AUI Field Audit V2

• Client

• Project name:

• Conducted on

  Date

• Prepared by

• Location
  Address

Documentation / Work Planning

• Hazard Assessment <br>Properly completed and reviewed by workers

  Yes

  No

  N/A

• Line locates <br>Completed and valid?<br>All parties confirmation obtained?<br>Other parties notified? ( Shaw / persona)

  Yes

  No

  N/A

• A clear work plan review

  Yes

  No

  N/A

• Notification completed: Land owner, pipeline

  Yes

  No

  N/A

• Inspector on site?

  Yes

  No

  N/A

Clubroot requirements

Pipe line coating sample Pipe vintage 1940 - 1960

Construction Package

• Work package complete?<br>Land work, approvals, crossing agreements, site walk throughs.

  Yes

  No

  N/A

• Drawing details and notes reviewed?<br>Drawing notes acurate compared to land work ?

  Yes

  No

  N/A

• Site Walk through completed

  Yes

  No

  N/A

• Comments

COVID

• Signage placed where required

  Yes

  No

  N/A

• Workers wearing PPE as per policy

  Yes

  No

  N/A

• Maintain distance where possible.

  Yes

  No

  N/A
Load securement

• Trailer towing selection guide filled out or reviewed?

  Yes

  No

  N/A

• Proper type load binders are used?

  Yes

  No

  N/A

• Chains meet or exceed grade 70 requirement?

  Yes

  No

  N/A

• Worker stopped to check load securement at proper interval? 10 KM and no longer than 240KM or 3 hours

  Yes

  No

  N/A

• Proper load securement for items transported?

  Yes

  No

  N/A

• Tie downs located within the rub rails?

  Yes

  No

  N/A

PPE and Emergency Response

• Safety footwear

  Yes

  No

  N/A

• F.R. Coveralls

  Yes

  No

  N/A

• Hard hat <br>AUI internal suspension replace 1 year & shell replace 3 year Ball cap Z94.1-15. 5.74

  Yes

  No

  N/A

• Hand protection

  Yes

  No

  N/A

• Eye Protection

  Yes

  No

  N/A

• Hearing protection

  Yes

  No

  N/A

• Condition of PPE

  Yes

  No

  N/A

• Fire extinguisher <br>Label NFPA-10 4.1<br>Available / certified<br>NFPA-10 section 7.2.1.2

  Yes

  No

  N/A

• SDS & WHMIS Labels or work site label?

  Yes

  No

  N/A

• Spill Response Kit<br>Response kit complete?

  Yes

  No

  N/A

• First-Aid Kit and blankets as required?

  Yes

  No

  N/A

• Personal monitors: bump tested

  Yes

  No

  N/A

• Contractors minimum PPE requirements are met?

  Yes

  No

  N/A

• Emergency Action Plan, including ERP transportation(EHS 3.18; 1.7)

  Yes

  No

  N/A

• Environmental concerns?

  Safe

  At Risk

  N/A

• Add media

  Media

• Comments

Construction signs

• Proper sign placement<br>Traffic accommodation in work zones

  Yes

  No

  N/A

• Traffic cones and or barricades utilized?

  Yes

  No

  N/A

• Traffic control person certified?

  Yes

  No

  N/A

• Traffic control is effective for site

  Yes

  No

  N/A

• Power Lines identified to warn workers

  Yes

  No

  N/A

• Add media

  Media

• Comments

• Excavation OH&S part 32

Excavation

• Pre-dig photos of worksite? Best practice

  Yes

  No

  N/A

• Equipment inspection completed

  Yes

  No

  N/A

• Facilities exposed prior to excavation

  Yes

  No

  N/A

• Spotter and fire extinguisher around live lines

  Yes

  No

  N/A

• Pipeline right of way or pipeline no right of way. <br>Pipeline owner notification completed?<br>Proximity / Crossing agreement in place?<br>Controlled zone 30 M<br>Exposed prior - 5 M

  Yes

  No

  N/A

• Shoring / sloping <br>As per OH& S Part 32 & Schedule 9

  Yes

  No

  N/A

• Safe entry and exits at 8 meter

  Yes

  No

  N/A

• Spoil pile 1 meter away from excavation.

  Yes

  No

  N/A

• Proper depth achieved?

  Yes

  No

  N/A

• Soil separation completed?<br>

  Yes

  No

  N/A

• No equipment or materials stored at edge of excavation

  Safe

  At Risk

  N/A

• Adequate separation from other facilities achieved?

  Yes

  No

  N/A

• Excavations left open are inspected prior to entry?

