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AgVantage FS Location Checklist
AgVantage FS Location Checklist
Matt Harken

AgVantage FS Location Checklist

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Free AgVantage FS Location Checklist Checklist

Use this Template

Information

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

Checklist

Other

  • Fire Department Tour for all manned and non-manned locations

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Green Forklift Tag

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Correct 3 drug testing forms

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • SPCC Binder—plan and inspections are current

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fire Department Tour for all manned and non-manned locations

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • High Vis vests for all application equipment and vehicles

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • First Aid Kits for all application equipment and vehicles

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Padlocks (regular or long)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Safety Glasses. (Regular or over the glasses)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Correct emergency sign name and number (contact Ted Scheidel)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Set of 4 decals for LP cylinder cage and 500/1000 gallon LP tank

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • No Smoking decals on all equipment and buildings

  • Add media

  • Observation

  • Corrected By and Date Corrected:

Company Use Fuel Tanks

  • Correct and readable decals

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Grounding Rod (contact Mike Helmold with questions)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Gasoline vent extension (contact Mike Helmold with questions)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Interstitial float at a glance (text Mike Klahsen 319-269-6569)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Glass replacement for gasoline at a glance

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • There are not any leaks

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Adequate crash protection (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Located water finding paste and stick

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fire extinguisher hung and inspected

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Padlock on nozzle area or power is locked off

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fill port has a locking cap (text Mike Klahsen)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Is there a safe step to fill the tank and read the meter (Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

Petro Bulk Plant

  • There are not any leaking valves (contact Mike Helmold with questions)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Gasoline piping extension at loading rack (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Signs/Decals at transport unload

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Plugs for transport unload coupling

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fire extinguisher hung and inspected

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Grounding Rod (contact Mike Helmold with questions)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Confined space decals on manway covers

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Valves shut at the tank and the fence is locked

  • Add media

  • Observation

  • Corrected By and Date Corrected:

NH3 Storage Tanks

  • Piping painted white

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Valves painted orange and yellow

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Bulkhead painted green

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Bulkhead Anhydrous Ammonia and 1005 sign (Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Relief valve and hydrostatic caps

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • ESV signs

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Correct and readable decals

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • There are not any leaks

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Adequate crash protection (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • 6 sided guard (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • 3 valves under tank and 2 transport valves are locked

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Valve box on riser is locked.

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Uses heater for fresh water tank during winter months

  • Add media

  • Observation

  • Corrected By and Date Corrected:

LP Storage Tanks

  • Piping painted white

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Valves painted red and white

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Bulkhead painted red

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Bulkhead Propane and 1075 sign (Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Relief valve and hydrostatic caps

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • ESV signs

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Correct and readable decals

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • There are not any leaks

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Adequate crash protection (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • 6 sided guard (contact Mike Helmold)

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fire extinguishers hung and inspected

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • All valves are shut and locked or fence is locked

  • Add media

  • Observation

  • Corrected By and Date Corrected:

Dry Fertilizer Building

  • Correct signs/decals on bins

  • Add media

  • Observation

  • Corrected By and Date Corrected:

  • Fire extinguishers hung and inspected

  • Add media

  • Observation

  • Corrected By and Date Corrected:

AgVantage FS Location Checklist
Matt Harken

AgVantage FS Location Checklist

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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