Railcar Loading Checklist

• Site conducted

  Victoria

• Conducted on

  Date

• Prepared by

• Signature

  Brandon Stubbs

  Bracken Ellis

  Scott Mozisek

• Railcar ID

• Product

  Crude

• LD Limit

• LT Limit

• CAPY (Gal)

• Tank Qualification Due

• Pressure Relief Due

Seals

• Manway Lid

• Protective Housing Cover

• Valve Handle

Initial Check

• Is the STOP caution (Blue Flag) Installed, Wheels chocked, handbrake set?

  Yes

  No

  N/A

• Tank shell free of rust, graffiti, other visual defects?

  Yes

  No

  N/A

• Safety appliances free of visible defects?

  Yes

  No

  N/A

• Couplers free of visible defects? Double shelf coupler required for hazmat materials.

  Yes

  No

  N/A

• Are placards in place and holder free of visible defects?

  Yes

  No

  N/A

• Placard #

  1267

• Reporting marks visible and legible?

  Yes

  No

  N/A

• Is manhole gasket in good condition?

  Yes

  No

  N/A

• Is pressure relief valve in good condition?

  Yes

  No

  N/A

• Is bottom outlet cap and gasket in good condition?

  Yes

  No

  N/A

• Is there a containment in place and grounding lead connected?

  Yes

  No

  N/A

• Are manway lid bolts in place and undamaged and torqued to specifications? Torque specs: 70,140,200,200

  Yes

  No

  N/A

• Are top valves closed, plugged and secured?

  Yes

  No

  N/A

• Is protective housing closed and secured?

  Yes

  No

  N/A

• Is bottom outlet valve secured and pinned?

  Yes

  No

  N/A

• Total Barrels

• Outage Gauge