Chemical Site inspection list Copy

• Client / Site

• Conducted on

  Date
• Location
  Address

• Inspection done by

  Thabo Khutamo

  Chris Govendor

  Londiwe Magwaza

  Thabang Sema

Execution and Monitoring

• Check the immediate neighborhood for safety hazards

  Yes

  No

  n/a

• Check if the trucks's entrance & Exit gates are wide enough

  Yes

  No

  n/a

• Check accessibility for the tank filler point

  Yes

  No

  n/a

• Check if the tank farm has a concrete floor

  Yes

  No

  n/a

• Check if the the tanks and filler points are marked<br>

  Yes

  No

  n/a

• Check if there is earth connecting point

  Yes

  No

  n/a

• Check if filler point coupling has a 3 inch( 7,62cm) diameter

  Yes

  No

  n/a

• Is there a fire extinguisher in the farm?

  Yes

  No

  n/a

• Is the fire extinguisher serviced and in good condition?

  Yes

  No

  n/a

• Does the tank farm have a spill containment kit?

  Yes

  No

  n/a

• Does the tank farm have proper safety signage e.g. No smoking etc..

  Yes

  No

  n/a

• Ensure the customer understands and commits to adhere to Engen Delivery instruction.Refer to the actual form

  Yes

  No

  n/a

• Does the customer have a valid flammable certificate?

  Yes

  No

  n/a

• Does the customer test product before discharge?

  Yes

  No

  n/a

• Climbing on top of a truck is strictly forbidden without proper PPE and fall arrestor/equipment.

• Did you forward a copy of the Engen Zeto rules?

  Yes

  No

  n/a

• Customer Signature

  Sign

• Area Manager

  Sign

• Regional Sales Manager

  Sign