Information
-
Document No.
-
Audit Title
-
Prepared by
Facility Information
Facility Details
-
Date
-
Facility status
- construction
- drillling
- fracing
- completion rig
- work over rig
- production construction
- flow back (production)
- Production
- Other
-
Facility Address (include property #)
-
Add signature
Hazcom / General Conditions
HAZCOM & General Site Conditions
-
Were all gates locked upon arrival?
-
We're wind socks installed and in good condition?
-
Are safety data sheets available and accesible?
-
Is the truck loading area properly marked (oil /water load-out, vent, grounding, etc.)?
-
Are all containers properly labeled (NFPA or HMIS labels, ID's, etc)?
-
What is the condition of secondary containment systems on site?
-
Are there any containers (empty or with contents) being stage on the pad or lease road?
-
List containers
Storage containers
-
Describe unit / container (contents, capacity, serial #)
-
Add media
-
Describe conditions if less than a 9 rating.
-
List any other items, if needed.
NORM
NORM
-
Have any NORM surveys been completed at this facility?
-
List NORM surveys completed for this facility.
NORM Survey
-
Select the type of survey completed?
- 1-3 yr. facility Survey
- Stabilizer survey
- Equipment Survey
- Tubing Survey
- NORM Storage Area Survey
- Decommissioning Survey
- Other Survey
- Follow Up Survey
-
Note the NORM levels.
-
Are NORM survey being done within BMP appropriate frames for the type of facility?
-
If applicable, are NORM labels and signs posted per CHK BMP's?
-
If applicable, are worker protection plans being adhered to?
Spill Prevention
Spills
-
Has any spills or releases been reported for this site?
Spill or Release Information
-
Date of occurrence
-
describe (material / amount / pathways affected)
-
Was it reported to a regulatory agency?
Spill Prevention
-
Is a Spill Prevention and Control Plan required to be prepared and implemented?
-
Is a copy of the SPCC Plan available?
-
Has the operator of the facility reviewed the plan within the last 5 years?
-
Has there been a modification in facility design, construction, storage capacity, operation or maintenance which renders the existing SPPC Plan inadequite?
-
Describe modification
-
Does the SPCC Plan establish a program for regular inspection of all storage tanks, separators, and related and transfer equipment?
-
Does the SPPC Plan include provisions for annual monitoring of flow line integrity through a combination of visual inspection and pressure testing or through the use of an approved alternate technology?
-
Are inspection records available on site?
-
Does the SPCC Plan establish provisions for access to, and rapid deployment of, containment booms, spill containment, and cleanup equipment?
-
Are all work over, completion, and drill rigs, completion, and production, facilities equipped with pollution containment devices that under normal operating conditions prevent unauthorized discharges?
-
Are all from diked or containment areas equipped with valves that are kept in the closed position except during periods of supervised discharge?
-
Is the earth perimeter berm a minimum 40" in height from the pad's ground surface with established vegetation (70%), and lacks erosion all features?
-
Select deficiency.
-
Explain.
-
Does the truck loading lines drain into the production tank containment?
Water / stormwater
Water / Stormwater
-
Is the facility required to have a water discharge permit?
-
Does the facility have, or applied for a permit?
-
List permit #.
-
Are there any outfalls or discharges at the facility that are not authorized by the permit or CHK's BMP's?
-
Describe
-
Add media
-
Has the facility had a reportable discharge of storm water?
-
Select date
-
Describe
-
Are all discharges being monitored / recorded as required an being maintained for a period of three years?
-
Is or has turbidity, conductivity, or pH outside normal regulatory or CHK BMP's standards?
-
Describe?
-
Are there any visible evidence of surface water (ponds, streams, wetlands, etc.) off the pad being impacted?
-
Describe.
-
Add media
-
Is there on soil, equipment, or decking that could cause a sheen during the next rain event?
-
Describe
-
Add media
Erision & Sedimentation
Erosion and Sedimentation
-
Is an erosion and Sedimentation Control Plan on site?
-
Has clean storm water run off been diverted from areas to be disturbed?
