Coogee Chemicals - Site Inspection Checklist Copy

• Document No.

• Audit Title

• Conducted on

  Date

Company Details

• Company Name

• Trading Name

• ABN

• Company Address

• Postal Address

• Phone

• Fax

• Mobile

• Email

Principal Contact Details

Principal Contacts

• Role

  Select Site/Mine Manager Purchasing Officer Security Safety Officer

  • Site/Mine Manager
  • Purchasing Officer
  • Security
  • Safety Officer

• Mobile Contact

Site Specific Details

• Product Name:

• UN No:

• Is this customer a mine / mine site?

  Yes

  No

  N/A

• Mine Lease No.

• Mines Approval for Dangerous Goods

• Sighted

• Copy

• Environmental Approvals for Dangerous Goods

• Copy

• Sighted

• Mines Book Inspected

• Copy

• Sighted

• Are there site procedures?

  Yes

  No

  N/A

• Copy received

• Site Induction Required?

  Yes

  No

  N/A

• Where is induction conducted?

• Who conducts the induction?

• List the Names of the personnel inducted

Person

• Name

• MSDS on site?

Inspector Details

• Inspector Conducted By

Inspector

• Name

• Company

• Inspector/s Comments

Entry Point

• Gate Width/Road Width

  Yes

  No

  N/A

• Clearance Height

  Yes

  No

  N/A

• Road Condition

  Yes

  No

  N/A

• Standing Area (to Report In)

  Yes

  No

  N/A

• Sample Required

  Yes

  No

  N/A

• Weigh In/ Weigh Out

  Yes

  No

  N/A

• Drivers Contact

  Yes

  No

  N/A

• Site Placarded

  Yes

  No

  N/A

• Vehicle Access

  Yes

  No

  N/A

• Single

  Double

  Triple

  Quad

• Driver Accessibility to Tank

  Yes

  No

  N/A

Tank/s

• Please add details about each Tank

Tank

Click here to bulk select responses below

• Total Tank Capacity

  Yes

  No

  N/A

• Number of Tanks

  Yes

  No

  N/A

• Tank Sizes

  Yes

  No

  N/A

• Tanks(s) Suitable?

  Yes

  No

  N/A

• Valve Fitted

  Yes

  No

  N/A

• Drain Point and Valve Fitted

  Yes

  No

  N/A

• Acid Inlet - Top Entry

  Yes

  No

  N/A

• Arrangement

  Horizontal

  Vertical

• Passed?

  Yes

  No

  N/A

• Bunded

  Yes

  No

  N/A

• Level Indicator Fitted and Type

  Yes

  No

  N/A

• Access to Top of Tank (if required)

  Yes

  No

  N/A

• Overflow Visible to Driver

  Yes

  No

  N/A

• Overflow Fitted

  Yes

  No

  N/A

• Clear of Obstructions

  Yes

  No

  N/A

• Housekeeping

  Yes

  No

  N/A

Safety Shower/s

• Please detail all safety showers

Safety Showers

Click here to bulk select responses below

• Locations

  Yes

  No

  N/A

• Flow Rate Adequate

  Yes

  No

  N/A

• Eyewash Installed

  Yes

  No

  N/A

• Position Suitable

  Yes

  No

  N/A

• General Access to Showers

  Yes

  No

  N/A

• Lightning Adequate

  Yes

  No

  N/A

• Permanent Running Water

  Yes

  No

  N/A

Unloading Area/s

• Please add details for each unloading area

Unloading Area

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• Safe Area for Driver during Unloading

  Yes

  No

  N/A

• Unload on Correct Side

  Yes

  No

  N/A

• Method of Entry (Unloading)

  Drive In - Drive Out

  Reverse In - Reverse Out

• Passed?

  Yes

  No

  N/A

• Turning Circle

  Yes

  No

  N/A

• Type of Gantry Unloading

  Yes

  No

  N/A

• Unloading Area Bunded

  Yes

  No

  N/A

Delivery Hose

• Please add details for each Delivery Hose

Delivery Hose

Click here to bulk select items below

• Main Isolation Hose

  Yes

  No

  N/A

• Type of Valve

  Yes

  No

  N/A

• Protection Against Backflow

  Yes

  No

  N/A

• Type of Hose Fitting

  Yes

  No

  N/A

• Size of Hose Fitting

  Yes

  No

  N/A

• Length of Hose

  Yes

  No

  N/A

• End Fitting

  Yes

  No

  N/A

• Height of Fitting Above Ground

  Yes

  No

  N/A

• Distance from vehicle

  Yes

  No

  N/A

• Adequate Drain

  Yes

  No

  N/A

• Air Bleed to Drain Hose

  Yes

  No

  N/A

Vent Hose/s

• Please add details for each Vent Hose

Vent Hose

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• Is there provision for a vent hose?

  Yes

  No

  N/A

• Where does the vent bleed to?

• Type of hose?

• Length of hose (m)

• Date when last pressure tested

  Date

• Date of manufacture

  Date

• End fitting

  Yes

  No

  N/A

• Size of hose fitting

  Yes

  No

  N/A

Air Supply

• Please add details for each Air Supply

Air Supply

Click here to bulk select items below

• HP Air Source Pressure (kPag)

  Yes

  No

  N/A

• Isolation Valve on HP Air

  Yes

  No

  N/A

• Pressure Guage on HP Air

  Yes

  No

  N/A

• Does HP line have water traps?

  Yes

  No

  N/A

• Regulated Air Set Pressure (kPag)

  Yes

  No

  N/A

• Pressure Relief Valve Installed

  Yes

  No

  N/A

• Pressure Guage Range

  Yes

  No

  N/A

• Pressure Relief Set Pressure (kPag)

  Yes

  No

  N/A

• Pressure Guage Down Stream of Regulator

  Yes

  No

  N/A

• Air Bleed for Disconnection

  Yes

  No

  N/A

Air Hose

• Length of Hose (m)

• Diameter of Hose (mm)

• Type of Hose

• Date of Supply

  Date

• Date Last Pressure Tested

  Date

• Back Flow Prevention

  Yes

  No

  N/A

• End Connection

  Yes

  No

  N/A

• Minsup Fitting

  Yes

  No

  N/A

Electricity Supply

• 3-Phase Outlets (Amps)

  Yes

  No

  N/A

• Socket # Pins

  Yes

  No

  N/A

• Adaptor Required

  Yes

  No

  N/A

• Distance from Connection Point

  Yes

  No

  N/A

• Position Suitable

  Yes

  No

  N/A

Acid Resistant Suits

• How many located on-site?

• Passed

  Yes

  No

  N/A

Full Face Shields

• How many located on-site?

• Passed

  Yes

  No

  N/A

Acid Resistant Gloves

• How many located on-site?

• Passed

  Yes

  No

  N/A

Acid Resistant Boots

• How many located on-site?

• Passed

  Yes

  No

  N/A

Emergency Response Equipment

• Please add details regarding Emergency Response Equipment