BWEP Transfer Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location
  Address

JSA

• Did employees meet you with the JSA before you entered the work area?

  Yes

  No

  N/A

• Was the JSA completed before work started?

  Yes

  No

  N/A

• Did the JSA have accurate descriptions of the task steps?

  Yes

  No

  N/A

• Did the JSA identify the hazards?

  Yes

  No

  N/A

• Have workers used their Stop Work Authority today?

  Yes

  No

  N/A

• Was the JSA job information complete? (Job tasks, date, location name, Etc).

  Yes

  No

  N/A

• Are any short service employees on the job? If so, are they identified on the JSA along with their mentor?

  Yes

  No

  N/A

• Did the JSA identify the hazard controls?

  Yes

  No

  N/A

• Are all crew members signed on the JSA?

  Yes

  No

  N/A

• Are all crew members aware of muster point locations?

  Yes

  No

  N/A

• Are all crew members aware of the wind direction? (windsock locations)

  Yes

  No

  N/A

Personal Protective Equipment

• Do all workers have H2S monitors and are tested?

  Yes

  No

  N/A

• Are all workers clean-shaven? (If required by the customer)

  Yes

  No

  N/A

• Is the mandatory eye protection worn? (Safety glasses with side shields, goggles, face Shields)

  Yes

  No

  N/A

• Are workers wearing snake guards? (If required by the customer)

  Yes

  No

  N/A

• Do employees have current and up-to-date H2S certification?

  Yes

  No

  N/A

Pumps/Hoses

• Are the pumps free of trash?

  Yes

  No

  N/A

• Is the containment valve closed on self-contained pumps? (and plugged, if required)

  Yes

  No

  N/A

• Is each pump equipped with a mounted, fully charged and inspected fire extinguisher?

  Yes

  No

  N/A

• Are all stabilizing jacks in use on the pump?

  Yes

  No

  N/A

• Are all stabilizing jacks pinned securely?

  Yes

  No

  N/A

• Are employees using team Lifting for objects over 50 lb?

  Yes

  No

  N/A

• Are the pump tires chocked?

  Yes

  No

  N/A

• Are the hoses free of damage or leakage?

  Yes

  No

  N/A

• Are the camlocks properly secured? (via pins, zip ties, or duct tape)

  Yes

  No

  N/A

• Are the couplings / connectors free of corrosion damage? (Imbrittlement)

  Yes

  No

  N/A

Trailer/Deer Blind

• Is the trailer / deer blind equipped with a fully charged and inspected fire extinguisher?

  Yes

  No

  N/A

• Is the trailer and deer blind free of trash?

  Yes

  No

  N/A

• Is the generator only being used for the AC unit, lights and company two-way radio?

  Yes

  No

  N/A

• Is the work area clear of trash and other unneeded parts/ fittings?

  Yes

  No

  N/A

Company Trucks

• Is the truck free from trash inside the cab and in the bed area?

  Yes

  No

  N/A

• Is the registration current on the truck?

  Yes

  No

  N/A

• Does the truck have any new damage?

  Yes

  No

  N/A

• Are trucks parked to avoid backing when possible?

  Yes

  No

  N/A

• Is the dashboard free of lit indicators that need to be addressed and fixed?

  Yes

  No

  N/A