Bulk Material Discharge Station Inspection Checklist
Bulk Material Discharge Station Inspection Checklist
Inspector Name
*
First Name
Last Name
Inspection Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Station ID or Location
*
Visual Condition of Station
*
Excellent
Good
Fair
Poor
Cleanliness of Station
*
Clean
Minor Debris
Needs Cleaning
Safety Guards in Place and Intact
*
Yes
No
N/A
Emergency Stop Functionality Tested
*
Operational
Not Operational
N/A
Discharge Mechanism Operation
*
Smooth
Noisy
Obstructed
N/A
Any Leaks or Spills Present
*
None
Minor
Major
Additional Comments or Observations
Submit Inspection
Should be Empty: