Information

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

Legend

  • Compliant - Completed, no problems found

  • Non-compliant - Completed, problems noted & repairs required

  • Rectified - Completed, problems corrected

  • Incomplete - Unable to perform inspection or additional work to be done.

General

  • Banlaw Job Number:

  • Order Number:

  • Work started

  • Work completed

Rail Wagon Unloading - Bay 1

  • 01-Area clean and tidy

  • Add media

  • Add drawing

  • 02-Check environment - rag bins, spill kit, eye wash etc

  • Add media

  • Add drawing

  • 03-Check signage - missing, damaged or incomplete

  • Add media

  • Add drawing

  • 04-Banlaw Depot - Inspection per inspection sheet

  • Add media

  • Add drawing

  • 05-Wipe down FMS enclosure

  • Add media

  • Add drawing

  • 06-Inspect all cables and conduits for damage and ingress (incl earth cables)

  • Add media

  • Add drawing

  • 07-Inspect and test flow meter, pulser and interfaces

  • Add media

  • Add drawing

  • 08-Inspect temperature probe for damage & leaks

  • Add media

  • Add drawing

  • 09-Function check pump station (start, stop, E stop, Reset main isolator after test)

  • Add media

  • Add drawing

  • 10-Inspect flow meter for physical damage

  • Add media

  • Add drawing

  • 11-Inspect manual ball valve operation

  • Add media

  • Add drawing

  • 12-Inspect air activated valve operation

  • Add media

  • Add drawing

  • 13-Inspect pump

  • Add media

  • Add drawing

  • 14-Inspect motor

  • Add media

  • Add drawing

  • 15-Check flow rate and record

  • Add media

  • Add drawing

  • 16-Inspect API load arm

  • Add media

  • Add drawing

  • 17-Inspect nozzle holster for damage

  • Add media

  • Add drawing

  • 18-Inspect pressure relief for leaks and damage

  • Add media

  • Add drawing

  • 19-Inspect pump strainer

  • Add media

  • Add drawing

  • 20-Inspect pipe work and brackets for damage and wear

  • Add media

  • Add drawing

  • 21-Inspect air eliminator

  • Add media

  • Add drawing

  • 22-Inspect CLAL-Valve

  • Add media

  • Add drawing

  • 23-Inspect non-return valve

  • Add media

  • Add drawing

  • 24-Inspect flow switch

  • Add media

  • Add drawing

  • 26-Grease nipples in loading arm or hose reel (quarterly)

  • Add media

  • Add drawing

  • 27-Calibrate meter(s) (1/2 yearly)

  • Add media

  • Add drawing

Rail Wagon Unloading - Bay 2

  • 01-Area clean and tidy

  • Add media

  • Add drawing

  • 02-Check environment - rag bins, spill kit, eye wash etc

  • Add media

  • Add drawing

  • 03-Check signage - missing, damaged or incomplete

  • Add media

  • Add drawing

  • 04-Banlaw Depot - Inspection per inspection sheet

  • Add media

  • Add drawing

  • 05-Wipe down FMS enclosure

  • Add media

  • Add drawing

  • 06-Inspect all cables and conduits for damage and ingress (incl earth cables)

  • Add media

  • Add drawing

  • 07-Inspect and test flow meter, pulser and interfaces

  • Add media

  • Add drawing

  • 08-Inspect temperature probe for damage & leaks

  • Add media

  • Add drawing

  • 09-Function check pump station (start, stop, E stop, Reset main isolator after test)

