Field Safety Audit Checklist

• Document No.

• Audit Title

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB SITE RECORDS

• 1.1 ACCIDENT / INCIDENT REPORTS

  Yes

  No

  N/A

• 1.2 ALL TOOLS AND EQUIPMENT BEING USED LISTED ON JSEA’S

  Yes

  No

  N/A

• 1.3 Weekly Blasting and Painting Checklist

  Yes

  No

  N/A

• 1.4 JSEA / SAFETY MEETINGS / SAFETY BRIEFINGS

  Yes

  No

  N/A

• 1.5 RESCUE DRILL PERFORMED (WEEKLY DOCUMENTATION)

  Yes

  No

  N/A

• 1.6 BMP PAPERWORK - ARE SHELL BMP GUIDELINES BEING FOLLOWED

  Yes

  No

  N/A

• 1.7 SITE HAZARD ASSESSMENT

  Yes

  No

  N/A

• 1.8 BMP TRAINING ON SITE / ALL CREW MEMBERS SIGNED OFF

  Yes

  No

  N/A

• 1.9 TEMPORARY EQUIPMENT CHECKLIST APPROVED (PAPERWORK ONSITE)

  Yes

  No

  N/A

• 1.10 EQUIPMENT PRESSURE RELIEF VALVE CERTIFICATIONS

  Yes

  No

  N/A

• 1.11 SPIDER CERTIFICATIONS

  Yes

  No

  N/A

• 1.12 DAILY FALL PROTECTION INSPECTION PAPERWORK

  Yes

  No

  N/A

• 1.13 CARBON MONOXIDE MONITOR CALIBRATED ( WITHIN 31 DAYS )

  Yes

  No

  N/A

• 1.14 GAS DETECTOR CALIBRATION PAPERWORK UP TO DATE

  Yes

  No

  N/A

• 1.15 BREATHING AIR GRADE D CHECK PERFORMED (semi-annually) HSE005 / ref. 6.1.4

  Yes

  No

  N/A

• 1.16 AUDIT BINDER BOOK (All up to date certs, info, etc.)

  Yes

  No

  N/A

FIELD PROCEDURES

• 2.1 WAVELAND SAFETY POLICIES & PROCEDURES

  Yes

  No

  N/A

• 2.2 WAVELAND SAFETY POLICIES & PROCEDURES

  Yes

  No

  N/A

• 2.3 SAND POT / LOTO PROCEDURES PROCEDURES (Using Waveland LOTO PERMIT )

  Yes

  No

  N/A

• 2.4 BLAST HOSE PROCEDURES (Crew followed Procedures)

  Yes

  No

  N/A

• 2.5 STARTING/STOPPING AIR COMPRESSOR (Performed by Supervisor only)

  Yes

  No

  N/A

• 2.6 EQUIPMENT MAINTENANCE (Equipment being serviced & documented)

  Yes

  No

  N/A

• 2.7 CABLE RIGGING (Crew reviewed cable rigging procedure Book onsite)

  Yes

  No

  N/A

• 2.8 PROPER WORK PERMIT BEING USED (Signed by pic)

  Yes

  No

  N/A

• 2.9 JOB SAFETY ENVIRONMENTAL ANALYSIS REPORTS

  Yes

  No

  N/A

SITE STORAGE AREAS

• 3.1 PAINT / CHEMICALS/ ABRASIVES (Labeled & Stored in proper containers)

  Acceptable

  Non-Acceptable

  N/A

• 3.2 EQUIPMENT (Equipment storage areas clean & organized)

  Acceptable

  Non-Acceptable

  N/A

• 3.3 TOOL HOUSE (Tool House cleaned & organized; Tools stored properly)

  Acceptable

  Non-Acceptable

  N/A

• 3.4 WASTE PAINT DRUM VENT (Installed onsite & Removed when sent in)

  Acceptable

  Non-Acceptable

  N/A

• 3.5 WASTE MATERIALS (Labeled & stored in proper containers)

  Acceptable

  Non-Acceptable

  N/A

• 3.6 PAINT MIXING AREA (Mix area organized, inside containment & flagged off)

  Acceptable

  Non-Acceptable

  N/A

• 3.7 Are all of the tools non-sparking (Shell Only)

  Acceptable

  Non-Acceptable

  N/A

WORK SITE ENVIRONMENT

• 4.1 VENTILATION (Work areas properly ventilated, air movers ect.)

