OSM 3.13 Transfer of Bulk Liquids Exhibit 1 (Truck Loading Checklist)

Date

Arrival Time

Carrier Name (If Applicable)

Customer Name/City

Truck Number

Loader Pre-Fill Inspection Checklist

• Don appropriate PPE (in good condition) per local PPE Hazard Assessment and product SDS.

• Confirm carrier driver is wearing appropriate PPE per local Hazard Assessment and SDS.

• Truck brakes set, wheels choked, nose support in place (if tractor is detached from tanker). Attach glad-hand lock. Place safety cones in a visible location near transfer to alert others.

• If transferring from a railcar, wheels blocked, hand brake set, spot location verified, product in railcar verified, derailer/blue flag set.

• Tanker compartments are clean and dry (proper washout cert if required). Verify OK before loading over a heel.

• Local safety shower/eyewash working properly.

• Product connection point, pipeline, and tank labeling matches BOL product requested.

• DOT inspection on trailer is current and material of construction is compatible with product.

• Tanker in proper loading area and drip pans are in place.

• Check condition of all handles, valves, internal valves, gaskets, hoses, pumps, washout caps, rupture discs, vacuum breakers.

• For flammable/combustible products, inspect all grounding and bonding cables and equipment, and properly connect to all components including drip pans.

• For fuming products, scrubber or vapor recovery hose connected, scrubber charged and running.

• Ensure air/nitrogen pressure is relieved from the tanker or railcar before opening dome or manway. Stay out of direct line of fire. Stay out of direct line of fire. Use approved respirator when appropriate.

• Crack dome or open vent valve to scrubber/vapor recovery on receiving vessel.

• Verify only receiving valve and vent valve are open before transferring product.

• Top loading requires a secure connection, or an engineered loading spout or dip tube reaching the bottom of the vessel (no dangling hoses).

• Visually inspection ladders and platforms for defects; proper fall protection is required.

• Verify air regulators (compressed air or nitrogen) are in proper working order. If yes, proceed with transfer process.

• If air regulator(s) are NOT functioning properly, STOP WORK, immediately notify maintenance for repairs and notify Supervisor.

Time Pre-Fill Inspection Completed:

Employee Name:

Employee Signature:

Loader Post-Fill Inspection Checklist

• Driver and loader must continue wearing proper PPE until post loading tasks are completed.

• Verify tank or compartment was loaded to proper level.

• Close internal valve, close external valve, apply and secure dust cap and check for leaks.

• Allow 5 minutes for static dissipation before disconnecting (flammables and combustibles only).

• Relieve pressure (stay out of the line of fire).

• Pull retain sample in accordance with Quality Assurance Laboratory Test Procedures.

• Drain hoses and ensure no product is left in the transfer lines.

• Check that dome cover(s) are fastened securely, gasket seated correctly and in good shape.

• Ensure railcar air/nitrogen pressurization assembly and relief valves are removed, railcar dome cover(s) fastened securely, gasket installed, seated correctly and are in good shape.

• Secure scrubber assembly if used; cap hoses and store in designated areas.

• Attach product tags and label(s) to outlet valves.

• Apply appropriate placards on truck (4-sides) or (each side if compartments loaded with different products).

• Remove grounding cables (if used) and properly stow.

• Remove nose support and connect tractor, then remove wheel chocks. Remove and properly store safety cones.

• Verify tank reading volume vs scale weight volume and record on picking document.

• Complete paperwork and return to Supervisor (attach weight or meter ticket, picking document and this checklist).

• If carrier is using Univar trailer, ensure carrier driver can properly operate trailer valves and equipment.

Employee Name:

Employee Signature:

Comments/Note Any Issues:

• Pass
• Flag
• Fail