Information

  • Inspection date

  • Inspector / Auditor

  • Attendees

  • Customer Name & Location

  • Customer Location (country and area)

System / Application to Inspect

Chemical treatment

  • Chemical Treatment

  • Chemical Treatment

  • Chemical Treatment

  • Chemical Treatment

1.0 MSDS, Administration, Labelling

  • 1.1 Are MSDS readily accessible at application or Is there a "Point of Use Safety Card"?

  • 1.2 Are MSDS or "Point of Use Safety Card" current and up to date?

  • 1.3 Are Primary Containers / Dosing Tanks labelled?

  • 1.4 Are the Container Labels clearly positioned, undamaged and easily read?

  • 1.5 Are the product feed lines labelled?

  • 1.6 Is the Dosing Controller labelled and easily identified?

  • 1.7 Are the Dosing Pumps labelled and easily identified?

2.0 Chemical feedlines

  • 2.1 Are feedlines run near steam lines?

  • 2.2 Are feedlines running over an electrical control panel?

  • 2.3 Are feedlines valved upstream in front of delivery pump?

  • 2.4 Are feedlines positioned as Not to create a fold or pinch point?

  • 2.5 Are all quick connects, camlocks and vent caps secured?

  • 2.6 Are there any fittings / valves / piping made of obviously incompatible materials?

  • 2.7 Are all feedlines properly secured?

  • 2.8 Are feed lines doubled walled?

  • 2.9 Is there any sign of product leakage?

3.0 Storage and Tanks

  • 3.1 Are the storage / dosing tanks bunded?

  • 3.2 Does the bund have sufficient capacity to contain the total volume of the storage tank?

  • 3.3 If applicable, is the tank double walled?

  • 3.4 Are the fill lines for the tanks easily identifiable and readily accessible?

  • 3.5 Are there any signs of storage tank leaks?

  • 3.6 Are pumps bunded or contained within the main bund?

  • 3.7 Are the pumps in good condition?

  • 3.8 Are there any signs of pump or fitting leaks?

  • 3.9 Is the Chemical Storage area appropriately ventilated?

  • 3.10 If spill containment is required, has it been put in place?

  • 3.11 If tank is indoors, have the appropriate overflow and venting measures been taken?

4.0 Chemical Transfer Pumps and Equipment

  • 4.1 Are chemical transfer pumps used?

  • 4.2 Is it Air Driven?

  • 4.2 A.) Is it well maintained?

  • 4.2 B.) Is there any visible damage?

  • 4.3 Is it Electrically Driven?

  • 4.3 A) Is it an appropriate voltage?

  • 4.3 B) Has it been tested and inspected in accordance with local legal requirements?

  • 4.3 C) Is there any visible damage?

  • 4.4 Are the associated hoses stored and maintained appropriately?

  • 4.5 Is there any visible damage on hoses?

  • 4.6 Are connections and fittings suitable and sufficient?

5.0 Housekeeping

  • 5.1 Is the bund clean and presentable?

  • 5.2 Is the bund free of any foreign materials?

  • 5.3 Is the area surrounding the bund clear and accessible?

  • 5.4 Are redundant feed lines left in place?

  • 5.5 Does any redundant equipment require removal?

  • 5.6 Is the floor surface free of slip, trip and fall hazards?

6.0 Other safety measures

  • 6.1 Is there a PPE Storage Area?

  • 6.2 Is the PPE storage unit clean and in usable condition?

  • 6.3 Where applicable, is there a Safety Shower present or available?

  • 6.4 A) is there safe access to the Safety Shower?

  • 6.4 B) is the Safety Shower an appropriate distance from the chemical use / storage area?

  • 6.5 Where applicable, is there an Eye Wash present or available?

  • 6.5 A) is there safe access to the Eye Wash?

  • 6.5 B) is the Eye Wash an appropriate distance from the chemical use / storage area?

  • 6.6 Are fire extinguishers available?

  • 6.7 Are Emergency exits identifiable and easily accessible?

  • 6.8 Does the employee know where the evacuation / muster point is?

  • 6.9 Are Fork Trucks or Elevating Mobile Work Platforms used by the Worker?

  • 6.10 If "Yes" on question 6.9, does the employee have a valid certificate?

  • Has the Customer reviewed the Inspection report?

Comments & Drawing

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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.