  Acceptable

  Non-Acceptable

  N/A

• 4.2 LIGHTING (Is their proper lighting in the work area)

  Acceptable

  Non-Acceptable

  N/A

• 4.3 ACCESS TO/FROM WORK SITE (Are walkways open for emergency access)

  Acceptable

  Non-Acceptable

  N/A

• 4.4 OXYGEN / GAS MONITORING EQUIPMENT (LEL MONITORS)

  Acceptable

  Non-Acceptable

  N/A

• 4.5 EMERGENCY ROUTE TO MUSTER AREA (open at all times)

  Yes

  No

  N/A

• 4.6 CO MONITORING EQUIPMENT (Calibrated within 31 Days)

  Yes

  No

  N/A

FIELD 1ST AID KIT

• 5.1 FIRST AID KIT ON SITE (Enter kit size)

  Yes

  No

  N/A

• 5.2 BUFFERED EYE WASH

  Acceptable

  Non-Acceptable

  N/A

• 5.3 HYDROCORTISONE

  Acceptable

  Non-Acceptable

  N/A

• 5.4 ANY ITEMS MISSING FROM KIT

  Yes

  No

  N/A

6.1 UNIT #

• SKID # S/N # HOURS

• 6.1.1 FILTER MEDIA ON AIR INTAKES & VENTS

  Yes

  No

  N/A

• 6.1.2 DATE LABELED ON FILTERS Documenting Cleaned or Changed (Oil, Fuel, Air)

  Yes

  No

  N/A

• 6.1.3 FAN BLADES AND BELTS

  Safe

  At Risk

  N/A

• 6.1.4 MUFFLER / EXHAUST SYSTEM

  Acceptable

  Non-Acceptable

  N/A

• 6.1.5 INJECTOR LINES

  Acceptable

  Non-Acceptable

  N/A

• 6.1.6 FLUID LEAKS

  Acceptable

  Non-Acceptable

  N/A

• 6.1.7 COMPRESSOR PROPERLY GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 6.1.8 AIR QUALITY PAPERWORK POSTED

  Acceptable

  Non-Acceptable

  N/A

• 6.1.9 EXHAUST AND MANIFOLD INSULATION

  Acceptable

  Non-Acceptable

  N/A

• 6.1.10 STAINLESS ARMOR HOSES

  Acceptable

  Non-Acceptable

  N/A

• 6.1.11 FUSIBLE LOOP TIED INTO PLATFORM ESD

  Yes

  No

  N/A

• 6.1.12 SKID PAN EMPTY AND CLEAN OF DEBRIS

  Acceptable

  Non-Acceptable

  N/A

• 6.1.13 SAFETY WIRE / CLIPS ON CROWS FOOT

  Acceptable

  Non-Acceptable

  N/A

• 6.1.14 PSV INSTALLED AND PROPER PSI & UP TO DATE FOR ONE (1) YEAR

  Acceptable

  Non-Acceptable

  N/A

• 6.1.15 RUST OR COATING FAILURE / CLEANNESS (overall appearance of Compressor)

  Acceptable

  Non-Acceptable

  N/A

• 6.1.16 RADIATOR COOLANT LEVEL (CHECK)

  Acceptable

  Non-Acceptable

  N/A

• 6.1.17 AIR END OIL LEVEL (CHECK)

  Acceptable

  Non-Acceptable

  N/A

• 6.1.18 AIR END OIL FILTERS (REPLACE)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.19 ENGINE OIL (REPLACE)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.20 ENGINE OIL FILTERS (REPLACE)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.21 FUEL FILTERS (REPLACE)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.22 OUTER AIR FILTERS (CLEANED)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.23 INTER AIR FILTERS (CLEANED)

  Acceptable

  Non-Acceptable

  N/A

• Date of Last Service

  Date

• 6.1.24 OILER FOR / AIR STARTER

  Acceptable

  Non-Acceptable

  N/A

• 6.1.25 OIL TEMPERATURE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.26 WATER TEMPERATURE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.27 AIR PRESSURE GAUGE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.28 OIL PRESSURE GAUGE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.29 AIR END OIL GAUGE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.30 FUEL GAUGE

  Acceptable

  Non-Acceptable

  N/A

• 6.1.31 RADIATOR (Leaks, Appearance, Rust or Coating Failure)

  Acceptable

  Non-Acceptable

  N/A

• 6.1.32 STARTER / SOLENOID (Does Not Apply to SHELL)

  Yes

  No

  N/A

• 6.1.33 STARTER WIRES (Does Not Apply to SHELL)

  Acceptable

  Non-Acceptable

  N/A

• 6.1.34 EMERGENCY SHUTDOWN DEVICES

  Acceptable

  Non-Acceptable

  N/A

7.1. AFTER COOLER

• UNIT #
  S/N #

• 7.1.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.1.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.1.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.1.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.1.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.1.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

7.2 AFTER COOLER

• UNIT #
  S/N #

• 7.2.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.2.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.2.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.2.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.2.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.2.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.2.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.2.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.2.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.2.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.2.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.2.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

7.1. AFTER COOLER

• UNIT #
  S/N #

• 7.1.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.1.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.1.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.1.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.1.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.1.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

7.1. AFTER COOLER

• UNIT #
  S/N #

• 7.1.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.1.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.1.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.1.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.1.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.1.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

7.1. AFTER COOLER

• UNIT #
  S/N #

• 7.1.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.1.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.1.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.1.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.1.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.1.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

