API Maint Observation

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Safety

• PPE: Head Protection, Eye/Face Protection (safety glasses, goggles, face shield), Hearing Protection, Gloves, Foot Protection, Chemical Protective Clothing, Respirator

  Yes

  No

  N/A

• LOCKOUT/TAGOUT: Proper isolation, One lock per colleague, Red lock/danger tag, Lock box & Control lock

  Yes

  No

  N/A

• HOT WORK: Permit complete, Fire blankets/protection, Fire Watch, Extinguisher, Atmospheric test, Hot work equipment good condition

  Yes

  No

  N/A

• SAFE WORK PERMIT: Permit complete, Operations approval

  Yes

  No

  N/A

• FALL PROTECTION / LADDERS: Proper harness/lanyard, Approved anchor point, Open edges, Guard rails, Ladder condition and use, Scaffolding inspection, access, platform, etc.

  Yes

  No

  N/A

• HEAVY EQUIPMENT / VEHICLES: Proper operator card, Inspected, Equipment used properly, Scissor lift used properly, No standing on handrails, Tie off appropriate, Barricaded below

  Yes

  No

  N/A

• ELECTRICAL: Tool condition, Proper wiring & panels, Extension cords, GFCI use, FR/Arc Flash clothing, Clearance distances

  Yes

  No

  N/A

• HOUSEKEEPING: Egress paths, Clear access to emergency equipment, No tripping hazards, Material stored properly, Ice/snow removed

  Yes

  No

  N/A

• HOISTING / CRANES: Permit used properly, Capacity marked, Competent person identified, Equipment inspection, Rigging inspection, Lift plan

  Yes

  No

  N/A

• WORKER ACTIONS: Proper lifting, Safe tool use, Following procedures, Worker attentive

  Yes

  No

  N/A

ENVIRONMENTAL

• Chemical storage, Spill containment, Container labeling, MSDS, Controlled vapors/dusts

  Yes

  No

  N/A

FEEDBACK

• Positive reinforcement and acknowledgement for category with YES.

  Yes

  No

  N/A

• Recommendations on how to improve category with NO.

  Yes

  No

  N/A