BW-Audit for Tank Battery Facilities

• Audit Title

• Conducted On:

  Date

• Location Name / Well #:

• Lease RRC #:

• Site Representative:

• Safety Representative:

• Status of Operations:

Signage:

• Operator - Lease and RRC Number Sign in Place?

  Yes

  No

  N/A

• No Smoking Signage around flammable containers?

  Yes

  No

  N/A

• Propane Storage Tanks Labeled?

  Yes

  No

  N/A

• Confined Space Labels in Correct Location on Tanks?

  Yes

  No

  N/A

• NFPA Labels visible on Bulk Storage Tanks?

  Yes

  No

  N/A

• GHS Labeling on Chemical Containers?

  Yes

  No

  N/A

• Electrical Panel Boxes Labeled with "DANGER -HIGH VOLTAGE"?

  Yes

  No

  N/A

• All Containers Labeled with their Contents?

  Yes

  No

  N/A

• "Ground Off Before Loading" signage located near load lines?

  Yes

  No

  N/A

• Hearing Protection Signage in Place where needed?

  Yes

  No

  N/A

• Automatic Start Signage for Pumping Unit in Place?

  Yes

  No

  N/A

• DANGER- Respiratory Equipment Required Beyond this Point signage posted at stairways where required?

  Yes

  No

  N/A

• "CAUTION - POISON GAS" signage posted at entrance of location where required?

  Yes

  No

  N/A

Applicable Permits & Documentation

• Safety Data Sheets (SDS) available for products in Bulk Storage Tanks?

  Yes

  No

  N/A

• Safety Data Sheets (SDS) available for stored chemicals on location?

  Yes

  No

  N/A

• Ground Disturbance Permit Completed?

  Yes

  No

  N/A

• Hot Work Permit Completed?

  Yes

  No

  N/A

• Confined Space Permit Completed and Posted?

  Yes

  No

  N/A

General Site Inspection:

• Interior / Exterior Berms in good condition? (Storage Tanks, Separator, Flare)

  Yes

  No

  N/A

• Is Fencing around Storage Tanks in good condition?

  Yes

  No

  N/A

• Are Guards or Fencing in Place and in Good Condition around Pumping Unit?

  Yes

  No

  N/A

• Guards in Place around Moving Equipment?

  Yes

  No

  N/A

• Valves Securely Closed and not leaking?

  Yes

  No

  N/A

• Are Chemicals Stored Properly with Secondary Containment?

  Yes

  No

  N/A

• No visible Chemical Spills on Location?

  Yes

  No

  N/A

• Are Thief Hatches Closed?

  Yes

  No

  N/A

• Tanks, Walkways, Stairs Properly Grounded?

  Yes

  No

  N/A

• Grounding Post Available for Transport while Loading and Unloading?

  Yes

  No

  N/A

• Pumping Units Grounded to Well head?

  Yes

  No

  N/A

• Is all Electrical Wiring Incased in Conduit with Covers in Place?

  Yes

  No

  N/A

• Pathways Clear with No Obstructions?

  Yes

  No

  N/A

• Trash, scrap, and debris picked up and disposed of?

  Yes

  No

  N/A

• Stairs, Handrails and Platforms in good condition?

  Yes

  No

  N/A

• Windsock Up and Visible and in Good Shape?

  Yes

  No

  N/A

• Fixed H2S Monitor System working with current calibration?

  Yes

  No

  N/A

• Breathing Air Cascade System in good Condition? (Bottles, Regulator, Hose and Reel)

  Yes

  No

  N/A

• Breathing Equipment Monthly Inspected? (SCBA, SABA)

  Yes

  No

  N/A

Crew and Equipment Inspection (When Performing Work on Location)

• JSA is current and complete & reviewed with all affected during a Meet/Greet?

  Yes

  No

  N/A

• All Crew Members Wearing Proper PPE & FRC's?

  Yes

  No

  N/A

• Is Breathing Equipment available and in good condition

  Yes

  No

  N/A

• Personal H2S Monitors Bumped Tested or Calibrated?

  Yes

  No

  N/A

• Workers have a current H2S Certification Card? (When Required)

  Yes

  No

  N/A

• Fire Extinguishers Available with Monthly/ Annual Inspection Completed?

  Yes

  No

  N/A

• Fall Protection Being Utilized and in Good Condition?

  Yes

  No

  N/A

• Crew Utilizing Proper Tools for Job Functions?

  Yes

  No

  N/A

• Crew Using Proper Lifting Techniques?

  Yes

  No

  N/A

• Hand Tools with Safety Guards in Place?

  Yes

  No

  N/A

• Good Housekeeping with Work Area Clean and Organized?

  Yes

  No

  N/A

• Crew Utilizing Proper Lockout / Tag Out?

  Yes

  No

  N/A

• Does any Equipment brought onto Location Have Any Fluids Leaking?

  Yes

  No

  N/A