Information

  • Location Name:

  • Date:

  • Prepared By:

  • Location
  • Personnel On Site:

Location Entrance

  • Certificate to Operate Present.

  • Individual Well Signs Present.

  • State Permit Present

  • ESCGP-1 Permit (PA) Present

  • Crime Watchers Sign Present

  • 911 Sign With Address Present

  • No Trespassing Sign Present

  • River Basin Permit Present

  • Mailbox Present

  • PPC/ERP (PA) In Tube

  • Gate Present/Good Condition

Well heads

  • Fence Installed With Two Gates

  • Cellars Filled or Covered

  • No Smoking Sign Present

  • Vehicle Barriers Present

  • Wells Labeled/Signed

  • Annular Casing Pressure Lines Labeled

Gas Production Unit

  • Hot Surface Sign Present (Heater Treater Also)

  • Labeled With Well #

  • Danger/Ventilation Sign

  • PSV Exhaust Routed Outside/Clear of Exit

Compressor

  • Sheltered

  • No Smoking Sign Present

  • Exhaust/PSVs Routed Out of Shelter

Production Tanks

  • Each Tank Labeled and Placards Attached

  • No Smoking and Danger Signs Present

  • Confined Space Signs On Each Tank

  • Fence Installed With Two Gates

  • Containment Visually Sound

  • Containment Drain Line Installed

  • Stairs Over Containment Installed

  • Truck Loading Area Labeled and 25' From Condensate Tanks and 15' from Water Tanks.

  • Lightning Protection Installed

  • Tanks Bonded and Grounded

  • Grounding Point At Loading Area and Wire Covered

  • Load Out Lines Have Valves and Capped

  • Stairs, Handrails, and Toe Kicks Installed

General Site

  • Equipment Painted

  • Lines Labeled

  • Site Slips

  • Drainage Issues

  • Access Road Issues

  • Trash On Location

  • Spills or Leaks

  • Comments

  • Signature

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