Title Page

  • Equipment Number

  • Conducted on

  • Turn In Date

  • Prepared by

Survey

Tank Condition

  • Vacuum reading (mbar)

  • Is there any visible staining present on tank (i.e. rust, paint, greases etc)?

  • Are there any areas of rust visible?

Pipework

  • Are dust caps installed and tethered?

  • Are drip trays secure and free of debris?

  • Condition of the drip trays?

  • Where installed is the vaporiser guard present?

  • Is any pipework damaged?

  • Are all relief valves installed?

  • Are valves handles present?

  • Has any pipework been subject to repair?

Container Inspections

  • Last dangerous goods inspection

  • Last date of visual

  • Last date of visual will be either V, VN or T

  • Last date of NDE

  • Last date of visual will be either VN or T

Sling Inspections

  • Last date of visual

  • Last date of visual will be either V, VN or T

  • Last date of NDE

  • Last date of visual will be either VN or T

Frame

  • Are the fork pockets damaged?

  • Is the framework damaged?

  • Are all roof plates present and bolted down?

  • Have any repairs been undertaken?

  • Is the grounding lug present?

  • Is there any visible rust on the frame member or roof supports?

Decals

  • Corner post decals present?

  • Are previous customers logos installed?

  • Dangerous goods signage present?

  • Are any previous customer decals present?

Gauges

  • Is pressure gauge present?

  • Is the differential pressure gauge present?

Thermo Couple

  • Is the thermo couple missing?

Relief Valves

  • PRV 1 Pressure

  • Serial Number

  • PRV 2 Pressure

  • Serial Number

  • PRV 3 Pressure

  • Serial Number

  • PRV 4 Pressure

  • Serial Number

  • PRV 5 Pressure

  • Serial Number

  • PRV 6 Pressure

  • Serial Number

  • PRV 7 Pressure

  • Serial Number

Sling

  • Is a sling set installed?

  • Sling Number

  • Shackle 1

  • Shackle 2

  • Shackle 3

  • Shackle 4

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.