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RIVERINA DELIVERY DECLARATION
RIVERINA DELIVERY DECLARATION
Steph Gray

RIVERINA DELIVERY DECLARATION

TO BE COMPLETED FOLLOWING THE DELIVERY OF EACH RIVERINA LOAD

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Free RIVERINA DELIVERY DECLARATION Checklist

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Title Page

  • DRIVER NAME

    • DEAN
    • AARON
    • SHORTY (GREAME)
    • BILL
    • ADRIAN
    • BRENDON
    • CURTIS
    • STEPH
    • TRAINEE

  • REGO

    • XV61DB
    • XN02TO
    • XN83HX
    • XV90HG
    • XV29KE
    • XV97KI
    • XV24IE
    • 1LJ1AL

  • Conducted on

  • Location

  • ORDER NUMBER(S)

  • ALL INFO MUST BE CORRECTLY COMPLETED ON THIS DECLARATION IN ORDER FOR IT TO SAVE PROPERLY. THIS IS A MANDATORY REQUIREMENT TO ENSURE LOADS ARE BEING DELIVERED CORRECTLY AND FEED CONTAMINATIONS ARE AVOIDED.

DECLARATION

  • SITE

    • AVALON PARK
    • LYNTON (MCGRATHS)
    • EQUITY PARK
    • VANBEEK 1
    • VANBEEK 2
    • TAITS
    • MILLS
    • URANA (NAGLES)
    • NAGLES 1
    • NAGLES 2
    • NAGLES FREE RANGE
    • BAIRDS
    • BUNGO
    • PYLES (WESTBROOK)
    • RETURN TO MILL

  • SILO NUMBER

  • DIET CODE

  • DELIVERED AMOUNT

  • DID THE ORDERED AMOUNT FIT?

  • BALANCE SITE / SILO / TONNAGE

  • DO YOU HAVE ANY REMAINING FEED?

  • BALANCE SITE / SILO / TONNAGE

  • IS THERE A SECOND SILO DELIVERY ORDERED FOR THIS SITE?

  • SILO NUMBER

  • DELIVERED AMOUNT

  • DID THE ORDERED AMOUNT FIT?

  • BALANCE SITE / SILO / TONNAGE

  • IS THIS A SPLIT SITE LOAD?

  • SITE 2

    • AVALON PARK
    • LYNTON (MCGRATHS)
    • EQUITY PARK
    • VANBEEK 1
    • VANBEEK 2
    • TAITS
    • MILLS
    • URANA (NAGLES)
    • NAGLES 1
    • NAGLES 2
    • NAGLES FREE RANGE
    • BAIRDS
    • BUNGO
    • PYLES (WESTBROOK)
    • RETURN TO MILL

  • SILO NUMBER

  • DIET CODE

  • DELIVERED AMOUNT

  • DID THE ORDERED AMOUNT FIT?

  • BALANCE SITE/ SILO / TONNAGE

  • ARE THERE ANY MORE ORDERED DELIVERIES FOR THIS SITE?

  • SILO NUMBER

  • DELIVERED AMOUNT

  • DID THE ORDERED AMOUNT FIT?

  • BALANCE SITE / SITE / TONNAGE

AUTHORISATION

  • AUTHORISATION FOR ANY CHANGES MADE, BY:

    • NO CHANGES MADE TO ORIGINAL LOAD
    • STEPH
    • ROB
    • RORY
    • STEVE MENDOZA
    • SALES OFFICE
    • WEIGHBRIDGE
    • FARMER
    • SHANE K
    • SUSIE
    • DAVE G

  • CHANGES MADE VIA

    • N/A
    • PHONE CALL
    • TEXT MESSAGE
    • EMAIL
    • FACE TO FACE

SITE ISSUES

  • ARE THERE ANY PHYSICAL SITE ISSUES THAT NEED TO BE ADDRESSED VIA MANAGEMENT? ie, unsafe working environment, broken equipment, bio security hazards etc

  • Please provide description with photo evidence

DRIVER DECLARATION

  • By signing this you agree that all information provided on this declaration is true and correct.

RIVERINA DELIVERY DECLARATION
Steph Gray

RIVERINA DELIVERY DECLARATION

TO BE COMPLETED FOLLOWING THE DELIVERY OF EACH RIVERINA LOAD

Use this Template
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.

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