CVA Anhydrous Ammonia Fertilizer Inspection

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

Employee Training

• All employees engaged in anhydrous ammonia operations have completed CVA's anhydrous ammonia safety training.

  Yes

  No

  N/A

Safety Equipment

• Emergency water tanks are full and properly placed at facility during transport load-in and nurse tank filling operations?

  Yes

  No

  N/A

• Emergency shut-off cables are properly installed, marked, and function properly to activate all emergency shut off valves when pulled?

  Yes

  No

  N/A

• Emergency contact phone numbers are displayed at site?

  Yes

  No

  N/A

• Employees have access to proper PPE including non-vented goggles and liquid proof cotton lined gauntlet gloves.

  Yes

  No

  N/A

• At least two full face respirators with current NH3 canisters and spares.

  Yes

  No

  N/A

• Rain suit or slickers, and rubber boots available.

  Yes

  No

  N/A

• First aid kit.

  Yes

  No

  N/A

• Wheel blocks for nurse tanks and transports.

  Yes

  No

  N/A

Safety Observations

• All NH3 equipment is inspected before use or filling.

  Yes

  No

  N/A

• All employees wear long sleeve shirts, long pants, tight fitting non-vented goggles, and NH3 gloves when filling nurse tanks, making or braking any NH3 connections, or servicing any equipment that could result in being exposed to an accidental release of ammonia.

  Yes

  No

  N/A

• NH3 transport vehicles and nurse tanks are secured against moving by placement of wheel blocks and removable of nurse trailer hitch pins before loading and unloading.

  Yes

  No

  N/A

• Fill end valve handles are properly handled by the valve body and never by valve handle during filling operations and properly parked when disconnected from nurse tanks?

  Yes

  No

  N/A

• Proper nurse tank filling procedures are used while filling nurse tanks including the opening and closing sequence of valves.

  Yes

  No

  N/A

• Riser valves are shut off before any hose end valve is disconnected from nurse tanks?

  Yes

  No

  N/A

• Nurse tanks are not filled greater that 85% capacity?

  Yes

  No

  N/A

• Employees ensure emergency water on nurse tanks are full before letting them leave the facility?

  Yes

  No

  N/A

• All unauthorized persons including customers are kept away from load out stand during filling operations?

  Yes

  No

  N/A

• Other unsafe conditions or observations?

  Yes

  No

Security

• Bulk Plant Tank Valves are locked when unattended?

  Yes

  No

  N/A

• Hose end fill valves are locked when unattended?

  Yes

  No

  N/A

• Power to pump is secured in off position when unattended?

  Yes

  No

  N/A

• Nurse tanks are parked in a safe area within the facility?

  Yes

  No

  N/A

• No signs of trespassing, ammonia theft, or equipment being tampered with.

  Yes

  No

  N/A

Inspections / Maintence Records

• Proper inspection and maintenance records are maintained for bulk plant and nurse tanks?

  Yes

  No

  N/A

Bulk Plant Inspection

• All of facility components are in compliance with NFPA including proper bulkheads, load-in back check valves, emergency shut off valves, hydrostatic relief valves in liquid piping, pressure relief valves on tanks, proper gauges, etc.

  Yes

  No

  N/A

• No anhydrous leaks?

  Yes

  No

  N/A

• Piers supporting NH3 tanks are structurally sound and a corrosion barrier the width of the saddle is to prevent contact between the tank and the pier.

  Yes

  No

  N/A

• Paint on tanks is in good condition.

  Yes

  No

  N/A

• All required markings in place and in good condition?

  Yes

  No

  N/A

• All electrical equipment and wiring is in good condition and protected from damage by weather.

  Yes

  No

  N/A

• Valves and piping are properly painted to communicate vapor or liquid?

  Yes

  No

  N/A

• Traffic barriers in place to protect tanks and plumbing.

  Yes

  No

  N/A

• Areas under and and immediately around NH3 storage tanks are free of combustible materials such as dry grass or weeds.

  Yes

  No

  N/A

• Vapor relief valves are changed out every 5 years and are directed upward, away from any obstructions, and covered with weatherproof caps?

  Yes

  No

  N/A

• Hoses and tanks for bleeding off of delivery hoses are in place and in safe condition. Bleed off tanks are marked as bleed-off or otherwise so configured that it won't be confused as emergency water.

  Yes

  No

  N/A

• Load out stand is in safe condition?

  Yes

  No

  N/A

• Hoses are in good condition and current on replacement date?

  Yes

  No

  N/A

• Proper pull-away safety devices are installed on each hose?

  Yes

  No

  N/A

• Wind sock is installed within view of workers on load out stand and in good condition.<br>

  Yes

  No

  N/A

Nurse Tank Inspections

• Nurse tanks are free of leaks?

  Yes

  No

  N/A

• Nurse tanks are painted white and free of excess rust.

  Yes

  No

  N/A

• Nurse tanks display proper decals, warning labels, and DOT placards?

  Yes

  No

  N/A

• Each nurse tank is equipped with an emergency water tank in good condition?

  Yes

  No

  N/A

• All nurse tanks are maintained in safe condition including running gear, tires, tanks, valves, and plumbing?

  Yes

  No

  N/A

• Tandem tanks are properly plumbed?

  Yes

  No

  N/A

• Two safety chains installed on each nurse tank.

  Yes

  No

  N/A

• SMV placards displayed on back?

  Yes

  No

  N/A