7.1. AFTER COOLER

• UNIT #
  S/N #

• 7.1.1 RADIATOR COILS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.2 FAN BLADE

  Acceptable

  Non-Acceptable

  N/A

• 7.1.3 FAN BLADE GUARD

  Acceptable

  Non-Acceptable

  N/A

• 7.1.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.5 MUFFLER

  Acceptable

  Non-Acceptable

  N/A

• 7.1.6 WATER TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.7. CLEANLINESS (Free of debris and oil)

  Acceptable

  Non-Acceptable

  N/A

• 7.1.8 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 7.1.9 FITTINGS AND CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 7.1.10 BALL VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.11 2" DIXON SAFETY CHECK VALVES

  Acceptable

  Non-Acceptable

  N/A

• 7.1.12 RUST OR COATING FAILURE (overall appearance of After Cooler)

  Acceptable

  Non-Acceptable

  N/A

• UNIT # S/N #

• 8.1 BALL VALVES (overall condition of ball valves & positioned correctly)

  Acceptable

  Non-Acceptable

  N/A

• 8.2 2" LOTO VALVE (is LOTO procedure being followed & documented)

  Acceptable

  Non-Acceptable

  N/A

• 8.3 CHANGED OUT KITS ON HAND (Thompson Valves, Auto air Valves, Pilot Valves, Etc.

  Acceptable

  Non-Acceptable

  N/A

• 8.4 IN LINE OILERS

  Acceptable

  Non-Acceptable

  N/A

• 8.5 FITTINGS / PIPING (are their any cracks or corrosion on connections)

  Acceptable

  Non-Acceptable

  N/A

• 8.6 BULL HOSES (are their any defects/damages on bull hoses or connections)

  Acceptable

  Non-Acceptable

  N/A

• 8.7 BLAST HOSES (overall condition of blast hoses & couplings)

  Acceptable

  Non-Acceptable

  N/A

• 8.8 WHIP CHECKS, SAFE CLIPS/TIE WIRE ON HOSE CONNECTIONS

  Yes

  No

  N/A

• 8.9 TWIN LINE HOSES (overall condition of twin lines & fittings)

  Acceptable

  Non-Acceptable

  N/A

• 8.10 PRESSURE VALVE

  Acceptable

  Non-Acceptable

  N/A

• 8.11 LID LOCK DEVICE IN PLACE - FORMAN/ KEY

  Yes

  No

  N/A

• 8.12 FALL PROTECTION / RIGGING INSTALLED (3' lanyard being used)

  Acceptable

  Non-Acceptable

  N/A

• 8.13 PRESSURE GAUGE (is gauge working properly)

  Yes

  No

  N/A

• 8.14 LIFTING SLINGS (1 YEAR)

  Acceptable

  Non-Acceptable

  N/A

• 8.15 CLEAN OUT FLANGE (Leaks, overall appearance)

  Acceptable

  Non-Acceptable

  N/A

• 8.16 PROPER (ID) INFO LISTED ON SAND HOPPER

  Yes

  No

  N/A

• 8.17 RUST OR COATING FAILURE / CLEANNESS (overall appearance of Blast Hopper)

  Acceptable

  Non-Acceptable

  N/A

• 8.18 EQUIPMENT GROUNDED

  Acceptable

  Non-Acceptable

  N/A

• 8.19 FLAGGED OFF (is the area of high pressure equipment properly flagged)

  Acceptable

  Non-Acceptable

  N/A

9.1 UNIT # S/N #

• 9.1.1 Overall condition (Corrosion & Cleanliness)

  Acceptable

  Non-Acceptable

  N/A

• Rate the Condition of the Unit?

• 9.1.2 Handway cover (Gasket in good condition and installed properly)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.3 Inspection plate (Visible and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• What is the Date?

  Date

• 9.1.4 Control valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.5 Combo valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.6 Thompson valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.7 Popup head (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.8 Moisture separator (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.9 - 1-1/2" Hose attached to Thompson valve in good condition.

  Acceptable

  Non-Acceptable

  N/A

• 9.1.10 Ball valves (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.11 Blast hose in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.12 TWIN LINE HOSES (overall condition of twin lines & fittings)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.13 Crowfoot connections in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.14 Safety clips/Tie wire and whip checks installed properly

  Acceptable

  Non-Acceptable

  N/A

• 9.1.15 LOTO procedures being followed

  Acceptable

  Non-Acceptable

  N/A

• 9.1.16 Equipment is properly grounded

  Acceptable

  Non-Acceptable

  N/A

• 9.1.17 Equipment area is properly flagged off

  Acceptable

  Non-Acceptable

  N/A

9.2 UNIT # S/N #

• 9.1.1 Overall condition (Corrosion & Cleanliness)

  Acceptable

  Non-Acceptable

  N/A

• Rate the Condition of the Unit?

• 9.1.2 Handway cover (Gasket in good condition and installed properly)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.3 Inspection plate (Visible and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• What is the date?

