Information
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Inspection date
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Inspector / Auditor
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Attendees
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Customer Name & Location
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Customer Location (country and area)
System / Application to Inspect
Chemical treatment
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Chemical Treatment
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Chemical Treatment
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Chemical Treatment
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Chemical Treatment
1.0 MSDS, Administration, Labelling
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1.1 Are MSDS readily accessible at application or Is there a "Point of Use Safety Card"?
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1.2 Are MSDS or "Point of Use Safety Card" current and up to date?
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1.3 Are Primary Containers / Dosing Tanks labelled?
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1.4 Are the Container Labels clearly positioned, undamaged and easily read?
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1.5 Are the product feed lines labelled?
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1.6 Is the Dosing Controller labelled and easily identified?
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1.7 Are the Dosing Pumps labelled and easily identified?
2.0 Chemical feedlines
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2.1 Are feedlines run near steam lines?
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2.2 Are feedlines running over an electrical control panel?
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2.3 Are feedlines valved upstream in front of delivery pump?
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2.4 Are feedlines positioned as Not to create a fold or pinch point?
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2.5 Are all quick connects, camlocks and vent caps secured?
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2.6 Are there any fittings / valves / piping made of obviously incompatible materials?
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2.7 Are all feedlines properly secured?
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2.8 Are feed lines doubled walled?
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2.9 Is there any sign of product leakage?
3.0 Storage and Tanks
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3.1 Are the storage / dosing tanks bunded?
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3.2 Does the bund have sufficient capacity to contain the total volume of the storage tank?
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3.3 If applicable, is the tank double walled?
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3.4 Are the fill lines for the tanks easily identifiable and readily accessible?
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3.5 Are there any signs of storage tank leaks?
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3.6 Are pumps bunded or contained within the main bund?
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3.7 Are the pumps in good condition?
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3.8 Are there any signs of pump or fitting leaks?
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3.9 Is the Chemical Storage area appropriately ventilated?
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3.10 If spill containment is required, has it been put in place?
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3.11 If tank is indoors, have the appropriate overflow and venting measures been taken?
4.0 Chemical Transfer Pumps and Equipment
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4.1 Are chemical transfer pumps used?
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4.2 Is it Air Driven?
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4.2 A.) Is it well maintained?
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4.2 B.) Is there any visible damage?
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4.3 Is it Electrically Driven?
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4.3 A) Is it an appropriate voltage?
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4.3 B) Has it been tested and inspected in accordance with local legal requirements?
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4.3 C) Is there any visible damage?
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4.4 Are the associated hoses stored and maintained appropriately?
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4.5 Is there any visible damage on hoses?
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4.6 Are connections and fittings suitable and sufficient?
5.0 Housekeeping
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5.1 Is the bund clean and presentable?
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5.2 Is the bund free of any foreign materials?
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5.3 Is the area surrounding the bund clear and accessible?
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5.4 Are redundant feed lines left in place?
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5.5 Does any redundant equipment require removal?
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5.6 Is the floor surface free of slip, trip and fall hazards?
6.0 Other safety measures
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6.1 Is there a PPE Storage Area?
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6.2 Is the PPE storage unit clean and in usable condition?
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6.3 Where applicable, is there a Safety Shower present or available?
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6.4 A) is there safe access to the Safety Shower?
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6.4 B) is the Safety Shower an appropriate distance from the chemical use / storage area?
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6.5 Where applicable, is there an Eye Wash present or available?
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6.5 A) is there safe access to the Eye Wash?
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6.5 B) is the Eye Wash an appropriate distance from the chemical use / storage area?
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6.6 Are fire extinguishers available?
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6.7 Are Emergency exits identifiable and easily accessible?
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6.8 Does the employee know where the evacuation / muster point is?
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6.9 Are Fork Trucks or Elevating Mobile Work Platforms used by the Worker?
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6.10 If "Yes" on question 6.9, does the employee have a valid certificate?
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Has the Customer reviewed the Inspection report?
Comments & Drawing
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