Information
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Document No.
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Site Name / Client
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BHP/SWN/XTO/Other
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Conducted on
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Prepared by
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Location
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Personnel / Truck / Trailer
Arrival
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Is Location Marked Clearly from road
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Upon arrival is gate closed
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Is there any Damage at Gate area
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Are the Well Heads and Production Tanks properly marked
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Is there any damage at Well Heads
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Is there any damage to Production tank or Containment ring
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Are there any above ground line
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Are properly barricaded
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Are there Kiddy Pools on Location
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Is there any water in the Kiddy Pools
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Is there water in containment ring
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Did drive pull the water?
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Is this location a known H2S producer
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Is there a windsock
PPE
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Hard Hat in use?
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FRC's in use?
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Driver have H2S monitor on and in the proper place? (6 to 8 inch from face)
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Reflective Vest in use or reflective armbands for day shift ?
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Steel Toe Boots in use?
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Safe Glass in use?
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Gloves in use?
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Did driver use Face Shield to hook up and unhook hoses to truck and load line
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Are earplugs in use if decibels is over 85db
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Did you spot the driver while he/she was backing up
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Did driver set out Orange Cones Properly
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Did driver set out chocks properly
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Did Supervisor preform a visual inspection of All truck and trailer tires?
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Are the tires DOT compliant
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Did driver use Spill Containment buckets in the proper places
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Did driver use Whip checks on hoses at truck and load line
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Is the Computer Door closed
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Driver closed all valves
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Cap in load line or in Frac tank
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Did the driver clear and shut off site tube when finished loading
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Lid on tanks closed properly
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Driver fill out ticket correctly and put it in tube
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Did Driver fill out JRA
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Did Driver ask you to sign JRA
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Toolbox Talk
