AHA! Resource Manual
B.4 - Bulk Receiving Record
Tractor Identification: ______Tanker Identification:______Date Inspected: ______
Carrier Company: ______Name of Inspector: ______Cargo: ______
Bill of Lading: ______Identification: ______Cargo Verified: YES NO
Carrier / Y/NIs the outside of the vehicle clean, free from damage and in good condition? / If not, describe:
Is there written documentation for prior loads?
Is there written documentation for scheduled cleaning? / Was cleaning performed at required intervals?
Are all major points of entry and discharge sealed? / Record Seal #
Do seal numbers correspond to the numbers on the bill of lading?
Are the compartment seals intact with no evidence of tampering?
Is the auxiliary equipment clean and in good repair?
Hoses
Pump(s)
Gaskets and Seals
Fittings / Record Observations:
Incoming Product / Y/N
Does the interior of the compartment smell clean? When you open the tanker lid, do you smell ‘off’ odours? / If yes, describe:
Does the product appear normal? Do you see any evidence of foreign matter? / Identify material if possible:
Surface: ______
Particles: ______
Sample taken? / If yes, record Sample #
______
Add any other comments or remarks about your observations during receival.
RECOMMENDATION: ACCEPT REJECT Inspector Initials: ______
Onsite verification completed by: / Date: / Deviations/comments:Record verification completed by: / Date: / Deviations/comments:
Transportation and Storage Program: Bulk Receiving Record Page 1 of 1
Issue Date: ______Developed by: ______Date Last Revised: ______
Authorized by: ______Date Authorized: ______