  Yes

  No

  N/A

• Equipment shut off and secured when left unattended? EHS Manual 5.6 (1.4.4)

  Yes

  No

  N/A

• Comments

• Directional drilling

Directional drilling

• Walk through of drill path completed?

  Yes

  No

  N/A

• Buried facilities exposed prior?

  Yes

  No

  N/A

• Crossing buried facilities at sight hole?

  Yes

  No

  N/A

• Adequate size reamer?<br>The pilot hole is to be reamed 1.5 times larger than the largest outside diameter (OD) of the pipe installed.

  Yes

  No

  N/A

• Weak link to spec.?<br>Conforms to pipe manufactures allowable pull back pressure spec?<br>

  Yes

  No

  N/A

• Required depth achieved?

  Yes

  No

  N/A

• Pipe free of damage after bore complete?

  Yes

  No

  N/A

• Add media

  Media

• Comments

• Cranes, hoists and lifting devices. Part 6 OH&S Code

Lift

• Competent operator or Operator certification valid? Capacity of 5 tons or greater, or a boom length of 25' or more must be operated only by a person with a valid operator's certificate

  Yes

  No

  N/A

• Crane / boom truck maintenance up to date? Records available?

  Yes

  No

  N/A

• Crane / boom truck has Stability Test Completed? Must have a Professional Engineer’s stamped/sealed document stating that unit has been tested as per ANSI/SAE B30.22-2005 (J765) Stability Testing Requirements. Document will show if the crane is safe to operate in all positions (360 degree) with the crane manufacturers supplied load chart or if the crane has a reduced capacity “Custom Load Chart” provided.

  Yes

  No

  N/A

• Pre use inspection completed?

  Yes

  No

  N/A

• Set up on firm level ground

  Yes

  No

  N/A

• Over head hazards identified?

  Yes

  No

  N/A

• Travel path assessed?

  Yes

  No

  N/A

• Log book for crane reviewed and new lift entered.

  Yes

  No

  N/A

• Lifting cables, slings, chains rated, tagged and inspected?<br>ASME B30.9<br>Chapter 11 sub 11.2.4

  Yes

  No

  N/A

• Tag lines used?

  Yes

  No

  N/A

• No loads suspended over workers

  Yes

  No

  N/A
Creek crossing

• Plan of work reviewed,understood and signed?

  Yes

  No

  N/A

• Spill kit on site? Size and materials appropriate for the job?

  Yes

  No

  N/A

• Pictures taken as per plan of work?

  Yes

  No

  N/A

• Water samples taken as per the plan of work

  Yes

  No

  N/A

• Proper set back from the banks?

  Yes

  No

  N/A

• Creek monitored for frac out?

  Yes

  No

  N/A

• Add media

  Media

• Comments

Pipe squeeze

• Static control in place?

  Yes

  No

  N/A

• Squeeze and release rate as per SPM 6.13 or SPM 6.24

  Yes

  No

  N/A

• Downstream continuity ensured? Monitoring pressure constantly?

  Yes

  No

  N/A

• Squeeze points identified?

  Yes

  No

  N/A

• Add media

  Media

• Comments

Hydro Excavation

• Water pressure: max 2000psi(13790 Kpa)<br>Water temp: max 180 F ( 82 C)

  Yes

  No

  N/A

• Noise warning signs placed?

  Yes

  No

  N/A

• PPE Utilized<br>

  Yes

  No

  N/A

• Continuous wand motion

  Yes

  No

  N/A

• Bonding and grounding completed before start up within 1 meter of power line?

  Yes

  No

  N/A

• Public kept away from Hydrovac?

  Yes

  No

  N/A

• Adequate protection of holes

  Yes

  No

  N/A

• Power company orientation

  Yes

  No

  N/A

• Hydrovac slurry disposal at approved site

  Yes

  No

  N/A

• Add media

  Media

• Comments

• Confined space / Restricted space

Confine space

• Permit

  Yes

  No

  N/A

• Personnel Trained

  Yes

  No

  N/A

• Emergency Rescue Plan

  Yes

  No

  N/A

• Atmosphere tested?

  Yes

  No

  N/A

• Rescue/Retrieval Equipment (Harness, Life Line, etc...)

  Yes

  No

  N/A

• Inspection of required equipment completed? Condition of equipment acceptable?

  Yes

  No

  N/A
Hot work

• Permit completed as per Alberta OHS Code Part 10

  Yes

  No

  N/A

• Permit conditions followed?

  Yes

  No

  N/A

• Fire watch ready and available?

  Yes

  No

  N/A
Welding

• AUI certified welder<br>Welder knows procedure?

