LPG Distributor Inspection Report
EC Act
LPG Order 2000
Safety Integrated
01
Basic Details of Distributor
Distributor Name
Proprietor / Manager
Address
Block Name
Oil Marketing Company
Distributor Code
Agreement No.
Date & Time of Inspection
02
Stock Verification of LPG Cylinders
Physical Count
A — Filled Cylinders
| Type | Opening | Receipt | Total | Issue | Balance | Physical | Difference |
|---|---|---|---|---|---|---|---|
| 14.2 Kg Domestic | |||||||
| 19 Kg Commercial | |||||||
| 5 Kg Domestic |
B — Empty Cylinders
| Type | Opening | Receipt | Total | Issue | Balance | Physical | Difference |
|---|---|---|---|---|---|---|---|
| 14.2 Kg Domestic | |||||||
| 19 Kg Commercial | |||||||
| 5 Kg Domestic |
C — Other Cylinders (Defective / Seized)
| Type | 14.2 Kg | 5 Kg (D) | 19 Kg | 5 Kg (C) |
|---|---|---|---|---|
| Defective / Damaged | ||||
| Seized / Zima |
03
Consumer Database Verification
04
Refill Cylinder Supply — Last 3 Months, Category Wise
| Month | Domestic Cylinders Received | Commercial Cylinders Received | ||
|---|---|---|---|---|
| 14.2 Kg | 5 Kg | 19 Kg | Other | |
| Month 1 | ||||
| Month 2 | ||||
| Month 3 | ||||
05
Safety & Certificate Compliance
Fire + Legal Metrology
🔥 Fire Safety Certificate & Inspection
Fire Safety Cert. No.
Valid Up To
Last Inspection Date
Fire NOC Reference
⚖️ Legal Metrology — Weights & Measures
Weighing Scale (Model/ID)
Certified Test Weight Set
Spring Balance (Yes/No)
Scale Verification Due Date
LMPC Certificate Available
06
Valve / O-Ring & Leakage Verification
07
Delivery & Distribution System
08
Additional Safety Checks at Godown
09
Records Verified
!
LPG-Specific Safety Status
No Smoking / No Mobile signage displayed
Fire extinguisher monthly check up to date
Hydrostatic test record verified
Valve protection caps intact
Flameproof fittings compliant
Leak detection checklist maintained
Inspecting Officer — Name & Designation
Signature
Date of Inspection
Official Stamp