BULK DELIVERY CHECKLIST - Master Template

• Location
  Address

• Conducted On

  Date

• Prepared by

SAFETY AND ENVIRONMENTAL

• Is the product required by the customer

  Yes

  No - Contact Dispatch

• If PNR, record the name of the Parts/Service Manager you spoke to.

• Are you wearing all the required PPE? Safety glasses and hand protection (gloves) are mandatory.

  Yes

  No - Contact Dispatch

• Have you resolved any environmental and safety conditions (eg. do you wheels need to be chocked?)

  Yes

  No - Contact Dispatch

• Is there safe access?

  YES

  NO

• Is the route free from debris?

  YES

  NO

• Is there a working gauge?

  YES

  NO

• Is there easy access to view the tank gauges?

  YES

  NO

• Are whistles and alarms working?

  YES

  NO

• Are tanks able to be opened for inspection?

  YES

  NO

• Take Photos of the area of Concern

  Media

• 3. Select the action icon to assign the task for completion to clee@brenntag.ca. Include details of the concern

• DELIVERY EXECUTION

• I acknowledge I have performed the 3-way match and have not skipped a step in our safety or delivery procedures and I am ready to dispense the correct product into the correct tank.

  Yes

  No - Contact Dispatch

• Have you assessed the room available in the tank prior to delivering and will 10% of the tank be free after the delivery?

  Yes

  No - Contact Dispatch

• If approved to exceed 90% record the approver name, time and volume approved.

• Take a photo of the beginning reading of the tank gauge.

  Media

• Take a photo of BOL

  Media

• Take a photo of truck compartment detail, drum label or tote label

  Media

• Take a photo of customer tank label

  Media