  Date

• 9.1.4 Control valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.5 Combo valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.6 Thompson valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.7 Popup head (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.8 Moisture separator (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.9 - 1-1/2" Hose attached to Thompson valve in good condition.

  Acceptable

  Non-Acceptable

  N/A

• 9.1.10 Ball valves (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.11 Blast hose in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.12 TWIN LINE HOSES (overall condition of twin lines & fittings)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.13 Crowfoot connections in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.14 Safety clips/Tie wire and whip checks installed properly

  Acceptable

  Non-Acceptable

  N/A

• 9.1.15 LOTO procedures being followed

  Acceptable

  Non-Acceptable

  N/A

• 9.1.16 Equipment is properly grounded

  Acceptable

  Non-Acceptable

  N/A

• 9.1.17 Equipment area is properly flagged off

  Acceptable

  Non-Acceptable

  N/A

9.1 UNIT # S/N #

• 9.1.1 Overall condition (Corrosion & Cleanliness)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.2 Handway cover (Gasket in good condition and installed properly)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.3 Inspection plate (Visible and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.4 Control valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.5 Combo valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.6 Thompson valve (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.7 Popup head (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.8 Moisture separator (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.9 - 1-1/2" Hose attached to Thompson valve in good condition.

  Acceptable

  Non-Acceptable

  N/A

• 9.1.10 Ball valves (Functional and in good condition)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.11 Blast hose in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.12 TWIN LINE HOSES (overall condition of twin lines & fittings)

  Acceptable

  Non-Acceptable

  N/A

• 9.1.13 Crowfoot connections in good condition

  Acceptable

  Non-Acceptable

  N/A

• 9.1.14 Safety clips/Tie wire and whip checks installed properly

  Acceptable

  Non-Acceptable

  N/A

• 9.1.15 LOTO procedures being followed

  Acceptable

  Non-Acceptable

  N/A

• 9.1.16 Equipment is properly grounded

  Acceptable

  Non-Acceptable

  N/A

• 9.1.17 Equipment area is properly flagged off

  Acceptable

  Non-Acceptable

  N/A

WASHER #1

• 10.1.1 IS WASHER IN WORKING CONDITION?

  Yes

  No

  N/A

• Explain what is wrong with Unit?

• 10.1.2 OIL LEVEL / QUALITY <br>

  Acceptable

  Non-Acceptable

  N/A

• LAST SERVICE DATE?

  Date

• 10.1.3 OIL LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.1.4 WATER LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.1.5 BELTS, PULLEY

  Acceptable

  Non-Acceptable

  N/A

• 10.1.6 PLUMBING AND FITTINGS?

  Acceptable

  Non-Acceptable

  N/A

• 10.1.7 PRESSURE HOSES

  Acceptable

  Non-Acceptable

  N/A

• 10.1.8 PRESSURE HOSES FITTINGS

  Acceptable

  Non-Acceptable

  N/A

• 10.1.9 WAND AND WAND TIPS

  Acceptable

  Non-Acceptable

  N/A

• 10.1.10 AIR HOSE FROM PUMP TO MOTOR (1-1/4")

  Acceptable

  Non-Acceptable

  N/A

• 10.1.11 OIL CAP

  Acceptable

  Non-Acceptable

  N/A

• 10.1.12 COVERED UP AND TIED DOWN WHEN NOT IN USE

  Yes

  No

  N/A

WASHER #2

• 10.2.1 IS WASHER IN WORKING CONDITION?

  Yes

  No

  N/A

• Explain what is wrong with Unit?

• 10.2.2 OIL LEVEL / QUALITY <br>

  Acceptable

  Non-Acceptable

  N/A

• LAST SERVICE DATE?

  Date

• 10.2.3 OIL LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.2.4 WATER LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.2.5 BELTS, PULLEY

  Acceptable

  Non-Acceptable

  N/A

• 10.2.6 PLUMBING AND FITTINGS?

  Acceptable

  Non-Acceptable

  N/A

• 10.2.7 PRESSURE HOSES

  Acceptable

  Non-Acceptable

  N/A

• 10.2.8 PRESSURE HOSES FITTINGS

  Acceptable

  Non-Acceptable

  N/A

• 10.2.9 WAND AND WAND TIPS

  Acceptable

  Non-Acceptable

  N/A

• 10.2.10 AIR HOSE FROM PUMP TO MOTOR (1-1/4")

  Acceptable

  Non-Acceptable

  N/A

• 10.2.11 OIL CAP

  Acceptable

  Non-Acceptable

  N/A

• 10.2.12 COVERED UP AND TIED DOWN WHEN NOT IN USE

  Yes

  No

  N/A

WASHER #1

• 10.1.1 IS WASHER IN WORKING CONDITION?

  Yes

  No

  N/A

• Explain what is wrong with Unit?

