Field Safety Audit

• Operator Company

• Location / Rig Name and Number

• Conducted on

  Date

• Prepared by

Containment @ tank farm

• Are the liner and walls in good condition?

  Yes

  No

  N/A

• Are the walls in a straight line?

  Yes

  No

  N/A

• Are there clips on every other wall, and clips in the corners?

  Yes

  No

  N/A

• Are there any tears in the liner?

  Yes

  No

  N/A

• Are TOS stairs with this containment?

  Yes

  No

  N/A

• Are the stairs in good condition? (check welds, handrails, and steps)

  Yes

  No

  N/A

Tank Farm (Front of tanks)

• Are there any leaks from hoses or connections?

  Yes

  No

  N/A

• Are valve handles on each valve assembly?

  Yes

  No

  N/A

• Are valve handles in good condition? (not broken)

  Yes

  No

  N/A

• Are there locking levers on all valve handles?

  Yes

  No

  N/A

• Do the locking levers work as they should? (test the spring by compressing the lever)

  Yes

  No

  N/A

• Are there any missing bolts in the valve assemblies?

  Yes

  No

  N/A

• Are there caps or plugs on all connections?

  Yes

  No

  N/A

• Are the hammer unions on the wings in good condition? (not flattened or rounded )

  Yes

  No

  N/A

• Are the upper and lower manifold support bolts in place and tight?

  Yes

  No

  N/A

• Are there any leaks from manway hatches? (run your gloved hand around the hatch to test for liquid)

  Yes

  No

  N/A

• Are the wing nuts on the manway hatch tight and unbroken?

  Yes

  No

  N/A

• Are all bolts on valve assemblies tight?

  Yes

  No

  N/A

• Are there any under flush bolts on flanges or manway hatches?

  Yes

  No

  N/A

• Are there Confined Space stickers on manway hatches?

  Yes

  No

  N/A

• Are the stairs or ladderway secure and free from movement?

  Yes

  No

  N/A

• Are there any missing bolts at the stairs or ladder?

  Yes

  No

  N/A

• Are there chains and clasp to prevent falls at top of ladders? (need 2, must support 200 lbs of force)

  Yes

  No

  N/A

• Are all handrails present and in good condition?

  Yes

  No

  N/A

• Are there confined space stickers on the top manway hatches?

  Yes

  No

  N/A

• Are walk overs installed on any on the walking surfaces between tanks?

  Yes

  No

  N/A

• Are the walk overs bolted down and secure?

  Yes

  No

  N/A

• Are there any additional findings to address with front and top of tanks? (please add notes if so)

  Yes

  No

  N/A

Tank Farm (back and sides of tanks)

• Do any tanks need DOT tape? (sides or back)

  Yes

  No

  N/A

• Is there a grounding rod with ground wire attached at back of tanks?

  Yes

  No

  N/A

• Does the grounding rod have a cap on it?

  Yes

  No

  N/A

• Does each tank have a plug or cap on the rear bottom valve. (under and behind axle)

  Yes

  No

  N/A

• Are all valve handles on the rear in good condition?

  Yes

  No

  N/A

• Are all bolts in place and tight on rear valve assemblies?

  Yes

  No

  N/A

• Are all rear connection points capped or plugged?

  Yes

  No

  N/A

• Does each tank have a license plate?

  Yes

  No

  N/A

• Are there any missing tail lights on any tank?

  Yes

  No

  N/A

• Are all license plate lights present?

  Yes

  No

  N/A

• Are the tanks bonded together with ground wire and clamps?

  Yes

  No

  N/A

• Are the clamps and bonding wire tight? (test by tugging on wire)

  Yes

  No

  N/A

• Are there any additional findings to address with rear of tanks? (please add notes if so)

  Yes

  No

  N/A

• Yes

  No

  N/A