribes immediate post-severe weather or maintenance inspections for critical components, ensuring the tank's integrity and operational safety remain uncompromised. Collectively, the STI SP001 checklist not only aids in regulatory compliance but also in the prolonged functionality and environmental protection efforts associated with the storage of various products.

QuestionAnswer
Form NameForm Sti Sp001
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names2012, ERS-10778, LLD, spalling

Form Preview Example

STI SP001 ANNUAL TANK INSPECTION CHECKLIST

Bureau of Weights & Measures

Permit & Licensing Section

P.O. Box 7837

Madison, WI 53707-7837

INSTRUCTIONS: Fill in ALL applicable data. A copy of this completed form shall be kept on site; available for viewing by the authorized Wisconsin Inspection Agency upon request

Tank Address Location Information:

Tank Information:

Company Name

Tank Number

Number and Street

Product Stored

City, State, Zip Code

Tank Capacity

Inspection Guidance/Results:

Inspectors shall be knowledgeable of the purpose of each piece of equipment, method of operation, and if applicable, the manufacturers maintenance, inspection, testing requirements and instructions.

This Inspection is intended for monitoring the external AST condition and its containment structure. This inspection does not require a certified inspector. It shall be performed by an owner’s designated inspector who is familiar with the site and can identify changes and developing problems.

The checklist items below are the minimum requirements for inspection; an individual AST may require more in-depth inspections. Conversely, some of the checklist items may not be applicable to an individual tank system.

For equipment not included in the STI SP001 standard, follow the inspection, maintenance, and testing schedules and procedures as recommended by the manufacturer.

Upon discovery of water in the primary tank, secondary containment area, interstice, or spill container, remove promptly or take other corrective action. Before discharge to the environment, inspect the liquid for regulated products or other contaminants and disposed of it properly.

(*) designates an item in a non-conformance status. This indicates that action is required to address a problem. Document corrective actions in the comment section.

Non-conforming items important to tank or containment integrity (cracks, tank or containment deformation, etc.) require evaluation by an engineer experienced in AST design, a certified inspector, or a tank manufacturer who will determine the corrective action. Note the non-conformance and corresponding corrective action in the comment section.

Retain the completed checklists for 36 months.

In the event of severe weather (snow, ice, wind storms) or maintenance (such as painting) that could affect the operation of critical components (normal and emergency vents, valves), an inspection of these components is required immediately following the event.

1.0 Tank Containment

Item

 

Status

 

Item

 

Status

1.1 Do the containment structures

 

 

 

 

 

 

exhibit any: Delamination of caulk

 

 

 

 

 

 

Holes

 

 

 

 

 

 

Washout

 

 

 

 

 

 

Liner degradation

Yes*

No

N/A

 

 

 

Corrosion

 

 

 

 

 

 

 

 

 

 

 

 

Leakage

 

 

 

 

 

 

Paint failure

 

 

 

 

 

 

Tank settlement

 

 

 

 

 

 

2.0 Tank Foundation and Supports

 

Item

 

Status

 

 

 

Item

 

 

 

Status

2.1

Foundation settlement or

Yes*

No

 

2.4

Concrete pad/ring wall cracking or spalling?

 

 

Yes*

No

N/A

washout?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.2

Corrosion, cracking, or paint failure

Yes*

No

N/A

2.5

Grounding/ bonding straps secured and in good

 

 

Yes

No*

 

of supports?

 

condition?

 

 

 

 

 

 

 

 

 

 

 

 

2.3

Water drains away from tank?

Yes

No*

 

 

 

 

 

 

 

 

 

3.0 Cathodic Protection

Item

 

 

Status

3.1 Corrosion protection system tested, maintained, and operational

Yes

No*

N/A

in accordance with the requirements of Comm 10.520?

 

 

 

4.0 Tank Shell, Heads, Roof

 

Item

 

Status

 

Item

 

 

 

Status

4.1 Tank paint in good condition with

Yes

No*

 

4.3 Tank roof has low points or standing water?

 

 

Yes*

No

no signs of failure?

 

 

 

 

 

 

 

 

 

 

 

4.2 Does the tank steel exhibit any:

 

 

 

 

 

 

 

 

Dents

 

 

 

 

 

 

 

 

Buckling

Yes*

No

 

 

 

 

 

 

 

 

 

 

 

 

Bulging

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corrosion

 

 

 

 

 

 

 

 

Cracking

 

 

 

 

 

 

 

 

ERS 10898-STI (R. 02/2012)

5.0 Tank Equipment

 

Item

 

Status

 

 

Item

 

 

 

Status

5.1 Visible signs of valve leakage,

Yes*

No

 

 

5.8 Anti-siphon, check, and gate valves cycle open-

 

 

Yes

No*

 

damage, or corrosion?

