Envirospray Practical Evidence

Envirospray Practical Evidence
Practical Evidence must be completed for the issue of a Envirospray Motorised Boom and Handgun certificate. This evidence is to be a true record of your storage and use systems.
Todays Date

DayMonthYear
Date
Name*

First NameLast Name
Phone Number*
Email*
example@example.com
Evidence
Signage

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Cancelof
Security System

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Cancelof
Photo of Chemical in Storage

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Cancelof
Spill Kit (incl PPE & clean up tools)

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Cancelof
Bunding

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secondary containment required above 100 litres Cancelof
Ventilation

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Cancelof
Emergency Procedure Plan

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Cancelof
Inventory List (stock on hand, showing HSR #)

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Cancelof
Safety Data Sheets (SDS file showing SDS Sheets)

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Cancelof
PPE storage - separate from Agrichemicals

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Cancelof
PPE - photo showing you wearing PPE (must include gloves, head & face protection, respirator, overalls & footwear

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Cancelof
Measuring Equipment (jugs/scales)

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Cancelof
Spray Equipment (boom, gorse gun, knapsack, vehicle pack)

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Cancelof
Spray Plan/Spray Use Record x3

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Cancelof
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Cancelof
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Cancelof
Calibration of Sprayer - completed chart of sprayer showing speed, L/ha or photo of showing electronic system in action

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Cancelof
Fire Extinguisher

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Cancelof
Confirmation
Please confirm this is a true and correct record of you own evidence from your place of work.

I confirm
Please sign / initial here

Clear
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Envirospray Practical Evidence

Evidence

Confirmation