• 10.1.2 OIL LEVEL / QUALITY <br>

  Acceptable

  Non-Acceptable

  N/A

• LAST SERVICE DATE?

  Date

• 10.1.3 OIL LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.1.4 WATER LEAKS VISIBLE?

  Yes

  No

  N/A

• 10.1.5 BELTS, PULLEY

  Acceptable

  Non-Acceptable

  N/A

• 10.1.6 PLUMBING AND FITTINGS?

  Acceptable

  Non-Acceptable

  N/A

• 10.1.7 PRESSURE HOSES

  Acceptable

  Non-Acceptable

  N/A

• 10.1.8 PRESSURE HOSES FITTINGS

  Acceptable

  Non-Acceptable

  N/A

• 10.1.9 WAND AND WAND TIPS

  Acceptable

  Non-Acceptable

  N/A

• 10.1.10 AIR HOSE FROM PUMP TO MOTOR (1-1/4")

  Acceptable

  Non-Acceptable

  N/A

• 10.1.11 OIL CAP

  Acceptable

  Non-Acceptable

  N/A

• 10.1.12 COVERED UP AND TIED DOWN WHEN NOT IN USE

  Yes

  No

  N/A

11.1 - 1" Hoses

• 11.1.1 HOSE CONDITION (free of cuts, damages, bubbles & couplings)

  Acceptable

  Non-Acceptable

  N/A

• 11.1.2 CLAMPS/CONNECTIONS

  Acceptable

  Non-Acceptable

  N/A

• 11.1.3 WHIP CHECKS

  Yes

  No

  N/A

• 11.1.3.a Working properly / rusted

  Acceptable

  Non-Acceptable

  N/A

• 11.1.4 SAFETY TIE WIRE or CLIPS

  Acceptable

  Non-Acceptable

  N/A

11.2 Blast Hoses

• 11.2.1 HOSE CONDITION (connections, couplings damaged or cut)

  Acceptable

  Non-Acceptable

  N/A

• 11.2.2 CLAMPS

  Acceptable

  Non-Acceptable

  N/A

• 11.2.3 WHIP CHECKS (working properly / rusted)

  Acceptable

  Non-Acceptable

  N/A

• 11.2.4 TWIN LINE SAFETY SHUT OFF VALVE

  Acceptable

  Non-Acceptable

  N/A

11.3 Blast Whips

• 11.3.1 HOSE CONDITION (connection, couplings damaged or cut)

  Acceptable

  Non-Acceptable

  N/A

• 11.3.2 HOSE CONNECTIONS (screws installed in every hole)

  Acceptable

  Non-Acceptable

  N/A

• 11.3.4 WHIP CHECKS (working properly / rusted)

  Acceptable

  Non-Acceptable

  N/A

• 11.3.5 TIE WIRE or SAFETY CLIPS

  Acceptable

  Non-Acceptable

  N/A

• 11.3.6 DEADMAN CONTROL (working properly, cracked or damaged)

  Acceptable

  Non-Acceptable

  N/A

• 11.3.7 NOZZLE ORIFICE SIZE (cracked, threads broken etc.)

  Acceptable

  Non-Acceptable

  N/A

• 11.3.8 TWIN LINE SAFETY SHUT OFF VALVE (Installed on whips)

  Yes

  No

  N/A

• 12.1.1 PRESSURE VALVE

  Acceptable

  Non-Acceptable

  N/A

• 12.1.2 BALL VALVES (installed correctly with locking valve handle)

  Acceptable

  Non-Acceptable

  N/A

• 12.1.3 PRESSURE GAUGE

  Acceptable

  Non-Acceptable

  N/A

• 12.1.4 PETCOCK VALVE

  Acceptable

  Non-Acceptable

  N/A

• 12.1.5 WHIP CHECKS

  Safe

  At Risk

  N/A

• 12.1.6 TIE WIRE or SAFETY CLIPS

  Safe

  At Risk

  N/A

• 12.1.7 CONDITION (RUST OR COATING FAILURE )

  Acceptable

  Non-Acceptable

  N/A

• 12.1.8 - 2" DIXON SAFETY CHECK VALVES (Optional)

  Acceptable

  Non-Acceptable

  N/A

• 13.1 PAINT POTS (cleaned, all liquids removed when not in use, over skid ect.)

  Acceptable

  Non-Acceptable

  N/A

• 13.2 AGITATED MOTORS

  Acceptable

  Non-Acceptable

  N/A

• 13.3 FLUID AND AIR VALVES

  Acceptable

  Non-Acceptable

  N/A

• 13.4 GAUGES (covered when painting)

  Acceptable

  Non-Acceptable

  N/A

• 13.5 REGULATORS (working properly)

  Yes

  No

  N/A

• 13.6 PRESSURE RELIEF VALVES

  Acceptable

  Non-Acceptable

  N/A

• 13.7 MOISTURE TRAPS

  Acceptable

  Non-Acceptable

  N/A

• 13.8 PAINT LINES AND AIR LINES ( in good condition, not damaged etc.)

