Railcar Checklist - CHLORATE

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

  Select

• Railcar Number

• Bulk Material

  Chlorate

• THIS SECTION IS FOR THE SOUTH (S) HOPPER. PROCEED 3 PAGES FOR THE NORTH (N) HOPPER

• IP Unloading Employee:

• Complete section 1 and 2 and file a copy of this report with the bill of lading.

• In the event of leakage, complete Section 3 and distribute as indicated.

• This checklist is designed to supplement facility loading/unloading procedures. All loading and unloading of materials shall be done in accordance with specific facility procedures!!

Procedures at Loading/Unloading Site

• BEFORE unloading, verify that the COA information matches Franklin’s specifications. If they don’t match, then DO NOT unload until it is verified by the Area Process Leader. (Specifications are in SOP and Chemical Unloading Building)

  Yes

  No

  N/A

• Ensure that the tank car brakes have been applied, the derailer properly installed, and that the tank car is properly chocked

  Yes

  No

  N/A

• Place "BLUE FLAG" on track along with all applicable caution signs: (STOPTANK CAR CONNECTED, STOPMEN WORKING)

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the placards clearly identify the material

  Yes

  No

  N/A

• Verify that all required safety equipment is available, functioning, and in the vicinity of the loading/unloading site

  Yes

  No

  N/A

• Inspect all valves to see that they are in proper working condition and check to see that all loading/unloading lines are connected securely

  Yes

  No

  N/A

• Ensure that the tank car is free from defects (dents, evidence of leakage, signs of derailment, etc.) and that the car is spotted at the correct loading/unloading station. (If car is damaged, contact FLL.)

  Yes

  No

  N/A

• Person Hooking-up Railcar Name

  Select

• Person Hooking-up Railcar Signature

  Sign

• Date

  Date

• LOADING ONLY: Inspect the car to ensure that it is fit for loading

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the placards clearly identify the material

  Yes

  No

  N/A

• UNLOADING ONLY: Ensure that there is sufficient storage capacity available

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the valves to the storage tanks are open

  Yes

  No

  N/A

• Verify that all required safety equipment is available, functioning, and in the vicinity of the loading/unloading site

  Yes

  No

  N/A

• Inspect all valves to see that they are in proper working condition and check to see that all loading/unloading lines are connected securely

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the air pressure, if applicable, is properly set and that the dome cover is sealed

  Yes

  No

  N/A

• Verify that the 24 hour monitoring/DCS system (for continuous hookup) is available and operational

  Yes

  No

  N/A

• Loader/Unloader Name

  Select

• Loader/Unloader Signature

  Sign

• Date

  Date

After Loading/Unloading

• Ensure all valves, plugs, and dome housings are properly closed, "tool tight", and secured.

  Yes

  No

  N/A

• Plugs Pictures

  Media

• Verified all connections under a sealed lid (if applicable, cut the seal and place it inside the lid) for adequate amount of bolts on flanges, all plugs in place and "tool tight", and chains attached on lid, even if we did not operate any of the connections underneath the lid. (i.e. a bottom operated outlet valve for caustic that has a sealed lid on top for loading.)

  Yes

  No

  N/A

• Verify that all placards are legible, not dull in color, and are in place on all four sides of the car. Placards should remain as received for the return of the tank car, but the placards must be verified onsite prior to release. (For loading, verified placards are in place or installed new placards.)

  Yes

  No

  N/A

Leakage or Car Damage

• Describe Car Damage

• Explain Leakage

• After Loader/Unloader Name

  Select

• After Loader/Unloader Signature

  Sign

• Date

  Date

• Verifier Name

  Select

• Verifier Signature

  Sign

• Date

  Date

• All forms must be turned in to the Area Leader or representative and transported to the designated DOT representative onsite to perform official release in the railcar database. Forms will be filed for future reference. If there is ANY leakage, car damage, or other service problems, file a copy of this form with the Facility Safety Manager and send an additional copy to: Distribution Operations, Tower II, Room 460 Memphis (or fax to 9017637295)

• IP Unloading Employee:

• Complete section 1 and 2 and file a copy of this report with the bill of lading.

• In the event of leakage, complete Section 3 and distribute as indicated.

• This checklist is designed to supplement facility loading/unloading procedures. All loading and unloading of materials shall be done in accordance with specific facility procedures!!

