Title Page

  • Document No.

  • Audit Title

  • Client / Site

  • Conducted on

  • Prepared by

  • Location
  • Personnel

  • Vessel Name:

  • Hopper number:

  • Hopper location:

  • Person carrying out inspection:

  • Date and time the inspection was carried out:

  • Are clamshell doors open?

  • If NO, report to Supervisor

  • Add media

  • Product on doors?

  • If YES, report to Supervisor

  • Add media

  • Product on outside of mouth?

  • If YES, report to Supervisor

  • Add media

  • Any damage on framework?

  • If YES, report to Supervisor

  • Add media

  • Cab window clean?

  • If NO, report to Supervisor

  • Add media

  • Any rubbish that requires removing?

  • If YES, report to Supervisor

  • Add media

  • Any further comments?

  • Click here to add images:

  • This report emailed to the following:

  • Signature of person undertaking inspection:

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.