Fluid Loading & Unloading Evaluation

• Conducted on

  Date

• Prepared by

• Location
  Address

• Driver Name:

• Evaluator:

• Truck Unit #, Trailer Unit #

• Trailer Make & Model:

• LSD:

• Weather Conditions:

Loading

• All PPE Worn

  Yes

  No

  N/A

• Pre-Operation Equipment Check (Gauges, H2S Monitor)

  Yes

  No

  N/A

• Talks to Consultant - Get Details for the Job

  Yes

  No

  N/A

• Parks Truck Appropriate Distance From the Tank / Wellhead

  Yes

  No

  N/A

• Hooks Up Ground Lines

  Yes

  No

  N/A

• Uses Chock Blocks

  Yes

  No

  N/A

• Hooks Up Hoses

  Yes

  No

  N/A

• Opens Tank Valves

  Yes

  No

  N/A

• Proper Venting Procedures

  Yes

  No

  N/A

• Appropriate Use of Scrubber for Sour Products

  Yes

  No

  N/A

• Pumps On Load

  Yes

  No

  N/A

• Watches Gauges as Truck Loads, Staying Within Radius of Truck

  Yes

  No

  N/A

• Uses Airbags to Gauge Tank Levels

  Yes

  No

  N/A

• Unhooks Load Line Off Tank

  Yes

  No

  N/A

• Walks Hoses Back to Prevent Spills

  Yes

  No

  N/A

• Shuts off Pump

  Yes

  No

  N/A

• Unhooks Ground Line

  Yes

  No

  N/A

• Closes Valves and Pump Box

  Yes

  No

  N/A

• Closes Vent

  Yes

  No

  N/A

• Caps Hoses

  Yes

  No

  N/A

Hauling

• Assesses Hazards (Traffic, Weather, Power Lines, Bridges, etc.)

  Yes

  No

  N/A

• Wears Seatbelt

  Yes

  No

  N/A

• Calls Kilometers on Radio

  Yes

  No

  N/A

• Drives With Caution and Courtesy

  Yes

  No

  N/A

• Appropriate use of Chains when Required

  Yes

  No

  N/A

Unloading

• Wears Appropriate PPE

  Yes

  No

  N/A

• Speaks to Consultant / Disposal Representative for Job Details

  Yes

  No

  N/A

• Parks Truck Appropriate Distance From the Tank / Wellhead

  Yes

  No

  N/A

• Hooks Up Ground Lines

  Yes

  No

  N/A

• Uses Chock Blocks

  Yes

  No

  N/A

• Hooks Up Hoses

  Yes

  No

  N/A

• Open Tank Valves

  Yes

  No

  N/A

• Proper Venting Procedures

  Yes

  No

  N/A

• Turns Pump on to Unload

  Yes

  No

  N/A

• Opens Vent When on Vacuum

  Yes

  No

  N/A

• Watches Gauges on Tank While Unloading

  Yes

  No

  N/A

• Stops Pump at Appropriate Time

  Yes

  No

  N/A

• Closes Tank Valve

  Yes

  No

  N/A

• Sucks Line Back

  Yes

  No

  N/A

• Shuts Valve and Pump Off

  Yes

  No

  N/A

• Closes Vent

  Yes

  No

  N/A

• Caps Hoses

  Yes

  No

  N/A

Competency

• Is the worker competent to perform this task

  Yes

  No

  N/A

• If no to the above question - what areas need improvement