Procedures at Loading/Unloading Site

• BEFORE unloading, verify that the COA information matches Franklin’s specifications. If they don’t match, then DO NOT unload until it is verified by the Area Process Leader. (Specifications are in SOP and Chemical Unloading Building)

  Yes

  No

  N/A

• Ensure that the tank car brakes have been applied, the derailer properly installed, and that the tank car is properly chocked

  Yes

  No

  N/A

• Place "BLUE FLAG" on track along with all applicable caution signs: (STOPTANK CAR CONNECTED, STOPMEN WORKING)

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the placards clearly identify the material

  Yes

  No

  N/A

• Verify that all required safety equipment is available, functioning, and in the vicinity of the loading/unloading site

  Yes

  No

  N/A

• Inspect all valves to see that they are in proper working condition and check to see that all loading/unloading lines are connected securely

  Yes

  No

  N/A

• Ensure that the tank car is free from defects (dents, evidence of leakage, signs of derailment, etc.) and that the car is spotted at the correct loading/unloading station. (If car is damaged, contact FLL.)

  Yes

  No

  N/A

• Person Hooking-up Railcar Name

  Select

• Person Hooking-up Railcar Signature

  Sign

• Date

  Date

• LOADING ONLY: Inspect the car to ensure that it is fit for loading

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the placards clearly identify the material

  Yes

  No

  N/A

• UNLOADING ONLY: Ensure that there is sufficient storage capacity available

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the valves to the storage tanks are open

  Yes

  No

  N/A

• Verify that all required safety equipment is available, functioning, and in the vicinity of the loading/unloading site

  Yes

  No

  N/A

• Inspect all valves to see that they are in proper working condition and check to see that all loading/unloading lines are connected securely

  Yes

  No

  N/A

• UNLOADING ONLY: Verify that the air pressure, if applicable, is properly set and that the dome cover is sealed

  Yes

  No

  N/A

• Verify that the 24 hour monitoring/DCS system (for continuous hookup) is available and operational

  Yes

  No

  N/A

• Loader/Unloader Name

  Select

• Loader/Unloader Signature

  Sign

• Date

  Date

After Loading/Unloading

• Ensure all valves, plugs, and dome housings are properly closed, "tool tight", and secured.

  Yes

  No

  N/A

• Plugs Pictures

  Media

• Verified all connections under a sealed lid (if applicable, cut the seal and place it inside the lid) for adequate amount of bolts on flanges, all plugs in place and "tool tight", and chains attached on lid, even if we did not operate any of the connections underneath the lid. (i.e. a bottom operated outlet valve for caustic that has a sealed lid on top for loading.)

  Yes

  No

  N/A

• Verify that all placards are legible, not dull in color, and are in place on all four sides of the car. Placards should remain as received for the return of the tank car, but the placards must be verified onsite prior to release. (For loading, verified placards are in place or installed new placards.)

  Yes

  No

  N/A

Leakage or Car Damage

• Describe Car Damage

• Explain Leakage

• After Loader/Unloader Name

  Select

• After Loader/Unloader Signature

  Sign

• Date

  Date

• Verifier Name

  Select

• Verifier Signature

  Sign

• Date

  Date

• All forms must be turned in to the Area Leader or representative and transported to the designated DOT representative onsite to perform official release in the railcar database. Forms will be filed for future reference. If there is ANY leakage, car damage, or other service problems, file a copy of this form with the Facility Safety Manager and send an additional copy to: Distribution Operations, Tower II, Room 460 Memphis (or fax to 9017637295)

• THIS SECTION FOR FRONT LINE LEADER (FLL) ONLY

Railcar Audit Inspection Form

• Unloading/Loading Paperwork Properly signed

  Yes

  No

  N/A

• Comments

• Dome Bolts Tight

  Yes

  No

  N/A

• Comments

• Valves Closed

  Yes

  No

  N/A

• Comments

• Plugs In Place

  Yes

  No

  N/A

• Comments

• Placards on all 4 sides

  Yes

  No

  N/A

• Comments

• Placards legible

  Yes

  No

  N/A

• Comments

• Car is clean

  Yes

  No

  N/A

• Comments

• Car markings legible

  Yes

  No

  N/A

• Comments

• Car ready to be released

  Yes

  No

  N/A

• Comments

• **Note: After audit is complete, chemical unloader to remove the blue flag, chokes, derailer, and verify that the catwalk to the cars, if applicable, are in the upright position.**

• Auditor

  Select

• Auditor Signature

  Sign

• Date

  Date

Ready to Release

• Car Ready to be moved from the spot

  Yes

  No

  N/A

• Car Ready to be moved from the spot VERIFICATION - CLICK HERE TO TRIGGER EMAIL FOR RAILCAR RELEASE TO KEISHA BAILEY

  Yes

  No

  N/A

• Derailer Remover Name

  Select

• Derailer Remover Signature

  Sign

• Date

  Date

• Misc. Comments