MIN O CAR SWI 068 Debagging Ammonium Nitrate

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

EXCLUSION ZONE

• Exclusion zone set up around work area

  Yes

  No

  N/A

• Does exclusion zone adequately separate people and machinery<br>

  Yes

  No

  N/A

• Is exclusion zone clearly defined

  Yes

  No

  N/A

FORKLIFTS AND EQUIPMENT

• Pre-start completed on forklift

  Yes

  No

  N/A

• Pre-start completed on tubeveyor

  Yes

  No

  N/A

• Bag lifting attachment secured to forklift properly and in good condition

  Yes

  No

  N/A

• Speer bin positioned correctly over tubeveyor hopper

  Yes

  No

  N/A

• Tubeveyor lead laid out if a safe manner and barricaded to stop it being run over

  Yes

  No

  N/A

• Tools available (Mashers, Pick up tool, shovels and brooms)

  Yes

  No

  N/A

TRUCK

• Driver in safe position to assist with removal of empty bags and stowing into the "waste" container

  Yes

  No

  N/A

• Truck parked in correct position to be loaded, with the tarp open

  Yes

  No

  N/A

• Driver in correct PPE

  Yes

  No

  N/A

• Driver uses 3 points of contact when entering and exiting the truck and climbing up to inspect the load distribution

  Yes

  No

  N/A

FORKLIFT OPERATOR AND LABOURERS

• Wearing correct PPE

  Yes

  No

  N/A

• Familiar with process

  Yes

  No

  N/A

• Carry out tasks as required in a safe manner

  Yes

  No

  N/A

• Entire area cleaned up at completion of task

  Yes

  No

  N/A

• Spilt AN Prill is put into correctly labelled waste resceptibles and locked into the waste container

  Yes

  No

  N/A

SIGNATURES

• Forklift Operator

  Sign

• Labourer

  Sign

• Truck Driver

  Sign

• Auditor

  Sign