Title Page

  • Conducted on

  • Prepared by

  • Add location
  • Well Name

  • API

  • Area

  • Supervisor

  • Facility Type

  • Are drains, dumps, drip pans, compressor rails and secondary containment free of accumulation of oil and water?

  • Are valves free of signs of corrosion, leaks, or improper operation?

  • Are tanks properly vented?

  • Is equipment free of visible signs of corrosion, damaged paint, or leaks?

  • Are piping, flanges, and joints free of visible signs of corrosion, damaged paint, or leaks?

  • Is secondary containment free of visible signs of cracks, low spots, holes, animal burrows or erosion?

  • Do all oil drums have bungs in place and show no signs of leakage?

  • Do all flow through process vessels (SEP, DEHY, Heaters) have secondary containment?

  • If the flow through process vessel does NOT have sized secondary containment, is the vessel or its components free of visible signs of corrosion, leaks, or defects?

  • If evidence of a leak is discovered, was the leak reported immediately to the production supervisor?

  • Does all applicable oil filled containers have sized secondary containment?

  • Does the facility have ready access to all necessary tools, containment media, and clean up material to isolate and control minor spills?

  • Are all on-site storage containers and equipment properly labeled?

  • Does the most recent facility diagram match the configuration of the equipment, secondary containment and lines on location?

  • Does the locations site specific information require an update?

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