Silo RJF Checks & Contractor Hand Back Form

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Health and safety

• Is the weather conditions fit to climb silos

  Yes

  No

  N/A

• Has a Permit To Work be completed

  Yes

  No

  N/A

• Permit signature

  Sign

• Permit number:

• Is our personnel trained to use the slide loc system

  Yes

  No

  N/A

• Have contractors been trained to use our slide loc system

  Yes

  No

  N/A

• Is their safety harness in date and fit to use

  Safe

  At Risk

  N/A

• Are they wearing the correct PPE for the task

  Safe

  At Risk

  N/A

General Condition

• Is the motor (if fitted) in good condition and operationally sound?

  Yes

  No

  N/A

• Are the access doors in good condition & operational?

  Yes

  No

  N/A

• Are the lid hinges in good condition and the springs secure?

  Yes

  No

  N/A

• Check the condition and integrity of the isolator and wiring, are they fit for purpose?

  Yes

  No

  N/A

• Is the condition and integrity of the control box fit for purpose?

  Yes

  No

  N/A

• Check the integrity of the casing, is itin good condition? (no rust or cracks)

  Yes

  No

  N/A

• Are the RJF's free from air leaks and damage to piping?

  Yes

  No

  N/A

• Is the magnehelic gauge in good condition and in working correctly?

  Yes

  No

  N/A

• Is the high level probe in good condition?

  Yes

  No

  N/A

• Check the integrity and operation of the silo off loading valve, are they fit for purpose?

  Yes

  No

  N/A

• Are the air jets in the correct sequence and the solenoids operationally sound?

  Yes

  No

  N/A

• Has any isolation been removed after the works been completed

  Yes

  No

  N/A

• Are the aeration devices operating correctly?

  Yes

  No

  N/A

Contractor hand over checks

• Select date

  Date

• Have the doors been closed and secured after checks

  Safe

  At Risk

  N/A

• Have all isolations been removed

  Yes

  No

  N/A

• Is the top of the silo clear of waste and debris

  Safe

  At Risk

  N/A

• If there any loose powder on the silo

  Safe

  At Risk

  N/A

• Has all work been completed

  Yes

  No

  N/A

• Is the silo fit to be returned into service

  Yes

  No

  N/A

• Contractor

  Sign

• Crown Technician

  Sign