  Acceptable

  Non-Acceptable

  N/A

• 14.1 HOOD TRAP (In good working condition free from corrosion/damage)

  Acceptable

  Non-Acceptable

  N/A

• 14.2 CARBON FILTERS

  Acceptable

  Non-Acceptable

  N/A

• CHANGE DATE

  Date

• 14.3 PRESSURE RELIEF VALVE (Condition & Working correctly)

  Acceptable

  Non-Acceptable

  N/A

• 14.4 REGULATOR (Condition & Working correctly)

  Acceptable

  Non-Acceptable

  N/A

• 14.5 GAUGE (Condition & Working correctly)

  Acceptable

  Non-Acceptable

  N/A

• 14.6 QUICK CONNECT AIR FITTINGS (Condition & Working correctly)

  Acceptable

  Non-Acceptable

  N/A

• 14.7 AIR HOSES - 1" (Overall hose condition, bubbles, cuts or damage)

  Acceptable

  Non-Acceptable

  N/A

• 14.8 Are all Hood Trap Parts the same Name Brand.

  Yes

  No

  N/A

• 14.9 BREATHING AIR HOSES (The same name brand as the Hood Trap)

  Acceptable

  Non-Acceptable

  N/A

• 14.10 BREATHING HOSES (Overall hose condition, bubbles, cuts or damage)

  Acceptable

  Non-Acceptable

  N/A

• 14.11 BREATHING HOSE FITTINGS (Overall Fittings condition, or damage)

  Acceptable

  Non-Acceptable

  N/A

• 14.12 BLAST HOODS (The same name brand as Hood Trap & Breathing Hoses)

  Acceptable

  Non-Acceptable

  N/A

• 14.13 BLAST HOODS (Overall condition on Hood, Parts, and Cape)

  Acceptable

  Non-Acceptable

  N/A

• 14.14 BLAST HOODS (Respirator Inspection Forms filled out every quarter)

  Yes

  No

  N/A

15.1 UNIT #

• 15.1.1 CABLE AND CABLE SPLICES (Are they manufactured NOT man made)

  Yes

  No

  N/A

• 15.1.2 MAIN CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Date of last Inspection?

  Date

• 15.1.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.1.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.1.5 TRIPOD AREA CORROSION (Overall condition of tripod)

  Safe

  At Risk

  N/A

• 15.1.6 OILIER AND MOISTURE TRAP (Are the oil levels full in oilier)

  Acceptable

  Non-Acceptable

  N/A

• 15.1.7 PAINT / ABRASIVE BUILD UP (Excessive amounts of paints)

  Acceptable

  Non-Acceptable

  N/A

• 15.1.8 BODY HARNESS (Is fall protection in good shape, any tears or cuts)

  Safe

  At Risk

  N/A

• 15.1.9 SAFETY ROPE (Overall condition of safety line any tears or cuts)

  Safe

  At Risk

  N/A

• 15.1.10 SAFETY LANYARDS (Overall condition of lanyard any tears or cuts)

  Safe

  At Risk

  N/A

• 15.1.11 ROPE LOCK (Rope grab functioning correctly test the devices in use)

  Yes

  No

  N/A

• 15.1.12 BEAM CLAMPS (Overall condition & Tags Legible)

  Acceptable

  Non-Acceptable

  N/A

• Tag Date

  Date

15.3 UNIT #

• 15.3.1 CABLE AND CABLE SPLICES (Are they manufactured NOT man made)

  Yes

  No

  N/A

• 15.3.2 MAIN CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Date of last Inspection?

  Date

• 15.3.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.3.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.3.5 TRIPOD AREA CORROSION (Overall condition of tripod)

  Safe

  At Risk

  N/A

• 15.3.6 OILIER AND MOISTURE TRAP (Are the oil levels full in oilier)

  Acceptable

  Non-Acceptable

  N/A

• 15.3.7 PAINT / ABRASIVE BUILD UP (Excessive amounts of paints)

  Acceptable

  Non-Acceptable

  N/A

• 15.3.8 BODY HARNESS (Is fall protection in good shape, any tears or cuts)

  Safe

  At Risk

  N/A

• 15.3.9 SAFETY ROPE (Overall condition of safety line any tears or cuts)

  Safe

  At Risk

  N/A

• 15.3.10 SAFETY LANYARDS (Overall condition of lanyard any tears or cuts)

  Safe

  At Risk

  N/A

• 15.3.11 ROPE LOCK (Rope grab functioning correctly test the devices in use)

  Yes

  No

  N/A

• 15.3.12 BEAM CLAMPS (Overall condition & Tags Legible)

  Acceptable

  Non-Acceptable

  N/A

• Tag Date

  Date

15.2 UNIT #

• 15.2.1 CABLE AND CABLE SPLICES (Are they manufactured NOT man made)

  Yes

  No

  N/A

• 15.2.2 MAIN CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Date of last Inspection?

