OSM 3.13 Transfer of Bulk Liquids Exhibit 2 (Inbound Bulk Unloading Checklist)
This checklist is a step by step guide on how to properly and safely unload your truck .
OSM 3.13 Transfer of Bulk Liquids Exhibit 2 (Inbound Bulk Unloading Checklist)
This checklist is a step by step guide on how to properly and safely unload your truck .
Date
Arrival Time
Carrier Name (If Applicable)
Inbound Trailer/Railcar Number
Compartment 1
Product Name
Compartment 1
Product Code
Compartment 1
UN Number
Compartment 1
Receiving Tank Number or Packaging Line
Compartment 1
Inbound Quantity
Enter Quantity in GAL or LBS
Compartment 1
Receiving Tank Capacity
Enter Quantity in GAL or LBS
Compartment 1
Drum Off?
Purchase Order Number
Compartment 1
Trailer Dome Seal #(s)
Compartment 1
Trailer Bottom Outlet Seal #(s)
Compartment 1
Verify Compartment is Large Enough For Quantity Ordered & All Information is Correct
Employee Signature:
Click here to sign
Compartment 1
Second Party Verification
Employee Signature:
Click here to sign
Compartment 2
Product Name
Compartment 2
Product Code
Compartment 2
UN Number
Compartment 2
Receiving Tank Number or Packaging Line
Compartment 2
Inbound Quantity
Enter Quantity in GAL or LBS
Compartment 2
Receiving Tank Capacity
Enter Quantity in GAL or LBS
Compartment 2
Drum Off?
Purchase Order Number
Compartment 2
Trailer Dome Seal #(s)
Compartment 2
Trailer Bottom Outlet Seal #(s)
Compartment 2
Verify Compartment is Large Enough For Quantity Ordered & All Information is Correct
Employee Signature:
Click here to sign
Compartment 2
Second Party Verification
Employee Signature:
Compartment 3
Product Name
Compartment 3
Product Code
Compartment 3
UN Number
Compartment 3
Receiving Tank Number or Packaging Line
Compartment 3
Inbound Quantity
Enter Quantity in GAL or LBS
Compartment 3
Receiving Tank Capacity
Enter Quantity in GAL or LBS
Compartment 3
Drum Off?
Purchase Order Number
Compartment 3
Trailer Dome Seal #(s)
Compartment 3
Trailer Bottom Outlet Seal #(s)
Compartment 3
Verify Compartment is Large Enough For Quantity Ordered & All Information is Correct
Employee Signature:
Click here to sign
Compartment 3
Second Party Verification
Employee Signature:
Compartment 4
Product Name
Product Code
UN Number
Receiving Tank Number or Packaging Line
Inbound Quantity
Receiving Tank Capacity
Drum Off?
Purchase Order Number
Trailer Dome Seal #(s)
Trailer Bottom Outlet Seal #(s)
Verify Receiving Tank is Large Enough For Quantity For Being Received & All Other Information is Correct
Employee Name:
Employee Signature:
Click here to sign
STOP WORK AUTHORITY: Both loader and carrier should implement process for work stoppage should an unsafe condition exist before, during or after loading. A Supervisor must be notified and the unsafe condition corrected before starting the product transfer.
Unloader Pre-Unloading Inspection Checklist
Time Unloading Inspection Completed
Employee Name:
Employee Signature:
Click here to sign
LAB SAMPLE: Pull lab sample in accordance with Quality Assurance Laboratory Test Procedures and obtain lab approval prior to off-loading.
Unloader Name:
DURING UNLOADING: Monitor transfer for leaks and ensure no one comes within 25 feet without proper PPE. Exercise STOP WORK AUTHORIT as necessary and notify Supervisor of any issues.
Unloader Post-Unloading Inspection Checklist
Time Unloading Inspection Completed:
Employee Name:
Employee Signature:
Click here to sign
Comments/Note Any Issues:
Source: UNVR - 0913 - Chicago 68th St. (Community Member)