ISSUE : 02

REVISION : 03

DATE : 05.12.2009

company name
Check list for Incoming S. No. Check points at the time of

Empty Vehicles

Entry

GENERAL CHECKS : ( To be checked by security) 1 2 3 4 5 6 7 8 9 10 11 12 Kind of Vehicle Vehicle no.. Is it clearly visible? Date of arrival Product/ By Product to be Filled -Is Driver available with the vehicle -Is Cleaner above 18 years of age is available with the vehical Driver & Cleaner in Shoe with Helmet Name of the Transporter Contact No. of Driver/ transporter Driver having valid Driving licence (Original Only) Vehicle Registeration ( RC) & Pollution papers(PUC) Tanker Fitness certificate available Driver's training certificates available with the Driver

"EHS" CHECKS :( To be checked by security) 13 Emergency PPE kit available. ( Items: PVC SUIT with HOOD, Half Face Mask, Gumboot, PVC Gloves, Goggle) First-aid kit available. ( Items: Bandage, Cotton, Savalon, Betadine Ointment, Seiser,Ointment for external use, Band Aid ) The vehicle is self started as checked at the gate Body free of defects (dent, corrosion),Body Paint Is in Good Condition, Tyres are in satisfactory condition. Unloading valve well within the body built structure ( atleast 10" ) & protected by cover, blind is fixed Flange type connection is available. No oil leakage from vehicle For acid tankers, PP/PVC hose pipe available in the vent pipe Spark arrestor available / provided Proper Ladder for approach at top of the tanker is available No leakage from manhole cover, valve or fittings after filling The unloading valve with blind is fixed after filling. Declaration by Process department: I personally have checked and verified that the above mentioned vehicle no. is not having any kind of leakage from valves, tanker body , manhole , vent pipe and the material is filled up to safe level for transportation.

14 15 16 17 18 19 20 21 22 23 24 25

Check points while filling(To be checked by shift in-charge Process/ area operator)

Check points while Going Filled(To be checked by Security) GENERAL CHECKS : 26 27 Date of dispatch Product Filled

DOCUMENTS : 28 Invoice 29 30 31 32 Excise gate pass COA (must in case of export) TREM Card available No leakage from manhole cover, valve or fittings

Prepared by : CM (EHS)

Approved by : AVP (EHS)

ISSUE : 02

REVISION : 03

DATE : 05.12.2009

33

Emergency panel (including Hazard symbol) available at three sides of the tanker

Prepared by : CM (EHS)

Approved by : AVP (EHS)

ISSUE : 02

REVISION : 03

DATE : 05.12.2009

company name
Incoming Empty Vehicles

(Truck / Tanker) YES NO

YES YES YES

NO NO NO

YES YES

NO NO

YES

NO

YES

NO

YES YES YES YES YES YES YES YES YES YES YES

NO NO NO NO NO NO NO NO NO NO NO

ocess/ area operator)

Sign of the shift incharge / area operator Name:

YES YES YES YES YES

NO NO NO NO NO

Prepared by : CM (EHS)

Approved by : AVP (EHS)

ISSUE : 02

REVISION : 03

DATE : 05.12.2009

YES Sign of Security guard Name:

NO

Prepared by : CM (EHS)

Approved by : AVP (EHS)