  Date

• 15.2.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.2.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.5 TRIPOD AREA CORROSION (Overall condition of tripod)

  Safe

  At Risk

  N/A

• 15.2.6 OILIER AND MOISTURE TRAP (Are the oil levels full in oilier)

  Acceptable

  Non-Acceptable

  N/A

• 15.2.7 PAINT / ABRASIVE BUILD UP (Excessive amounts of paints)

  Acceptable

  Non-Acceptable

  N/A

• 15.2.8 BODY HARNESS (Is fall protection in good shape, any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.9 SAFETY ROPE (Overall condition of safety line any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.10 SAFETY LANYARDS (Overall condition of lanyard any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.11 ROPE LOCK (Rope grab functioning correctly test the devices in use)

  Yes

  No

  N/A

• 15.2.12 BEAM CLAMPS (Overall condition & Tags Legible)

  Acceptable

  Non-Acceptable

  N/A

• Tag Date

  Date

15.4 UNIT #

• 15.4.1 CABLE AND CABLE SPLICES (Are they manufactured NOT man made)

  Yes

  No

  N/A

• 15.4.2 MAIN CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Date of last Inspection?

  Date

• 15.4.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.4.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.4.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.4.5 TRIPOD AREA CORROSION (Overall condition of tripod)

  Safe

  At Risk

  N/A

• 15.4.6 OILIER AND MOISTURE TRAP (Are the oil levels full in oilier)

  Acceptable

  Non-Acceptable

  N/A

• 15.4.7 PAINT / ABRASIVE BUILD UP (Excessive amounts of paints)

  Acceptable

  Non-Acceptable

  N/A

• 15.4.8 BODY HARNESS (Is fall protection in good shape, any tears or cuts)

  Safe

  At Risk

  N/A

• 15.4.9 SAFETY ROPE (Overall condition of safety line any tears or cuts)

  Safe

  At Risk

  N/A

• 15.4.10 SAFETY LANYARDS (Overall condition of lanyard any tears or cuts)

  Safe

  At Risk

  N/A

• 15.4.11 ROPE LOCK (Rope grab functioning correctly test the devices in use)

  Yes

  No

  N/A

• 15.4.12 BEAM CLAMPS (Overall condition & Tags Legible)

  Acceptable

  Non-Acceptable

  N/A

• Tag Date

  Date

15.2 UNIT #

• 15.2.1 CABLE AND CABLE SPLICES (Are they manufactured NOT man made)

  Yes

  No

  N/A

• 15.2.2 MAIN CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Date of last Inspection?

  Date

• 15.2.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.2.3 TRANSFER CABLE (Proper Inspection Tags Inst)

  Acceptable

  Non-Acceptable

  N/A

• Inspection Date?

  Date

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.4 CAGE ( BENT / CRACKED WELDS )

  Safe

  At Risk

  N/A

• 15.2.5 TRIPOD AREA CORROSION (Overall condition of tripod)

  Safe

  At Risk

  N/A

• 15.2.6 OILIER AND MOISTURE TRAP (Are the oil levels full in oilier)

  Acceptable

  Non-Acceptable

  N/A

• 15.2.7 PAINT / ABRASIVE BUILD UP (Excessive amounts of paints)

  Acceptable

  Non-Acceptable

  N/A

• 15.2.8 BODY HARNESS (Is fall protection in good shape, any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.9 SAFETY ROPE (Overall condition of safety line any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.10 SAFETY LANYARDS (Overall condition of lanyard any tears or cuts)

  Safe

  At Risk

  N/A

• 15.2.11 ROPE LOCK (Rope grab functioning correctly test the devices in use)

  Yes

  No

  N/A

• 15.2.12 BEAM CLAMPS (Overall condition & Tags Legible)

  Acceptable

  Non-Acceptable

  N/A

• Tag Date

  Date

• 16.1 ALUMINUM PIC BOARDS (overall condition of pic boards)

  Acceptable

  Non-Acceptable

  N/A

• 16.2 OSHA BOARDS (CLEATS) (are cleats installed board free from damages)

  Acceptable

  Non-Acceptable

  N/A

• 16.3 CABLE CLAMPS (Installed Properly Using Torque wrench, condition of cable clamps)

  Acceptable

  Non-Acceptable

  N/A

• 16.4 CABLE (overall condition of cables, broken wires, kinks or damages)

  Safe

  At Risk

  N/A

• 16.5 CHOKER CABLES (rigged properly with 3 clamps both ends of cable)

  Safe

  At Risk

  N/A

• 16.6 THIMBLES (worn or damaged)

  Acceptable

  Non-Acceptable

  N/A

• 16.7 SHACKLES (overall condition of shackles . Spread apart, bent, damaged)

  Acceptable

  Non-Acceptable

  N/A

• 16.8 MOON AND J-CLAMPS (any cracks or bends to the clamp)

