Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Setup
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Is the surrounding area secured with yellow caution tape and signs to alert plant personnel?
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Is the immediate Blasting Area secured with Red DO NOT ENTER tape and signs?
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Are signs posted along the route of the water blasting hose? (If the hose crosses sidewalks)
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Have all hoses been protected from vehicular traffic?
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Are the wheels on the blasting machine chocked?
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Does every connection have a whip check and hose shroud?
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Are all hoses correctly pressure rated?
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Are all fittings correctly pressure rated?
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Have precautions been taken to protect electrical equipment?
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Is a trained attendant present and are they close enough to shut down the equipment?
Blasting Equipment
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Has the nozzle/cleaning tips been inspected prior to its connection to the water hose? (including 3D heads 2D heads and Line Moiling Devices)
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Has the relief valve been inspected before the machine is started?
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Have all Hoses been banded to reflect the current working/inspection period?
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Is the dump system working properly? (Foot Pedal when needed)
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Has a Pre-Job checklist been completed?
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Has all equipment/hoses/fittings been checked for leaks and/or damage?
Cleaning
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Is the entry point where the hose enters the vessel secured to prevent the the jet from exiting the vessel?
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Has the cleaning head been secured into position outside of the vessel? (tied off)
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Has the first 6 inches of the tube sheet/line been cleaned with the pressure washer? (less then 5,000 psi)
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On piping, has the lance been marked 24" from the nozzle? And again at the end of the lance to prevent over extension through the pipe being cleaned?
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Are all anit-withdrawal devices in place?
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Have the proper "football" stops been placed on the lance? (when using the XY-Axis)
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When line moling, is a stinger at least 1.5 times the inner diameter attached to prevent accidental reversal?
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Are all employees working at a safe distance?
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Is the required PPE being worn, if necessary?
Behavior Observations
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Pre- Job Inspection
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Proper Tool for the Job
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Line of Fire
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Eyes on Path
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Protective Equipment/PPE
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Other Behavior
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Rushing
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Frustration
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Fatigue
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Complacency
Comments
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Signature
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