-
Describe
-
Add media
-
Have bodies of water that are in the vicinity of the site been identified and protected?
-
Describe feature
Water Feature
-
Are excavated / cleared areas being stabilized in conjunction with each other?
-
Describe.
-
Are stockpiles, slopes, and berms stabilized with vegetation / mulch (>70% cover)?
-
What is % coverage for area 1
Percent Coverage
-
% coverage.
-
Add media
-
Is there visible evidence that evidence that any surface body is being affected?
-
Describe.
-
Are silt fences installed within specifications and BMP's?
-
Describe.
-
Are fence / socks joints compromised? Are the post stable and driven to the proper depth? Are without rips?
Compromised Area
-
Add media
-
Describe.
-
Are sedimentation / detention basins, sedimentation traps, barriers installed?
-
Describe
-
Are level spreaders, interceptor dikes, swales, and checks dams installed and maintained (sediment removal, stable, & not undermined)?
-
Has a temporary construction entrance to capture mud and debris from construction vehicles been installed and working to standard?
-
Is mud / debris being kept off public roads?
-
Are sediment controls installed 10' from the toe of the slope, on contour, & not across conveyance channels?
Air Quality
Air Quality
-
Does the facility have an air permit?
-
Is it current?
-
Is dust adequately controlled?
-
Describe
-
Is there any smoke being emitted from equipment at the facility?
-
Describe the equipment / unit.
Equipment
-
Add media
-
Do the GPU units and similar devices have screened caps in place?
-
Describe Equipment.
Equipment
-
Add media
-
Are there production tanks on site.
-
Identify tank
Tanks
-
Type and Capacity
-
Is there control equipment (combusted or flare) operating at the facility?
-
Type and is it metered?
-
Is there a corrective action plan for relighting the combustor and / or flares
-
Any visible evidence of leaks?
-
List equipment and location of leak
Equipment
-
Describe.
-
Are there compressors on site?
-
Type and size of compressor
Compressor
-
Describe
-
Are there any pneumatic pumps or controllers that use natural gas located on site?
List pumps
-
Describe
-
Is flash gas vented, burned in a combustor, flared, or routed back to the system?
- vented
- combusted
- flared
- routed back
-
Are emissions being controlled from the production tank load out activities?
-
Describe
-
If observable, are procedures for liquid transfer from a condensate tank being followed?
Waste (Universal, NORM, Haz, & NonHaz)
Universal Waste
-
Select all that apply
- Fluorescent Lamps
- Batteries
- Electronics
- Antifreeze
- Other
- None
-
Is each waste stream stored in media and containers that prevents human exposure or release a release to the environment?
-
Select all that apply
- Fluorescent Lamps
- Batteries
- Electronics
- Antifreeze
- Other
- None
-
List waste and at risk condition
-
Are associated storage and waste containers properly labeled?
-
Select waste steam not properly labeled
- Fluorescent Lamps
- Batteries
- Electronics
- Antifreeze
- Other
- None
-
Describe the deficiency
Deficient HAZCOM
-
- Fluorescent Lamps
- Batteries
- Electronics
- Antifreeze
- Other
- None
-
Add media
-
Do waste containers have an accumulation date of less than one (1) year?
-
Select if the facility has copies of universal waste shipping documents and are they available for review?
NORM Waste
-
Check if facility has containers storing NORM waste
-
Sketch areas and containers within those areas on site.
-
List container type, ID, condition, and date generated.
Container
-
Type of container
-
Container Identification
-
Are all valves, latches, lids, or other openings closed?
-
Describe open item(s).
-
Add media
-
Date waste waste was generated
-
Check if waste has been stored greater than 90-days.
-
Check if A NORM Equipment staging area is located on site?
-
Add drawing
-
Is there a clearly marked boundary warning personnel that area is restricted?
-
Has the material been stage for more than a year?
NonHazardous Waste
-
Does the facility generate or store NonHazardous Waste?
Hazardous Waste
-
Does the facility generate or store Hazardous Waste?
Other
-
Photographs
-
Additional information
Additional information