Bulk Loader Area Inspection

• Document No.

• Conducted on

  Date

• Shift

  Shift 1

  Shift 2

  Shift 3

• Who completed exam?

• Location
  Address

Silo #4 Area Exam

• Are there problems with the Dust Collectors?

  Safe

  At Risk

  N/A

• Are there problems with Electrical?

  Safe

  At Risk

  N/A

• Are there problems with the Housekeeping?

  Safe

  At Risk

  N/A

• Take a picture of the housekeeping around this Silo

  Media

• Are there problems with the Guarding?

  Safe

  At Risk

  N/A

• Are there problems with the Travelways?

  Safe

  At Risk

  N/A

• Are there problems with the Lights?

  Safe

  At Risk

  N/A

• Are there problems with the Hand Tools?

  Safe

  At Risk

  N/A

Silo #5 Area Exam

• Are there problems with the Dust Collectors?

  Safe

  At Risk

  N/A

• Are there problems with Electrical?

  Safe

  At Risk

  N/A

• Are there problems with the Housekeeping?

  Safe

  At Risk

  N/A

• Take a picture of the housekeeping around this Silo

  Media

• Are there problems with the Guarding?

  Safe

  At Risk

  N/A

• Are there problems with the Travelways?

  Safe

  At Risk

  N/A

• Are there problems with the Lights?

  Safe

  At Risk

  N/A

• Are there problems with the Hand Tools?

  Safe

  At Risk

  N/A

Silo #13 Area Exam

• Are there problems with the Dust Collectors?

  Safe

  At Risk

  N/A

• Are there problems with Electrical?

  Safe

  At Risk

  N/A

• Are there problems with the Housekeeping?

  Safe

  At Risk

  N/A

• Take a picture of the housekeeping around this Silo

  Media

• Are there problems with the Guarding?

  Safe

  At Risk

  N/A

• Are there problems with the Travelways?

  Safe

  At Risk

  N/A

• Are there problems with the Lights?

  Safe

  At Risk

  N/A

• Are there problems with the Hand Tools?

  Safe

  At Risk

  N/A

Silo #15 Area Exam

• Are there problems with the Dust Collectors?

  Safe

  At Risk

  N/A

• Are there problems with Electrical?

  Safe

  At Risk

  N/A

• Are there problems with the Housekeeping?

  Safe

  At Risk

  N/A

• Take a picture of the housekeeping around this Silo

  Media

• Are there problems with the Guarding?

  Safe

  At Risk

  N/A

• Are there problems with the Travelways?

  Safe

  At Risk

  N/A

• Are there problems with the Lights?

  Safe

  At Risk

  N/A

• Are there problems with the Hand Tools?

  Safe

  At Risk

  N/A

• Is this a yes or a no?

  Off

  On

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