Title Page
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Tanker
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Conducted on:
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Prepared by:
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Location:
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Operative:
Key Information
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Tank Number:
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Description of Work
Site Access
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Have you seen the STW induction dvd?
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What is the stw induction card number?
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Do you have your anglian ID card?
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Do you have a valid copy of the authorisation?
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Are you able to demonstrate the location of the authorisation in the pack?
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Do you have a copy of the STW/anglian handbook?
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Are you aware of the closed gate policy?
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Have you signed/fobbed in?
Risk Assesments/Method Statements
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Does the risk assessment cover all the hazards where you are working?
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Is the method statement being followed?
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Do you have an SR3 available? (Sludge to Land only)
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Do you know who has the SR5? (Sludge to land only)
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Are you happy with the maps that you have been provided with? (Sludge to land only)
PPE
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Do you know the PPE mandatory requirements?
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Are you aware of your responsibility u der the PPE regs 1992?
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Wearing class 3 hi vis vest in good condition?
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Wearing hard hat/bump cap in good condition?
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Wearing appropriate safety footwear in good condition?
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Wearing appropriate gloves in good condition?
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Wet weather coat available and in good condition?
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Is hearing protection being worn and in good condition?
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Is eye protection being worn and in good condition?
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Is respiratory protection Available? (Where required)
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Wearing company uniform? (Polo shirt and trousers)
Hygiene
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Have you got the leptospirosis card?
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Have you got hand wipes/hand gel available?
First Aid
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Is a first aid kit available?
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Is the first aid kit in date/complete?
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What is the first aid kit number?
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Is the first aid kit stowed in the allocated area?
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Are you aware that first aid training is available?
Vehicle and Plant
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Do you have your CPC card available?
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Do you have the appropriate licences/plant training certificates?
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Is the vehicle in good condition?
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Does the tank have a valid pressure test?
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Is the CB in working order?
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Do you have a defect book?
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Has the defect book been completed?
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State any defects logged by driver. Include pictures below where necessary
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Pictures:
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Has the working area been considered for the vehicle/plant?
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Is the forward facing camera in a working condition?
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Is the camera correctly used? (Plugged in and recording)
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Has the memory card been formatted?
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Is the pipework in good condition?
Isolation and LOTO procedures
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Is the operator trained in isolation and aware of the STW LOTO procedure?
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Are all points of isolation locked/Tagged?
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Is a personal safety lock readily available?
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Personal safety lock number:
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Are COSHH assessments available and in date?
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Are containers correctly marked?
Overhead Power Lines
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Are there overhead power lines present on site?
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Are you aware of your vehicle height when working near OHPL?
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Are signs/cones available and in use?
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Are goalposts being used?
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Are you aware of the 15 metre exclusion zone around the OHPLs?
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Does the map clearly indicate any overhead powerlines?
Signage - Working on the Highways
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Does TMA apply?
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Have you completed streetworks training?
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Are suitable and sufficient signs available and being used?
Working at Height
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Are you aware that you are working at height?
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Are 3 points of contact maintained when entering/exiting the vehicle?
COSHH
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Are substances stored correctly?
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Are spill kits Available?
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Is a clay drain cover available?
Reporting
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Are you aware of what to do in an emergency?
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Do you know how to report hazards/safe acts/accidents /near misses?
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Are you following the lone working procedure?
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Are you working to the working time directive? (Tachograph)
Manual Handling
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Have you undertaken manual handling training?
Work Environment
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Is the standard of housekeeping in the vehicle acceptable?
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Is the standard of housekeeping in the work area acceptable?
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Is lighting/ventilation adequate?
Comments
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Comments
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Operative:
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Auditor: