Title Page
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Site conducted
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Conducted on
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Inspected by
General
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Housekeeping
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Vegetation Control
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Fencing
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Fencing Condition
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Total Number of Gates
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Gates Locked
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Emergency Exits
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Emergency Exit Signs
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No Trespassing Signs
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Perimeter Pipeline Signs
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Comments
Signs, Placards, Labels
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ET Sign with Emergency Number
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Station Name
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Hard Hat Required
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Eye Protection Required
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Hearing Protection Required
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FR Clothing Required
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No Smoking
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H2S Sign (50 PPM or Higher)
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Authorized Personnel Only
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Driving Plan
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No Cell Phone or Camera Usage
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Danger High Voltage
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ARC Flash on High Voltage Panel
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Voltage Labels on all Electrical Panels
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Windsock
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Pigging Procedures
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Comments
Tanks
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Staircases and Catwalks in need of repair
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Ground System available for trucks
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Loadline fittings condition satisfactory
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Loading Procedures
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Proper Labeling and Identification
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No Smoking Signs
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Tanks atleast 100' from fired vessels
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Confined Space Signs - Permit Required
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Methanol Tanks properly grounded
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Comments
Stairways, Catwalks, and Ladders
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Fixed ladders over 24' equipped with fall arrest
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Signs posted where harness required
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Platforms have gates at ladder openings
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Ladders and platforms in good condition
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Handrails and Toeboards in place
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Oil spills near ladders/stairs
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Portable Ladders in good condition
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Comments
Fire Prevention / Protection
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Adequate number of Fire Extinguishers
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Monthly Inspections Current
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Annual Inspections Current
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Hydro Test Dates Current
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Approved Containers used for flammable/combustable liquids
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Proper signage for Fire Extinguishers
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Comments
Final Comments
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Final Comments
