MIN O TOM FOR Orica Reload Plant Inspections

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

GENERAL SITE CONDITIONS

• Road conditions into plant acceptable

  Yes

  No

  N/A

• Parking areas acceptable

  Yes

  No

  N/A

• Walkways clear and free from trip hazards

  Yes

  No

  N/A

• Enough room to split trailer combinations and acceptable ground condition

  Yes

  No

  N/A

• Sign in book being used

  Yes

  No

  N/A

EQUIPMENT CONDITION

• Discharge Hoses look OK

  Yes

  No

  N/A

• Loading hoses look OK

  Yes

  No

  N/A

• Cam locks and fittings look OK

  Yes

  No

  N/A

• Brooms, shovels, bins

  Yes

  No

  N/A

• Spill trays empty and in position to be used

  Yes

  No

  N/A

• Hand rails and guards in good condition

  Yes

  No

  N/A

DRIVER WELLBEING

• Toilets available

  Yes

  No

  N/A

• Cold drinking water available

  Yes

  No

  N/A

• Access to first aid kits clear

  Yes

  No

  N/A

FIRE FIGHTING EQUIPMENT

• Access to FFE clear

  Yes

  No

  N/A

• Orica Representative

  Sign

• Toll Representative

  Sign