WRW Un-Announced Delivery Observation

• WRW Un-Announced Delivery Observation

• Terminal

• Conducted on

  Date

• Prepared by

• Location
  Address

• Select date

  Date

• Driver name

• Customer name

• Sub fleet

• Truck

• Trailer

• Product

Accident Prevention

• Site inspected for hazards before entering, correct delivery address confirmed

  Yes

  No

  N/A

• Driver entered delivery area slowly and carefully

  Yes

  No

  N/A

• Driver avoiding backup the truck - NO BACKING TO SPOT

  Yes

  No

  N/A

• Driver got out to look and used backing cones if the truck was backed ANY distance

  Yes

  No

  N/A

• Equipment secured and driver did a walk around of the truck and tank before leaving

  Yes

  No

  N/A

• Driver coned area before starting work or opening drop lids

  Yes

  No

  N/A

• Driver left delivery location carefully and used the safest exit route

  Yes

  No

  N/A

• Cell phone is not on dashboard area, no cell phone mounts in truck

  Yes

  No

  N/A

Injury prevention

• Driver was wearing seatbelt

  Yes

  No

  N/A

• Driver used 3 point stance to enter and exit the truck

  Yes

  No

  N/A

• Driver did not lift hoses above his head when draining product

  Yes

  No

  N/A

• Pulled hoses out of tube with both hands while facing tube

  Yes

  No

  N/A

• Walked slowly and carefully while carrying equipment or stepping over hoses

  Yes

  No

  N/A

Spill Prevention

• Driver checked level with stick and confirmed delivery will not exceed 90%

  Yes

  No

  N/A

• Driver obtained a veeder root if required

  Yes

  No

  N/A

• Driver checked clock gauge and confirmed correct operation while filling

  Yes

  No

  N/A

• Driver made all hose and fitting connections in correct order

  Yes

  No

  N/A

• No product or vapor leaked during delivery

  Yes

  No

  N/A

• Driver was in attendance during ENTIRE delivery

  Yes

  No

  N/A

• Hoses drained properly, no spillage while securing equipment

  Yes

  No

  N/A

• Truck has spill kit available

  Yes

  No

  N/A

Mix Prevention

• Diesel tank marked with green cone

  Yes

  No

  N/A

• Diesel compartment on mixed load marked with strap or clip on loading head

  Yes

  No

  N/A

• Diesel compartment was dropped first and without any other products dropping

  Yes

  No

  N/A

• Lids are color coded

  Yes

  No

  N/A

• Tank fills are correctly identified and checked carefully by driver

  Yes

  No

  N/A

• Driver can explain his double check procedure for preventing mixes

  Yes

  No

  N/A

• Driver matched compartment, BOL, and tank label before starting flow

  Yes

  No

  N/A

• All product is off truck or retain is called in to dispatch

  Yes

  No

  N/A

Misc

• Appearance and uniform acceptable

  Yes

  No

  N/A

• Paperwork filled out neatly

  Yes

  No

  N/A

• Correct PPE was used

  Yes

  No

  N/A

• Shipping papers and guide books are available in correct location

  Yes

  No

  N/A

• Did not damage hoses by dropping or bouncing

  Yes

  No

  N/A

• Product delivery load/unload sheet or equivalent was used

  Yes

  No

  N/A

• Did not throw, drop, or slam drop fittings

  Yes

  No

  N/A