Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • Location

General Condition of Compound

  • All gates locked and secure

  • Automatic gate infrared sensor functioning

  • Fence secure

  • Fence line fire break - clear

  • Infrastructure fire break - clear

  • Electrical cabinets locked

  • Emergency showers and eye wash operational

  • Firefighting equipment (hydrant/extinguisher) operational

  • Drains to evaporation ponds clear of obstruction

Ammonium Nitrate Storage

  • Gantry free from obstruction

  • Spill kits stocked and accessible

  • Evidence of stock rotation

  • Base of auger free of crushed AN

  • Delivery point guarding (grates)

  • Conveyor guarding intact

Emulsion Storage

  • Load cell reporting to ECS

  • Evidence of stock rotation

  • Platforms free from Obstruction

  • Tanks label/identification

  • Spill kits stocked and accessible

Gasser Storage

  • No gasser waste build up

  • Transfer equipment in good condition

Magazine Storage

  • Box stacked safely and correctly

  • Evidence of stock rotation

  • No 2-way radio/mobile phones

  • Dets and boosters stored in boxes (no loose items)

  • Add signature

The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.