Pre-Delivery Hazard Evaluation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Road & Access

• Is access and offloading area clear of the public highway?

  Safe

  At Risk

  N/A

• Is access to site a CONCEALED ENTRANCE?

  Safe

  At Risk

  N/A

• Is access to site on a BEND?<br>

  Yes

  No

  N/A

• Is access to site on an INCLINED road where stopping and starting may be a problem?

  Safe

  At Risk

  N/A

Overhead cables

• Can a SAFE DISTANCE OF 10 m be maintained between the vehicle and any poles/pylons carrying overhead cables

  Safe

  At Risk

  N/A

Livestock

• Does the driver have to pass through any LOOSE LIVESTOCK to make the delivery?

  Safe

  At Risk

  N/A

Site details

• Is the vehicle standing area FLAT AND LEVEL?

  Safe

  At Risk

  N/A

• Is the vehicle standing area UNEVEN?

  Safe

  At Risk

  N/A

• Is the vehicle standing area adequately DRAINED?

  Safe

  At Risk

  N/A

• Is there ADEQUATE SPACE TO MANOEUVRE the vehicle safely?

  Safe

  At Risk

  N/A

• Is the vehicle standing area 3m clear of any SLURRY PIT OR OPEN DRAIN?

  Safe

  At Risk

  N/A

• Is the delivery BULK BLOWN?

  Yes

  No

  N/A

• Is the delivery BULK TIPPED?

  Yes

  No

  N/A

• Is the delivery BULK TIPPED INSIDE A BUILDING?

  Yes

  No

  N/A

• Is the delivery a BAGGED delivery?

  Yes

  No

  N/A

Delivery point

• Is the storage facility a BULK BIN?

  Yes

  No

  N/A

• Is the storage facility a TRAILER?

  Yes

  No

  N/A

• Is the storage facility a FLAT STORAGE (tipped load)

  Yes

  No

  N/A

• Storage facility is not one of those listed above I.e OTHER

  Yes

  No

  N/A

• Is the delivery point CLEARLY IDENTIFIED e.g. With bin numbers

  Yes

  No

  N/A

• Is the delivery point FREE FROM OBSTRUCTIONS?

  Yes

  No

  N/A

• BULK BLOWN DELIVERIES: Is there a FIXED DELIVERY PIPE to connect to?

  Yes

  No

  N/A

• Must the driver use STEPS / LADDERS to make the delivery?

  Safe

  At Risk

  N/A

Assistance / Emergency contact

• Is assistance available if required?

  Yes

  No

  N/A