CPI

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Grounds

• Safety concerns

  Yes

  No

  N/A

Shop

• Safety concerns

  Yes

  No

  N/A

Dry fertilizer building and area

• Safety concerns

  Yes

  No

  N/A

Liquid fertilizer plant

• Safety concerns

  Yes

  No

  N/A

Chemical building and surrounding area

• Safety concerns

  Yes

  No

  N/A

Warehouse

• Safety concerns

  Yes

  No

  N/A

Fuel plant

• Safety concerns

  Yes

  No

  N/A

LP plant

• Safety concerns

  Yes

  No

  N/A

NH3 plant

• Safety concerns

  Yes

  No

  N/A

Elevator

• Safety concerns

  Yes

  No

  N/A

Steel bin site

• Safety concerns

  Yes

  No

  N/A

Flat storage

• Safety concerns

  Yes

  No

  N/A

• Inspection completed by

  Sign