WA-580-1 Transloading Inspection Checklist

This form is available electronically. Form Approved - OMB No. 0560-0120

WA-580-1 U.S. DEPARTMENT OF AGRICULTURE (04-08-08) Farm Service Agency TRANSLOADING INSPECTION CHECKLIST

NOTE: The following statement is made in accordance with the Privacy Act of 1974 (5 U.S.C. 552a) and the Paperwork Reduction Act of 1995, as amended. 7 CFR Part 1423.9 authorizes the collection of the following data. This information will be used to determine eligibility of warehouses for storing Government-owned or loan commodities. Furnishing the requested information is voluntary; however, without it the Commodity Credit Corporation may cancel the applicable Storage Agreement. This information may be furnished to any agency responsible for enforcing the provisions of the contract. This information may be provided to other agencies, IRS, Department of Justice, or other State and Federal law enforcement agencies, and in response to a court magistrate or administrative tribunal. The provisions of criminal and civil fraud statutes, including 18 U.S.C. 286, 287, 371, 641, 651, 1001, 15 U.S.C. 714m, and 31 U.S.C. 3729, may be applicable to the information provided. According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0560-0120. The time required to complete this information collection is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. RETURN THIS COMPLETED FORM TO KANSAS CITY COMMODITY OFFICE (KCCO), WAREHOUSE LICENSE AND EXAMINATION DIVISION, STOP 9148, P.O. BOX 419205 KANSAS CITY, MO 64141-6205.

1. Terminal:

     

2. Code:

     

3. Location:

     

4. Name of Port:

     

5. Examiner:

     

6. Inspection Date:

     

PART A – TERMINAL INFRASTRUCTURE

ITEM

REQUIREMENT

PASS

FAIL

N/A

OBSERVATIONS

1

Premises are well drained.

 

 

 

     

2

Adjoining property or nearby water source does not constitute an undue physical hazard to commodities.

 

 

 

     

3

Buildings and grounds are free of weeds, clutter trash, unused equipment, or spilled commodities.

 

 

 

     

4

Dock areas are clean with a minimal accumulation of dust.

 

 

 

     

5

Dock/transloading area is located on a hard surface adequate to allow for clean-up and maintenance.

 

 

 

     

6

Commodities are protected from inclement weather during transloading process.

 

 

 

     

7

Loaded ocean container storage/staging area is located on a hard surface adequate to protect the commodity.

 

 

 

     

8

Commodities are protected from bird droppings, dust, filth and stains.

 

 

 

     

9

Personal hygiene facilities readily available for transloading personnel.

 

 

 

     

10

Area is free of objectionable odors.

 

 

 

     

11

Hazardous materials or contaminants are not stored near commodities.

 

 

 

     

12

Damaged or nonconforming products are removed from the commodity handling areas.

 

 

 

     

13

Area is free of pests and insects.

 

 

 

     

14

Access is granted for authorized personnel only.

 

 

 

     

15

Security of the physical structures and grounds is adequate.

 

 

 

     

16

Operator has an emergency action plan.

 

 

 

     

17

Contact information for local authorities is easily accessible.

 

 

 

     

PART B - SIGNATURE

1. NAME OF WAREHOUSE EXAMINER

2. SIGNATURE OF WAREHOUSE EXAMINER

3. DATE (MM-DD-YYYY)

     

     

The U.S. Department of Agriculture (USDA) prohibits discrimination in all its program and activities on the basis of race, color, national origin, age, disability, and where applicable, sex, marital status, familial status, parental status, religion, sexual orientation, genetic information, political beliefs, reprisal, or because all or part of an individual’s income is derived from any public assistance program.  (Not all prohibited bases apply to all programs.)  Persons with disabilities who require alternative means for communication of program information ( Braille, large print, audiotape, etc.) should contact USDA’s TARGET Center at (202) 720-2600 (voice and TDD).  To file a complaint of Discrimination, write to USDA, Director, Office of Civil Rights, 1400 Independence Avenue, SW., Washington, DC 20250-9410, or call (800) 795-3272 (voice) or (202) 720-6382 (TDD).  USDA is an equal opportunity provider and employer.