 

 

close and/or operate correctly?

 

 

 

 

 

 

 

 

 

 

 

 

5.2 Automatic air/electric valves

 

 

 

 

5.9 Fire and shear valves cycle open-close easily,

 

 

 

 

 

operational (cycle open-close)?

Yes

No*

N/A

 

fusible link installed, and test ports are sealed with

 

 

Yes

No*

N/A

 

 

 

 

 

 

a pipe plug?

 

 

 

 

 

5.3 Interstitial monitoring equipment

 

 

 

 

5.10 Spill container in good condition with all

 

 

 

 

 

functional? Sight gauges clear or

Yes

No*

N/A

 

connections tight and drain valves operable and

 

 

Yes

No*

N/A

electronic gauges activate alarm.

 

 

 

 

closed?

 

 

 

 

 

5.4 Flame arrestors unobstructed,

 

 

 

 

 

 

 

 

 

 

corrosion-free, and maintained,

Yes

No*

N/A

 

5.11 Leak detectors for underground piping pass

 

 

Yes

No*

N/A

inspected, in accordance with

 

functionality test? (ERS-10778 LLD)

 

 

 

 

 

 

 

 

 

 

 

manufacturers instructions?

 

 

 

 

 

 

 

 

 

 

5.5 Product liquid level gauges in good

Yes

No*

 

 

5.12 Overfill equipment functional?

 

 

Yes

No*

N/A

condition and operable?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.6 Pressure regulator valve

Yes

No*

N/A

 

5.13 Expansion relief valve in correct orientation?

 

 

Yes

No*

N/A

functional?

 

 

 

 

 

 

 

 

 

 

 

 

 

5.7 Emergency vent covers,

 

 

 

 

 

 

 

 

 

 

pressure/vacuum poppets, and moving

 

 

 

 

 

 

 

 

 

 

vent components move freely, are

 

 

 

 

 

 

 

 

 

 

unobstructed, and have no evidence of

 

 

 

 

 

 

 

 

 

 

seat and sealing surface degradation

Yes

No*

N/A

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

due to:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Corrosion

 

 

 

 

 

 

 

 

 

 

Damage

 

 

 

 

 

 

 

 

 

 

wear

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

6.0 Insulated Tanks

Item

Status

Item

Status

6.1Does the inspection of the tank insulation exhibit:

Missing sections

Yes*

No

N/A

6.2 Does the insulation cover or jacket exhibit

Yes*

No

N/A

Areas of moisture

damage that will allow water intrusion?

 

 

 

 

 

 

Mold

Damage

7.0Miscellaneous

Item

 

Status

 

 

Item

 

Status

7.1 Are electrical boxes, conduit and

Yes

No*

 

7.3

Buried piping exposed?

Yes*

No

 

wiring intact, sealed and secure?

 

 

 

 

 

 

 

 

 

 

7.2 Emergency disconnect is easily

 

 

 

 

 

 

 

 

identifiable and shuts-off all power when

Yes

No*

N/A

7.4

Out-of-service pipes capped or blank flanged?

Yes

No*

N/A

actuated?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Comment/Corrective Action:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Inspector Signature:

 

Date:

ERS 10898-STI (R. 02/2012)

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1. Complete the fusible with a selection of essential blank fields. Get all the necessary information and make certain nothing is left out!

Learn how to fill out 10898-STI stage 1

2. Now that the previous array of fields is completed, you're ready to add the essential details in Yes, Do the containment structures, Holes Washout Liner degradation, Item, Status, Item, Foundation settlement or washout, Item, Yes, Concrete padring wall cracking or, Yes, Yes, Grounding bonding straps secured, Corrosion protection system, and Yes so you're able to proceed to the 3rd step.

Filling out section 2 in 10898-STI

3. This 3rd part is pretty straightforward, Dents Buckling Bulging Corrosion, ERS STI R, and Yes - all these form fields must be filled out here.

Tips on how to complete 10898-STI part 3

4. This particular subsection comes with all of the following blanks to complete: Status, Yes, Yes, Yes, Item, Antisiphon check and gate valves, Status, Yes, Yes, Yes, Yes, Leak detectors for underground, Yes, Yes, and Overfill equipment functional.

Overfill equipment functional, Status, and Yes in 10898-STI

You can certainly make errors while filling in the Overfill equipment functional, for that reason make sure you go through it again prior to deciding to finalize the form.

5. As you near the last parts of the file, you'll notice just a few extra things to do. Notably, Yes, Does the insulation cover or, Yes, Status, Item, Status, Yes, Buried piping exposed, Yes, Yes, Outofservice pipes capped or, Yes, Does the inspection of the tank, Missing sections Areas of, and Damage should all be filled out.

Writing segment 5 in 10898-STI

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