Title Page
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Site conducted
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Moly Bagging Operator Check Sheet
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Conducted on
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Name
Area Safety Inspection
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Housekeeping/Walkways (free of hazards, obstacles, etc.)
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Electrical Issues (exposed wires, missing covers, etc.)
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Equipment Guarding (adequate and secure)
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Emergency Facilities (emergency lighting, H2S stationary monitor, etc.)
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Fire Extinguishers (current month and annual punched, not used nor damaged)
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Maintenance Notifications / Comments:
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Operator Signature
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Supervisor Signature
Bins, Conveyors & Hopper
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Are bagging operations occuring during this shift?
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Is the CV20 tail pulley and surrounding area free of material and buildup?
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Are all air lances removed from bin inspection doors upon startup?
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Are all screw covers in place and secured?
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Are all bin lids closed and secure with secondary guarding in place?
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Is the CV21 tail pulley and surrounding area free of material and buildup?
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Is the CV200 tail pulley and surrounding area?
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Is the high level probe on hopper clean and free of material?
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Is hopper clear of material upon startup?
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Is sample hose connected to sampler and secured?
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Does the bottom of the hopper have any noticeable wear or holes in it?
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Are there any VFD faults on operator screen at bagging station?
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Does the weigh scale read -8 lbs when no material is on it?
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Maintenance notifications / Comments:
