Inspection Check List
Is Production/ Well Sites Properly Identified?
Safety Billboard in Place?
PPE & FRC's signage in Place at Entrance?
Lease Signs in Place?
No Smoking Signage at the Entrance of Location?
Confined Space Labels in Correct Location on Tanks?
Tanks Labeled with Placards in Place?
Chemical Pump Room Labeled?
LACT Unit Building Labeled?
Separator Building Labeled?
Well water Pump Labeled?
Heater Treater Labeled?
Generator Fuel Tank Labeled?
Electrical Room/ Panel Labeled?
Electrical Breakers Properly Indicated?
Electrical Board Panels with Warning Labels in Place?
Pumping Unit Safety Warning Labels in Place?
All Containers Labeled with their Contents?
Hearing Protection Signage in Place?
Automatic Start Signage in Place?
Stay Off Berm Signage in Place?
JSA / SJA Completed with Contractor Sign-in Sheet?
Ground Disturbance Permit Completed?
Hot Work Permit Completed?
Confined Space Permit Completed and Posted?
Critical Lift Permit Completed?
Interior / Exterior Berm in Place?
Knife Gate Valve Closed and Secured with Lock & Chain?
Dead Man Marked / Visible and within its Life Expectancy?
Pumping Unit Safety Guards in Place, Ladders with Fall Protection Cage?
Ignitor Wire Functioning?
All Caps and Plugs in Place?
Teflon Tape on all Plumbing Threads?
Heater Treater Ladder with Fall Protection Cage in Place?
Tanks, Walkways, Stairs Properly Grounded?
Grounds Available for Transport while Loading and Unloading?
Stairs and Catwalk Secured on Tanks with Two Threads Showing on Bolts?
Adequate Hand-Rails Provided on Stairs and Catwalk?
Windsock Up and Visible and in Good Shape?
Are Chemicals Stored Properly with MSDS Available?
Electrical Covers in Place?
Location Clean with Pathways Clear (No Obstructions)?
All Crew Members Wearing Proper PPE & FRC's?
H2S Monitors Being Utilized?
Fall Protection Being Utilized?
Utilizing Safety Glasses/Grinding Shields while Grinding?
First Aid Kit Available on Location?
Fire Extinguishers Available with Monthly / Annual Inspection Completed?
Crew Utilizing Proper Tools for Job Functions?
Crew Using Proper Lifting Techniques?
Tools with Safety Guards in Place?
Good Housekeeping with Work Area Clean and Organized?
Crew Utilizing Proper Lockout / Tag Out?
Roll Over Protection in Place with No Obvious Defects?
Fire Watch Being Utilized?
Spotter Be Utilized while Heavy Equipment is in Operations?
Backup Alarms on Equipment Working Properly?
Does Contractor Equipment on Location Appear to Have Any Fluid Leaking?
Does Contractor Equipment on Location Have Seat Belts (Being Utilized by Operator)?
Are Spill Kits on site and Marked
Are Chock Blocks Being Utilized?
Are Compressed Cylinder Tanks Secured Upright with Valve Caps in Place?
Proper Rigging Techniques are Being Utilized while Lifting Loads?
Inspected Tag Lines are Being Utilized when Lifting Loads?
Rigging Equipment Appears to be in Good Working Condition?
Caution Tape / Barriers Fencing Off Around Open Pits and Trenches?
All Bell Holes are Properly Sloped and/or Benched?
Ladders, Steps, or Ramps Located in Bell Hole so No More than 25ft of Lateral Travel is Required?
Excavated Soil, Other Material, Or Equipment are Stored at Least 2ft from the Edge of the Excavation?
Are AED's Properly Marked and Inspected?
First Aid Kits are Up to Date and Available?
Eye Wash Station Up to Date and Available?
Hearing Protection Available?
Flammable Storage Cabinet Being Utilized?
MSDS Binders at Location with Updated MSDS Sheets?
Are Combustibles Being Kept in Electrical Room?
Is all Electrical Wiring Incased in Conduit with Covers in Place?
Are Rubber Mats in Place on Flooring of Electrical Building?
Oil Facility Pressure Relief Valve was in the Locked Open Position?
Are All Transformers Enclosed with Safety Barrier (Bollards)?
Underground Injection Control (UIC) Permit Available?
Spill Prevention Control and Countermeasure Plan (SPCC) Available?
Are Catch Pans Located on All Transfer Valves?
Facilities Response Plan (FRP) Available?
Fire Extinguishers Available with Monthly/ Annual Inspection Completed?
Contractor Safety Representative:
Consultant / Company Man:
Contractor Supervisor / Foreman:
Person In Charge (PIC):