Title Page

  • Site conducted

  • Conducted on

  • Prepared by

  • You must have confined space training to enter silos. All relevant documents must be filled out before commencing work, constantly monitor the atmosphere with a gas detector. A confined space permit is required to enter silos, rescue plan must be understood by all employees cleaning the silo.

Pre-Start Checklist

  • I have read and signed on to the relevant JSEA?

  • I have filled all the required documents and notified people in the surrounding area?

Cleaning Silo

  • Which Silo or Silos are you cleaning?

  • Which silo?

  • Is the task complete?

  • All equipment has been returned?

  • Please take photos when the silo is clean for our records.

Signatures

  • Employee Name & Signature

  • Employee Name & Signature?

  • Employee Name & Signature

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