BU3 Form – Health, Safety and Environment

Transporting Hazardous Waste off site Checklist

Transporting Hazardous Waste off site Checklist

Project Name Location
Transport Company Transport Date
Transport plate number Inspector
Completed by Area Responsibility / Logistic Officer, any NO answer should consult to Project HSE Dept for advice
Item CONFORMANCE
DESCRIPTION YE Remark
No.
S NO N/A
Vehicle and Driver Condition
1 Fire Extinguisher in vehicle
2 Load is not exceed allowable limit
3 Vehicle is in a good condition
4 Statutory symbol & placard in place at vehicle
5 Vehicle suitable with the intended load
6 Does the driver have knowledge of risks associated with the
chemical
7 Does the driver have knowledge of safe handling procedures
associated with the chemical/hazardous substance
8 Does the driver have knowledge of emergency response
procedures for the chemical/hydrocarbon
9 Emergency Procedure guide and MSDS available
Tool and kit for emergency is available (absorbent, shovel,
10
plastic bag, communication)
Permit and Licensed

1 Does the Transporter have obtained permit to take the good out
site the project area (depend on the project procedure)
2 Does truck used still have valid permit/ license
3 Is the Collector still have valid permit/ license
4 Is the Hazardous Waste Manifest have been correctly fill and
signed
Hazardous Waste Condition

1 Is the Hazardous waste packaging use correct symbol and

labelled
2 Tank, packaging, fitting condition is in good condition no leak or
damage sign
3 Hazardous waste stored in safe manner

Preventive & Corrective Action

Recommended corrective & preventive action to be input into

Preventative & Corrective BU3-ENV-FRM-001A Preventative & Corrective Action Register
Action required for entry
into register
Yes / No
Name Signature Date
Inspector
Area Supv / Supt
Project Environmental
/HSE Personnel

PT. Leighton Contractors Indonesia Page 1 of 1

BU3-ENV-FRM-010F Rev 01
12 March 2020