Anhydrous Ammonia

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

General

• Are all employees properly trained?

  Yes

  No

  N/A

• Are all personnel assigned to work with anhydrous ammonia capable of working in a hazardous area?

  Yes

  No

  N/A

• If the ammonia refrigeration system has 10,000 pounds or more of ammonia, are applicable requirements in 1910.119 followed?

  Yes

  No

  N/A

Personal Protective Equipment

• Are goggles used by all persons handling anhydrous ammonia?

  Yes

  No

  N/A

• Are ammonia-resistant gloves used by all persons handling anhydrous ammonia?

  Yes

  No

  N/A

• Are rain suits or slickers available? Are boots available?

  Yes

  No

  N/A

• Are two full-face masks available?

  Yes

  No

  N/A

• Are canisters current?

  Yes

  No

  N/A

• Are two self-contained air masks available for emergencies?

  Yes

  No

  N/A

Emergency Response

• Is a safety water tank or an approved deluge shower available?

  Yes

  No

  N/A

• Are fire extinguishers in good condition?

  Yes

  No

  N/A

• Have the local emergency authorities been trained in handling anhydrous ammonia emergencies?

  Yes

  No

  N/A

• Are emergency telephone numbers conspicuously posted?

  Yes

  No

  N/A

• Are storage tanks approved for anhydrous ammonia?

  Yes

  No

  N/A

• Is an approved first aid kit available?

  Yes

  No

  N/A

Signs and Markings

• Is the paint on storage tanks in good condition?

  Yes

  No

  N/A

• Are the "Caution-Ammonia" or "Anhydrous Ammonia" decals in place?

  Yes

  No

  N/A

• Are the "Warnings" and "First Aid" decals in place?

  Yes

  No

  N/A

• Are "Wear Your Goggles" decals located throughout the work area?

  Yes

  No

  N/A

• Are the liquid and vapor valves properly identified?

  Yes

  No

  N/A

• Are transfer connection areas ( transport stubs, loading stations, and so on) marked "Caution-Ammonia" or "Anhydrous Ammonia"?

  Yes

  No

  N/A

• Are "Stop-Tank Car Connected" signs available and in use?

  Yes

  No

  N/A

• Is a "First Aid Water" decal on the safety tank or shower?

  Yes

  No

  N/A

Equipment

• Are all valves, and like equipment, approved for anhydrous ammonia?

  Yes

  No

  N/A

• Are excess flow checks in all openings where required?

  Yes

  No

  N/A

• Are relief valves checked and replaced regularly?

  Yes

  No

  N/A

• Are all relief valves capped?

  Yes

  No

  N/A

• Is all piping done with schedule 80, black pipe ( no galvanized or brass)?

  Yes

  No

  N/A

• Are all hoses labeled for anhydrous ammonia?

  Yes

  No

  N/A

• Are all hoses and pipes equipped with relief valves where needed?

  Yes

  No

  N/A

• Are hoses inspected regularly and changed when age or condition require?

  Yes

  No

  N/A

• Is there an automatic back check in the transport liquid line?

  Yes

  No

  N/A

• Are wheel chocks for nurse tanks, motor transports, and rail cars available?

  Yes

  No

  N/A

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