GVW DWF0451 Checklist for Site Acceptance of Chemical Deliveries

To be carried out in the sequence below.

• Site of Delivery:

  Cobram WTP

  Numurkah WTP

  Nathalia WTP

• Date and time started.

  Date

• Name of Driver:

• Name of Chemical Company:

• Chemical Delivered:

• 1. Request Delivery Docket and check the correct chemicals are delivered.

  Yes

  No

  N/A

• 2. Ensure the delivery driver has been inducted if to be left unattended on site.

  Yes

  No

  N/A

• 3. Request and check all paperwork.

  Yes

  No

  N/A

• 4. Does the driver have the correct PPE for unloading.

  Yes

  No

  N/A

• 5. Did the driver use the correct unloading process.

  Yes

  No

  N/A

• 6. We're unloaded chemicals in good condition.

  Yes

  No

  N/A

• 7. Check for spillages.

  Yes

  No

  N/A

• 8. If spill occurred, did driver undertake clean-up?

  Yes

  No

  N/A

• Date and time finished.

  Date

• Accepting Operator:

  Select Bruno Dale Sam Michael M Gino Jack Zane Michael V Shawn Leo.

  • Bruno
  • Dale
  • Sam
  • Michael M
  • Gino
  • Jack
  • Zane
  • Michael V
  • Shawn
  • Leo.

• Comments/ notes:

Note: this form is to be attached to the delivery docket and filed appropriately.