  Yes

  No

  N/A

• Performance Qualifications are valid?

  Yes

  No

  N/A

• Rod oven utilized? <br>Z662 7.5.2.4 1 hour max time exposed to atmospheric conditions

  Yes

  No

  N/A

• Condition of pipe is inspected?

  Yes

  No

  N/A

• Preheat is completed?

  Yes

  No

  N/A

• Correct electrodes used?

  Yes

  No

  N/A

• PPE and guards utilized?

  Yes

  No

  N/A

• Manned fire extinguisher

  Yes

  No

  N/A

• Bonding required?

  Yes

  No

  N/A

• Add media

  Media

• Comments

Steel line stopping

• Procedure reviewed? <br>When?

  Yes

  No

  N/A

• Downstream pressure monitored?

  Yes

  No

  N/A

• Proper fitting & tool selection?

  Yes

  No

  N/A

• Gate valve easy to remove?

  Yes

  No

  N/A

• Tested fitting?

  Yes

  No

  N/A

• Center punch used?

  Yes

  No

  N/A

• Mark depth of travel?

  Yes

  No

  N/A

• Handles removed when not in use?

  Yes

  No

  N/A

• Proper compression of rubber stopper?<br>Number of turns counted?

  Yes

  No

  N/A

• Purge isolated section?<br>Purge hose used?

  Yes

  No

  N/A

• Completion plug installed and tested for leaks?

  Yes

  No

  N/A

• Polyken & Denso tape completed properly?

  Yes

  No

  N/A

• Add media

  Media

• Comments

• P.E. Fusion

PE Fusion

• Fusion type

• Static protection on live lines

  Yes

  No

  N/A

• Equipment and tooling condition & certification adequate?

  Yes

  No

  N/A

• Proper pipe preparation?

  Yes

  No

  N/A

• Proper tooling used? ( EF clamps)

  Yes

  No

  N/A

• Pyrometers or temp sticks used to confirm iron temp?

  Yes

  No

  N/A

• Iron faces acceptable?

  Yes

  No

  N/A

• Cord condition and size appropriate? <br>25 ft # 10/3<br>50 ft # 8/3

  Yes

  No

  N/A

• Bell hole clear of garbage?

  Yes

  No

  N/A

• Passed visual inspection?

  Yes

  No

  N/A

• Caliber used? Beads within specified size?

  Yes

  No

  N/A

• Fuser info

• Add media

  Media

• Comments

Pressure testing / Continuity check

• Stabilized for appropriate time? Gauge diameter size proper and within 40% - 75% of test pressure? Calibration current?<br><50 M - 5 min. 51m - 100 m - 10 min<br>100 m - 500 m - 15 min

  Yes

  No

  N/A

• Valves open and plugged?

  Yes

  No

  N/A

• Available joints soap tested?

  Yes

  No

  N/A

• Site secure for high pressure test?

  Yes

  No

  N/A

• Adequate purge hose, with valve used? Lubo seal not used to control gas flow?

  Safe

  At Risk

  N/A

• Nitrogen used? Quantity does not pose an asphyxiation hazard?

  Media

• Continuity of tracer wire checked?

  Yes

  No

  N/A

• Comments

• Backfill

Backfill

• Trench free from objects?

  Yes

  No

  N/A

• Tracer wire installed no further than 15 cm

  Yes

  No

  N/A

• Proper pipe shading?

  Yes

  No

  N/A

• Back fill follows municipal requirements?

  Yes

  No

  N/A

• Proper tampers used?

  Yes

  No

  N/A

• Add media

  Media

• Comments

Site securement

• Equipment, materials secured and properly barricaded

  Yes

  No

  N/A

• Excavations properly fenced and barricaded with open excavation signage? EHS Manual 4.1

  Yes

  No

  N/A

• Fenced excavations in close proximity of travelled areas clearly identified and marked with reflective capability for night time?

  Yes

  No

  N/A

• Pipe ends capped?

  Yes

  No

  N/A

• Flashing warning indicators working?

  Yes

  No

  N/A
Action item

• Action item

• Hazard Risk rating

• Hazard risk rating
  A: Hazards have the potential for causing immediate serious injury and or damage
  B: Hazards are less severe, but still have the potential for causing injury or damage
  C: Hazards that have the potential to cause minor injury or damage
  Category
  1: Environmental
  2: Safety
  3: Procedure
  4: Equipment

• Complete by:

  Date

• Assigned to:

• Personal on site

• Accepted by:

  Sign

Audit wrap up discussion

• Select date

  Date