WORKPLACE INSPECTION NO 21: REFUELLING MOBILE PLANT

• Inspector:

• Supervisor:

• Company:

• Location:
  Address

• Date:

  Date

INSPECTION

• The workers who perform refuelling duties are approved, trained and competent

  Yes

  No

  N/A

• SWMS developed and signed by operator and include competency training and monitoring?

  Yes

  No

  N/A

• Has an area been defined to accommodate for permanent and/or temporary refuelling processes?

  Yes

  No

  N/A

• Has a risk assessment been completed to allow refuelling trucks to enter a working environment?

  Yes

  No

  N/A

• Has a JobSTART been produced that includes refuelling operations with controls communicated to workers?

  Yes

  No

  N/A

• Does the vehicle carrying fuel have Safety Data Sheets for all substances being carried and used?

  Yes

  No

  N/A

• Operator of the vehicle carrying fuel has undertaken a PreSTART check on the fuel container and delivery system

  Yes

  No

  N/A

• Fire extinguishers and spill kits available on the vehicle carrying fuel and easily accessible

  Yes

  No

  N/A

Inspection Team

• Signature:

  Sign

• Signature:

  Sign

• Signature:

  Sign