Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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License No. SST000028
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Personnel
DNAP Qualified Officer Monthly Storage Facility Inspection - SRS
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1 Is the Dangerous Goods Site License current for the facility?
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2 Is the SRS Storage License current and all details correct?
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3 Is the Appointment of the Qualified Officer up to date?
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4 Is the authorised Secure Nominee register for SRS up to date? (check DGSC expiry dates)
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5 Is the entry register for supervised access used and current?
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6 Does the entry register include:<br>Full name and address<br>time in/out<br>date<br>Signature of visitor<br>Signature of authorised secure nominee<br>
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7 Is there a facility / MPU key register to record the name, date, time and signature of the person removing/returning the keys?
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8 Are SRS delivery records available for the facility and are the delivery drivers DG License details recorded?
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9 Are fencing and gates in good condition?<br>Is the fencing free from evidence of unauthorised access?
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10 Is the perimeter sign 1 in good condition, secure, correctly displayed and legible?<br>
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11 Does the perimeter sign 1 display the following?<br>Site plan showing fire protection, drainage systems and emergency stops<br>The name, address and phone number of the occupier<br>List of emergency contact names, titles and phone numbers relevant to the facility
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12 Is the sign 1 displayed at each perimeter entrance?
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13 Is perimeter sign 2 in good condition, secure, correctly displayed and legible?<br><br>
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14 Does perimeter sign 2 display the following:<br>HAZCHEM<br>DANGER<br>No Entry Authorised Personnel Only<br>no smoking<br>No naked lights<br>No ignition sources<br>Report fire immediately<br>Sign stating"Evacuation Clearance 1500m"
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15 Is sign 2 displayed at:<br>Each perimeter entrance and <br>Displayed along each side of the fencing facing outwards to be a maximum of 100m apart
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16 Is there an Emergency Safety Information cabinet at the facilities main entrance and one other (if more than one entrance exists) which includes copies of or shows the location of:<br>Emergency plan<br>Manifest<br>Clean-up equipment<br>Essential services and their controls
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17 Is the Emergency Safety Information cabinet in good condition, secure and legible?
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18 Does the store have a clear area around it of at least 5 m?<br>Standing trees cleared 15m or 1.5 times the height of the tallest tree?
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19 Are the keys to the facility and MPU's secured in a safe which prevents access by unauthorised persons?
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20 Is there a First aid station in a clean area with appropriate kit, supply of water and resuscitation poster?
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21 Are fire extinguisher inspection tags in date and gauges in the green?
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22 Is there a sign prominently displayed within the facility with the following directions or wording to the same effect:<br>"All persons whose work involves handling diesel or oxidising agents shall comply with the following directions:<br>Do not introduce, keep, prepare or consume food in any area where diesel,or oxidising agents are kept or handled <br>After handling Diesel or oxidising agents, always wash your hands before eating, drinking, smoking or using a toile, and after work. Immediately attend to injuries caused by contact, or suspected contact, with diesel or oxidising agents"
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23 Is the storage building dry and free from water seepage through roof, walls or floor?
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24 Are there emergency information panels on;<br>AN store entrances, visible when doors are open <br>All sides of the AN store<br>AN Storage silos<br>
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25 Are impact barriers in place to protect any storage or handling system from damage?<br>On AN storage<br>On ANE storage<br>On any handling system or other store<br>On any ANE storage fill or discharge points
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26 Are security seals checked off on the delivery docket by a DGSC authorised person before acceptance of the load?
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27 Do ANE storage tanks show:<br>Proper placarding - the correct EIP<br>Type of ANE stored (e.g. For reactive ground)<br>Individual tank number<br>Tank Capacity<br><br>
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28 Is any ANE transfer pump marked with the following message "only authorised persons may work on this pump"?
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29 Is ANE pipe work clearly labelled to indicate contents?
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30 Are waste disposal containers for AN and ANE kept separate and clearly labelled?
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31 Are storage facility MPU parking bays correctly located as listed below.<br>15m from Protected works Class B <br>10m from AN / ANE storage<br>15m from naked flame or ignition source <br>8m from another placard end load
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32 Are storage facility equipment parking bays correctly located 10m from any store?
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33 Is the facility secured when left unattended?
DIESEL STORAGE
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34 Does diesel storage display the following signs:<br>DIESEL - "COMBUSTIBLE LIQUID C1" placard<br>Danger -stop engine<br>no smoking<br>no mobile phones<br>Show individual tank number<br>Show tank capacity<br>
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35 Is pipe work clearly labelled to indicate contents?
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36 Is firefighting equipment available (for tanks of 60kl to 2000kl) which is either:<br>A hose reel and foam maker where the water supply is adequate, or<br>2 a powder extinguishers located within 10m of the tank<br>
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37 Are impact barriers in place to protect any Combustible Liquid storage or handling system from damage?<br>On combustible liquid storage<br>On any handling system e.g. Fill/ discharge points
