Information

  • Document No.

  • Assessor name:

  • Assessor Company:

  • Assessment Month

  • Assessment Year

  • Supplying Location

  • Company & Site Assessed:

  • Site Address:

  • Silo Number / ID:

  • Site Contact:

  • Conducted on

1. General Site Safety

  • 1.1 Is the approach to the site entry safe for articulated Tanker vehicle access and egress?

  • If 'No', select amber or red status

  • Additional comments:

  • Photos:

  • 1.2 Is the on-site approach to the discharge point safe for articulated Tanker vehicle access and egress with minimal vehicle manoeuvring?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos

  • 1.3 On first arrival does the customer provide our driver with a site induction / information and task specific instructions, such as:<br>a) Site hazards<br>b) Procedures to follow if the filters and alarms are not fully automatic<br>c) What to do if the alarm sounds or dust emissions occur<br>d) Who to contact in an emergency

  • If 'No', select amber or red status:

  • Additional Comments:

  • Photos:

  • 1.4 Has the customer defined a safe pedestrian access route for our driver to collect keys and deliver paperwork?<br>(also consider out of hours)

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.5 Does the customer provide information on how much space is available in the silo?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.6 Is the lighting sufficient for our driver to see where the driver is going and what the driver is doing?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.7 Is the delivery ground area firm and even?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.8 Is the delivery area properly drained, i.e. minimal standing water?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.9 Is the delivery area reasonably clean and free from slip and trip hazards?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.10 Does the delivery point allow the driver to maintain a safe exclusion zone around the driver and the pressurised tanker from other site operations and vehicle movements?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 1.11 Does the Delivery point have a plan to grit the discharge area / walkways during the winter months?

  • If 'No', select Amber status

  • Additional Comments:

2. Customer's Silo

  • 2.1 Can the silo inlet connection be reached by a maximum two lengths of hose from the tanker?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.2 Is the silo inlet connection between two and a half feet (0.8m) and four feet (1.2m) above ground level and is the inlet pipe angled at 45 degrees to the vertical?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.3 Is all pipework between the end of the silo inlet connection and the silo made of steel and does it appear in a reasonable condition?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.4 Type of connection? Unicone, Stortz, other?

  • Photos:

  • 2.5 Is the coupling connection of an appropriate type and in a good condition? (Because of the risk of leaks and hoses detaching, couplings must be of a proprietary type and not homemade.)

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.6 Is the silo inlet connection clearly identified by sign(s) showing silo number, product identification and discharge procedures?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.7 Is the silo inlet connection “capped” and “locked”, when not in use?

  • If 'No', select amber or red status:

  • Site Assessor: Explain how locking off the unicone inlets can eliminate the risk of drivers discharging into the wrong silo. *Suggest Tarmac to provide clamps on the next delivery which the customer can then use to lock of their silo* Follow this up with your Traffic Office to arrange.

  • Additional comments:

  • Photos:

  • 2.8 Is the silo connection (Unicone) structurally intact (i.e. no hole drilled to accept padlock)?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.9 Is the high level detection system linked to an audible and visual warning, for each silo which can be seen and heard by the tanker driver whilst standing at their controls during delivery?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.10 Are warning lamps and sirens clearly labelled to indicate the alarm condition they are displaying and the silo to which they relate?

  • If 'No', select amber or red status:

  • Additional comments:

  • Photos:

  • 2.11 Confirm with the customer that there is a functioning filter and observe that it appears visibly free of evidence of emissions from ground level? (ie no powder deposits around these areas)

  • If 'No', select red status:

  • Additional comments:

  • Photos:

  • 2.12 Confirm with the customer that there is a functioning Pressure Release Valve (PRV)?

  • If 'No', select red status:

  • Additional comments:

  • Photos:

  • 2.13 Confirm that there is a valve to stop the flow of material (e.g. pinch valve, butterfly valve)?

  • If 'No', select amber status:

  • Additional comments:

  • Photos:

  • 2.14 Confirm that the valve is linked to an automatic shut off linked to the high level alarm or a pressure detection system?

  • If 'No', select amber status:

  • Additional comments:

  • Photos:

  • 2.15 Does the customer have maintenance / inspection records for all silo safety controls (e.g. PRV, filter, high level alarms .etc.). Obtain photographic evidence.

  • If 'No', select amber or red status:

  • Additional Comments:

  • Photos:

Closing Section

  • Are there any instructions that should be added to the Delivery Instructions' section on the drivers paperwork?:

  • Include comments and general observations that relate to the safety of the delivery process:

  • Request an e-mail address from the customer so that a copy of the assessment report can be shared...

  • insert customer e-mail address(s):

  • Please sign to confirm that the Tarmac assessor has attended site :

  • "This report and any supporting photograph is for Tarmac internal use only”

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.