  • Add media

  • Add drawing

  • 10-Inspect flow meter for physical damage

  • Add media

  • Add drawing

  • 11-Inspect manual ball valve operation

  • Add media

  • Add drawing

  • 12-Inspect air activated valve operation

  • Add media

  • Add drawing

  • 13-Inspect pump

  • Add media

  • Add drawing

  • 14-Inspect motor

  • Add media

  • Add drawing

  • 15-Check flow rate and record

  • Add media

  • Add drawing

  • 16-Inspect API load arm

  • Add media

  • Add drawing

  • 17-Inspect nozzle holster for damage

  • Add media

  • Add drawing

  • 18-Inspect pressure relief for leaks and damage

  • Add media

  • Add drawing

  • 19-Inspect pump strainer

  • Add media

  • Add drawing

  • 20-Inspect pipe work and brackets for damage and wear

  • Add media

  • Add drawing

  • 21-Inspect air eliminator

  • Add media

  • Add drawing

  • 22-Inspect CLAL-Valve

  • Add media

  • Add drawing

  • 23-Inspect non-return valve

  • Add media

  • Add drawing

  • 24-Inspect flow switch

  • Add media

  • Add drawing

  • 26-Grease nipples in loading arm or hose reel (quarterly)

  • Add media

  • Add drawing

  • 27-Calibrate meter(s) (1/2 yearly)

  • Add media

  • Add drawing

Rail Wagon Unloading - Bay 3

  • 01-Area clean and tidy

  • Add media

  • Add drawing

  • 02-Check environment - rag bins, spill kit, eye wash etc

  • Add media

  • Add drawing

  • 03-Check signage - missing, damaged or incomplete

  • Add media

  • Add drawing

  • 04-Banlaw Depot - Inspection per inspection sheet

  • Add media

  • Add drawing

  • 05-Wipe down FMS enclosure

  • Add media

  • Add drawing

  • 06-Inspect all cables and conduits for damage and ingress (incl earth cables)

  • Add media

  • Add drawing

  • 07-Inspect and test flow meter, pulser and interfaces

  • Add media

  • Add drawing

  • 08-Inspect temperature probe for damage & leaks

  • Add media

  • Add drawing

  • 09-Function check pump station (start, stop, E stop, Reset main isolator after test)

  • Add media

  • Add drawing

  • 10-Inspect flow meter for physical damage

  • Add media

  • Add drawing

  • 11-Inspect manual ball valve operation

  • Add media

  • Add drawing

  • 12-Inspect air activated valve operation

  • Add media

  • Add drawing

  • 13-Inspect pump

  • Add media

  • Add drawing

  • 14-Inspect motor

  • Add media

  • Add drawing

  • 15-Check flow rate and record

  • Add media

  • Add drawing

  • 16-Inspect API load arm

  • Add media

  • Add drawing

  • 17-Inspect nozzle holster for damage

  • Add media

  • Add drawing

  • 18-Inspect pressure relief for leaks and damage

  • Add media

  • Add drawing

  • 19-Inspect pump strainer

  • Add media

  • Add drawing

  • 20-Inspect pipe work and brackets for damage and wear

  • Add media

  • Add drawing

  • 21-Inspect air eliminator

  • Add media

  • Add drawing

  • 22-Inspect CLAL-Valve

  • Add media

  • Add drawing

  • 23-Inspect non-return valve

  • Add media

  • Add drawing

  • 24-Inspect flow switch

  • Add media

  • Add drawing

  • 26-Grease nipples in loading arm or hose reel (quarterly)

  • Add media

  • Add drawing

  • 27-Calibrate meter(s) (1/2 yearly)

  • Add media

  • Add drawing

Oily Water Separator System

  • All sump pumps working

  • Add media

  • Add drawing

  • Check Air Pump for operation

  • Add media

  • Add drawing

  • Check level floats for operation

  • Add media

  • Add drawing

  • Check strainer

  • Add media

  • Add drawing

  • Check valve operation

  • Add media

  • Add drawing

  • Check level of grey water tank (if full let supervisor know to empty)

  • Add media

  • Add drawing

Issues & remarks

  • Inspection Comments

  • Recommendations

Signoff

  • Inspected by

  • Inspected by

  • Inspected by

  • Approved by

  • NOTE: All non-compliant results will followed up by Banlaw Service. Work required will be quoted then submitted for review, approval and scheduling.

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.