Anhydrous Ammonia RMP Safety Information

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Location of Ammonia Plant

• Are SDS Sheets Current?

  Yes

  No

  N/A

Maximum Intended Inventory

• Bulk Tanks

• Size (Gallons)

Tank

• Multiple Tanks?

  Off

  On

• Number of Tanks

• Total Gallons: # of tanks X size =

• Rail Car Transport Tanks

• Size (Gallons)

Tank

• Multiple Tanks?

  Off

  On

• Number of Tanks

• Total Gallons: # of tanks X size =

• Bulk Transport Trailers

• Size (Gallons)

Tank

• Multiple Tanks?

  Off

  On

• Number of Tanks

• Total Gallons: # of tanks X size =

• Nurse Tanks

• Size (Gallons)

Tank

• Multiple Tanks?

  Off

  On

• Number of Tanks

• Total Gallons: # of tanks X size =

• Total Quantity (Pounds): (Bulk Tanks + Rail Car Tanks + Bulk Transport Trailers + Nurse Tanks) X 4.6638=

Upper and Lower Perameters

Temperature (Degrees Fahrenheit)

• Minimum Temperature (Degrees Fahrenheit)

• Maximum Temperature (Degrees Fahrenheit)

Pressure(Pounds Per Square Inch Gauged)

• Minimum Pressure (Pounds Per Square Inch Gauged)

• Maximum Pressure (Pounds Per Square Inch Gauged)

Flow (Gallons Per Minute)

• Minimum Flow (Gallons Per Minute)

• Maximum Flow (Gallons Per Minute)

Composition (% Anhydrous Ammonia)

• Minimum Composition (% Anhydrous Ammonia)

• Maximum Composition (% Anhydrous Ammonia)

Codes and Standards

• CGA 2.1 Standards used to design, build, and operate?

  Yes

  No

  N/A

• Are generally accepted and good engineering practices followed?

  Yes

  No

  N/A

• Has their been major changes in the safety information to make it inaccurate?

  Yes

  No

  N/A

• Changes in Information

Change

Storage Tank Information

• Storage Tank Data Plate

Tank

• Location of Storage Tank?

• Vessel/Tank I.D.

• Manufacturer

• Serial #

• Manufacture Date

• ASME Code

• Board Registration #

• Above Ground/Underground

• Min/Max Design Temperatures (Degrees Fahrenheit)

• Wall Thickness Shell/Head (inch, mm)

• Water Capacity (lb, kg, gal, m^3)

• Outside Surface Area (ft^2' m^2)

• Is the data plate present and legible?

  Yes

  No

  N/A

Compressor/Pump Information

• VaporCompressor ID

Compressor

• Location of Vapor Compressor?

• Manufacturer/Model/Serial #

• CFM/GPM Pressure (inlet/outlet)

• Motor Info: Manufacturer/Model/Serial #

• Motor Info: HP/RPM/Amps

• Manufacturer's Safe Operation, Maintenance, and Technical Information on Hand?

  Yes

  No

  N/A

• Liquid Pump ID

Liquid Pump

• Location of Liquid Pump?

• Manufacturer/Model/Serial #

• CFM/GPM Pressure (inlet/outlet)

• Motor Info: Manufacturer/Model/Serial #

• Motor Info: HP/RPM/Amps

• Manufacturer's Safe Operation, Maintenance, and Technical Information on Hand.

  Yes

  No

  N/A

Storage Tank Appurtenances

Pressure Relief Valve

• Location of Pressure Relief Valve?

• Set Pressure (psig)

• Rate of Flow (CFM)

• Manufacture Date

• Date Replaced

• Manufacturer, Serial #

• Hydrostatic Valves

Hydrostatic Valve

• Location of Hydrostatic Valve?

• Set Pressure (psig)

• Rate of Flow (CFM)

• Manufacture Date

• Date Replaced

• Manufacturer, Serial #

• Belly Valves

Belly Valve

• Location of Belly Valve?

• Manufacturer

• Model #

• Liquid or Vapor

• Pressure Relief Valve Manifold

PRV Manifold

• Location of Pressure Relief Manifold?

• Location

• Manufacturer

• Model #

• Emergency Shutoff Valve

Shutoff Valve

• Location of Emergency Shutoff Valve?

• Manufacturer

• Model #

• Liquid or Vapor

• Percent Fill Gauge

Gauge

• Location of Percent Fill Gauge?

• Manufacturer

• Model #

• Approved for anhydrous?

  Yes

  No

  N/A

• Pressure Gauge

Gauge

• Location of Pressure Gauge?

• Manufacturer

• Model #

• Approved for Anhydrous?

  Yes

  No

  N/A

Riser Appurtenances

• Pressure Relief Valves

Pressure Relief Valve

• Location of Pressure Relief Valve?

• Set Pressure (psig)

• Rate of Flow (CFM)

• Manufacture Date

• Date Replaced

• Manufacturer, Serial #

• Hydrostatic Valves

Hydrostatic Valve

• Location of Hydrostatic Valve?

• Set Pressure (psig)

• Rate of Flow (CFM)

• Manufacture Date

• Date Replaced

• Manufacturer, Serial #

Liquid Globe Valve

• Location of Liquid Globe Valve?

• Manufacturer

• Model #

• Valve Size

Vapor Globe Valve

• Location of Vapor Globe Valve?

• Manufacturer

• Model #

• Valve Size

Liquid Angle Valve

• Location of Liquid Angle Valve?

• Manufacturer

• Model #

• Valve Size

Vapor Angle Valve

• Location of Vapor Angle Valve?

• Manufacturer

• Model #

• Valve Size

• Pull-Away Protection

Pull-Away Protection

• Location of Pull-Away Protection?

• Manufacturer

• Model #

• Size

• Hose I.D.

Hose

• Location of Hose?

• Manufacturer

• Working Pressure

• Manufacture Date

• Replace By Date

• Riser Emergency Shutoff Valves

ESV

• Location of Emergency Shutoff?

• Manufacturer

• Serial Number

• Liquid or Vapor?

Bulk Head Appurtenances

• Hydrostatic Valves

Hydrostatic Valve

• Location of Hydrostatic Valve?

• Set Pressure (psig)

• Rate of Flow (CFM)

• Manufacture Date

• Date Replaced

• Manufacturer, Serial #

Back Check Valve

• Location of Back Check Valve?

• Manufacturer

• Model #

• Valve Size

Liquid Globe Valve

• Location of Liquid Globe Valve?

• Manufacturer

• Model #

• Valve Size

Vapor Globe Valve

• Location of Vapor Globe Valve?

• Manufacturer

• Model #

• Valve Size

Bulk Head Emergency Shutoff

• Emergency Shutoff Valve

Emergency Shutoff

• Location of Emergency Shutoff Valve?

• Manufacturer

• Model #

• Liquid or Vapor

Excess Flow Valve

• Location of EFV.

• Valve I.D.

• Max Allowed Flow (GPM)

• Manufacturer

• Model #

• Management Signature

  Sign