Ref:RK/NJD :QHE:TI:WOT.

Vehicle to Load/Offload Inspection Report Version: 002 Nov 2020

Report No__________________Date_________________Time____________

Transporter Name___________________________ Driver Name________________________________ Passport No / ID. _______________

Location/Depot___________________ Order No____________________ Truck No _________________Trai
Type of truck ______________________
Driver PPE Checks (Y/N)
Hard Hat with strap _______ Goggles ________ Respirator _______ Long Sleeved Overall___________ Gloves ________ Safety Shoes ________
Safety Harness ________________

1.0.0 PRE ENTRY INSPECTION *Tick in box applicable √

Type A or
1.1.0 PRIME MOVER or RIGID VEHICLE LICENSES Type B Yes No N/A Indicate Not Ok where applicable
Hazard
1.1.1 NTSA Inspection Date________________ Expiry Date _____________________ A
1.1.2 Insurance Date ___________________Expiry Date __________________ A
1.1.3 EPRA- Transporters Licence Date _________Expiry Date __________________ A
1.1.4 Speed Governors Certificate Date ____________________ Expiry Date________________________ A
1.2.0 TRAILER LICENCES Yes No N/A Indicate Not Ok where applicable
1.2.1 NTSA Inspection Date________________ Expiry Date _____________________ A
1.2.2 Insurance Date ___________________Expiry Date __________________ A
1.2.3 Calibration Certifcate for Compartments Date _________ Expiry Date ______ A
1.3.0 DRIVER CHECKS Yes No N/A Indicate Not Ok where applicable
1.3.1 BCE Class Driving License Number___________Expiry Date___________ A
1.3.2 EPRA Drivers Permit / Card Expiry Date_______________________________ A
1.3.3 Firearm (Y?N) To be declared to the depot manager. A
1.3.4 Is the Driver under the influence of any substance that could impair his judgement. (Y/N) A
1.3.5 Mobile Phone Checked and Off (Y/N) -To be deposited at the entrance to the depot. A
1.4.0 DRIVER SUPPORT AIDES Yes No N/A Indicate Not Ok where applicable
1.4.1 Windscreen intact, free from cracks and clear. A
1.4.2 Windscreen wipers working and wiper water enough? A
1.4.3 Truck side mirrors ok? Intact, clear, rigid and adjustable? A
1.4.4 Vehicle horn working and audible A

1.4.5
Three (3) point retractable safety seat belt of both driver and passenger available and working? A
Seats are secure and back rests not broken
1.4.6 Reverse buzzer working? A
1.4.7 Truck hand and foot brakes working? A
1.4.8 Lights working efficiently A

1.4.9
Truck exhaust system properly designed and routed away from any posibilty of coming into A
contact with fuel incase of an accidental spill
1.4.12 All tyres, including spare, have minimum 3mm treads and free of cracks A
1.5.0 BRIDGER TANK CHECKS Yes No N/A Indicate Not Ok where applicable
1.5.1 Truck shell physical cleanliness and compartment capacities each indicated A
1.5.2 Tank shell in good condition (No dent nor leaking) A
1.5.3 Truck has handrails A
1.5.4 Tanker fitted with anti slip steps roof top access ladder A

1.5.5
Truck fitted with Bottom/Discharge Valves in good working condition (Valve displaying free A
movement)
1.5.6 Truck free of hidden compartments in its under-belly A
1.5.7 Dome covers firmly welded to the trucks body and not tampered with A

1.5.8
Manhole (Filling Hatch) in good condition with sealing dome cover rubber has no wear/tear and A
cracks.
1.5.9 Manhole sealing systems well secured and tamper proof A
1.5.10 Truck has non-slip walkway along the entire length of the tank top A
1.5.11 Tank free of leaks/ drips of oil/fuel A
1.5.12 Truck free of air leak A

1.5.13 Roof top fitted with water drain pipes or holes which are checked and no have no blockage A

1.5.14 Tank compartments capacity indicated on top part of the tank near the hatch A
1.5.15 Truck has reflective tape round whole truck tank as required by EPRA A
1.6.0 TRUCK SAFETY REQUIREMENTS Yes No N/A Indicate Not Ok where applicable
1.6.1 Is the engine self-starting properly A
1.6.2 Tyres all have mudguards/ flaps and free of wear and tear B

1.6.3 2 x 9 Kg valid (ABC) DRY POWDER GAUGE TYPE Fire Extinguishers secured on either side of the truck and easy to remove A
incase of need. Write expiry date of service________________________________

1.6.4 Truck has a 2kg ABC dry powder fire extinguisher in the cabin and not overdue for service ? Write A
expiry date of service_____________________________
1.6.5 Truck provided with an electrical switch isolator (cut-out) A
1.6.6 Truck battery well covered with non cunductive material cover A
1.6.7 Truck has 2 wheel chocks - either rubber or hardwood A
1.6.8 Electrical cables /circuits well insulated ,trunked ,conduited and properly terminated. A
1.6.9 Truck exhaust fitted with spark arrester A

1.6.10 Truck shell provided with unpainted and rust-free static bonding lug on both sides of the truck. A

1.6.11 Truck has a set of two safety triangles or 4 safety cones. A

1.6.12 Truck has rear left and right reflective chevrons A
1.6.13 Truck has Petroleum and Dangerous Goods hazard stickers/signage A

Truck Fit To Enter Inspected By ___________________________ Full Names ____________________________Job Title ____________________Signature ____________Date

Truck Fit To Enter Approved By ___________________________ Full Names ____________________________Job Title ____________________Signature ____________Date