Site Assessment - Christeyns Engineering

• Document No.

• Audit Title

• Client / Site

• Add location
  Address

• Conducted on

  Date

• Prepared by

• Location
  Address

• Site contact(s)

Overview

• Planned start date:

• Expected duration:

• Description of work to be carried out:

• Summary of customer actions before commencing work:

• Site induction

• Tool storage / lockers

• Canteen / welfare facilities

• Skip / Disposal Requirements

Installation

• Attach photos if applicable

  Media

• Are site plans available

  Yes

  No

  N/A

• Is this a new installation or modification of existing?

  new

  modification

• Type of installation

  Select Bulk Mini Bulk Direct Feed

  • Bulk
  • Mini Bulk
  • Direct Feed

• Agree with customer any downtime required:

Installation requirements

• List equipment to be installed.

  Select L5000XL L5000e DF/2 Flux Star Flux Trace Bulk system Bulk tank ultra sonic level sensors Static pumps for bulk system overfill alarm panels Mini bulk system Starch speed flush Knight pump / starch Proof of flow system Laundry Expert c-mix PDS powder m/c Jesco pumps LLA control Bleach flush system Harroquip Water Tank Trace Heating pH monitoring

  • L5000XL
  • L5000e
  • DF/2
  • Flux Star
  • Flux Trace
  • Bulk system
  • Bulk tank ultra sonic level sensors
  • Static pumps for bulk system
  • overfill alarm panels
  • Mini bulk system
  • Starch speed flush
  • Knight pump / starch
  • Proof of flow system
  • Laundry Expert
  • c-mix
  • PDS powder m/c
  • Jesco pumps
  • LLA control
  • Bleach flush system
  • Harroquip Water Tank
  • Trace Heating
  • pH monitoring

• Other:

• What are the arrangements for loading and unloading?

• Describe access to site for unloading purposes:

• Add media

  Media

• Add drawing

  Drawing

• Is access equipment required for work at height?<br>List requirements:

  Yes

  No

  N/A

• Floor surface condition

  good

  repairs required

• Are procedures available for all tasks to be carried out?

  Yes

  No

  N/A

• Are contractors involved?

  Yes

  No

  N/A

• Name of contractors?

• Has code of practice been issued

• Have risk assessments and procedures been obtained?

• Training certificates been obtained

• Insurance certificates

• Issued and discussed with customer

• Does waste need to be disposed of?

  Yes

  No

  N/A

• Who will arrange & location to be agreed?

  customer

  CUK

• Is there an asbestos register?

  Yes

  No

  N/A

• Confirm there is no asbestos present in Engineers work area

  Safe

  At Risk

  N/A

• Other hazards in the area

  Select moving machinery noise pipe work / cables services e.g gas / water Pedestrians overhead bags reduced head height other -specify other contractors

  • moving machinery
  • noise
  • pipe work / cables
  • services e.g gas / water
  • Pedestrians
  • overhead bags
  • reduced head height
  • other -specify
  • other contractors

• Additional hazard details:

• Add media

  Media

Chemical Storage / Dosing Area

• Are all chemicals to be supplied by Christeyns

  Yes

  No

  N/A

• Can chemicals be segregated as per the segregation matrix, if not what measures will be put in place?

  Yes

  No

  N/A

• Area for chemicals to be used / size

  Yes

  No

  N/A

• Add media

  Media

• Add drawing

  Drawing

• Are there drains in the vicinity?<br>If so what measures need to be put in place to prevent any chemicals entering the drain?

  Yes

  No

  N/A

• Spill Prevention Required:

  Select Spill Kit Drain Mat

  • Spill Kit
  • Drain Mat

• Can chemicals be stored away from pedestrians or access restricted?

  Yes

  No

  N/A

• What is the distance from storage area to dosing area

  <1metre

  1-3 metres

  3-5 metres

  over 5 metres

• Does the area require a barrier / door to prevent access?

  Yes

  No

  N/A

• Are there any temperature requirements?

  Yes

  No

  N/A

Working at height

• Will there be any working at height / access issues once the work is complete?

  Yes

  No

  N/A

Training

• Do our Engineers hold relevant qualifications / experience to carry out all tasks?

  Yes

  No

  N/A

• List training requirements for the customer

  Yes

  No

  N/A

Bulk tank details

• Are bulk tanks to be installed?

  Yes

  No

  N/A

• Who owns the tank(s)?

  customer

  competitor

  CUK

• Material of construction?

Tank

• Select stainless poly

  • stainless
  • poly

• What is the approx capacity of the tanks?

Tank

• Top fill or other?

  Yes

  No

  N/A

• What is the method for positioning bulk tanks?

• Overfill prevention method?

  Select level gauge cat and mouse electronic level overfill alarm sight glass

  • level gauge
  • cat and mouse
  • electronic level
  • overfill alarm
  • sight glass

• Are overfill alarms required?

  Yes

  No

  N/A

• Is the bulk tank bunded?

  Yes

  No

  N/A

• Type of bund

  Yes

  No

  N/A

• Is there clean water for cleaning pipe work?<br>Describe?

  Yes

  No

  N/A

• Are there facilities for disposal of contaminated water?<br>Describe?

  Yes

  No

  N/A

• Are there drains in the vicinity?<br>If so what measures need to be put in place to prevent any chemicals entering the drain?

  Yes

  No

  N/A

• Outline location of bulk tanks

  Drawing

• Add media

  Media

Vehicle access to bulk tank

• Add media

  Media

• Are there any problems with vehicle access or manoeuvring on site e.g narrow roadways / restricted access / Turning circles / blocking access routes etc.

  Yes

  No

  N/A

• What is the distance from the vehicle to the bulk tank inlet point / what is the length of pipe required

  <1metre

  1-3 metres

  3-5 metres

  over 5 metres

• What is the distance from bulk inlet point to walkways / fire exit/ pedestrian access

  <1metre

  1-3 metres

  3-5 metres

  over 5 metres

• Min 5 metres

• Is the pipe run straight and level or are there any inclines / areas where the pipe work will not be visible?

  Yes

  No

  N/A

• Are there any pedestrians working or who require access to the area, whilst a bulk delivery is taking place?

  Yes

  No

  N/A

• Are there obstructions

  Yes

  No

  N/A

• Are static pumps required?

  Yes

  No

  N/A

Supervision

• Has the customer been made aware of the requirement for supervision of bulk deliveries?

  Yes

  No

  N/A

• Has the customer been issued with a copy of the bulk delivery procedure? (Hazardous & non hazardous)

  Yes

  No

  N/A

First aid facilities

• Eye wash facilities should be located within or near to the dosing area.

• Is there a drench shower available near the delivery area

  Yes

  No

  N/A

• Ensure customer is aware of the following requirements: (ANSI Z358.1 2009)

• Ensure continuous water supply delivering 76 litres per minute for 15 mins. Installed so the shower head is between 208 - 244cms off the floor. Safety showers must be located within 10 seconds / 15 metres of a potential hazard. Must be located on the same level as the hazard.

Customer to provide

• Laundry Requirements

• Service Requirements

• Other comments / requirements

• Completed by:

  Sign

• Select date

  Date