  Acceptable

  Non-Acceptable

  N/A

• 16.9 WEBB-RITE BEAM CLAMPS (Overall condition & Proper Insp. Tags)

  Acceptable

  Non-Acceptable

  N/A

• 16.10 SNATCH BLOCKS (any damages or kinks, system working correctly)

  Acceptable

  Non-Acceptable

  N/A

• 16.11 SAFETY NETS AND HOOKS (any cuts, tears, hooks working freely)

  Safe

  At Risk

  N/A

• 16.12 LADDERS (good working condition, load limits and dates visible)

  Acceptable

  Non-Acceptable

  N/A

• 16.13 NEEDLE BEAMS (any damages, cracks, bent, corrosion)

  Acceptable

  Non-Acceptable

  N/A

• 16.14 SCAFFOLDING (qualified personnel-competent person on duty.

  Acceptable

  Non-Acceptable

  N/A

• 17.1 HARD HATS (3 years, free of debris)

  Safe

  At Risk

  N/A

• 17.2 SAFETY GLASSES (Z87, free of scratches, right shade for area)

  Safe

  At Risk

  N/A

• 17.3 STEEL TOE BOOTS (toes exposed, good condition)

  Acceptable

  Non-Acceptable

  N/A

• 17.4 PROPER GLOVES FOR THE JOB

  Yes

  No

  N/A

• 17.5 FACE SHIELD

  Yes

  No

  N/A

• 17.6 RESPIRATOR (proper cartridges, proper fit, worn correctly)

  Yes

  No

  N/A

• 17.7 DUST MASKS

  Acceptable

  Non-Acceptable

  N/A

• 17.8 SAFETY GOGGLES

  Acceptable

  Non-Acceptable

  N/A

• 17.9 LIFE JACKET / WORK VEST (type for job, good working condition)

  Yes

  No

  N/A

• 17.10 HEARING PROTECTION

  Safe

  At Risk

  N/A

• 17.11 TYVEK SUITS (type for the job, good condition)

  Yes

  No

  N/A

• 17.12 KEVLAR (Blasting) GLOVES AND SLEEVES

  Yes

  No

  N/A

ALL QUESTIONS ARE IN ACCORDANCE WITH ANSI Z359.1 (SHELL HSE 0044)

• 18.1 SAFETY HARNESS

  Acceptable

  Non-Acceptable

  N/A

• 18.2 LANYARDS

  Acceptable

  Non-Acceptable

  N/A

• 18.3 FALL ROPES

  Acceptable

  Non-Acceptable

  N/A

• 18.4 ROPE GRABS

  Acceptable

  Non-Acceptable

  N/A

• 18.5 PIPE STRAPS

  Acceptable

  Non-Acceptable

  N/A

• 18.6 BEAM CLAMPS

  Acceptable

  Non-Acceptable

  N/A

• 18.7 SRL

  Acceptable

  Non-Acceptable

  N/A

• 18.8 NEEDLE BEAMS

  Acceptable

  Non-Acceptable

  N/A

• 18.9 MOON CLAMPS

  Acceptable

  Non-Acceptable

  N/A

• 18.10 RESCUE POLE

  Acceptable

  Non-Acceptable

  N/A

• 18.11 SAFETY NETS

  Acceptable

  Non-Acceptable

  N/A

• 19.1 ACTUATED VALVES

  Acceptable

  Non-Acceptable

  N/A

• 19.2 NAVIGATION LIGHTS & LIGHT FIXTURES

  Acceptable

  Non-Acceptable

  N/A

• 19.3 BUILDING AIR VENTS PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.4 DRAINS PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.5 ELECTRIC MOTORS PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.6 COMPRESSOR COOLING FANS PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.7 TURBINE INTAKE FILTERS & ENGINE INTAKE FILTERS PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.8 FIRE EXTINGUISHERS & FIRE HOSE REELS

  Acceptable

  Non-Acceptable

  N/A

• 19.9 GAUGES PROPERLY COVERED

  Acceptable

  Non-Acceptable

  N/A

• 19.10 LIFE RAFTS & LIFE RINGS

  Acceptable

  Non-Acceptable

  N/A

• 19.11 PANELS BOXES & PILOT BOXES

  Acceptable

  Non-Acceptable

  N/A

• 19.12 AIR HORNS & SAND BLOWERS

  Acceptable

  Non-Acceptable

  N/A

• 19.13 TARPS & SAND SCREENS (PROPER LABELS)

  Acceptable

  Non-Acceptable

  N/A

• 19.14 SIGHT GLASSED

  Acceptable

  Non-Acceptable

  N/A

• 20.1 APPEARANCE (living quarters kept neat, bags off floor, hygiene ect.)

  Acceptable

  Non-Acceptable

  N/A

• 20.2 CLEANLINESS (Everything Off of Floor)

  Acceptable

  Non-Acceptable

  N/A

• 20.3 PERSONAL ITEMS STORED IN LOCKER AND LOCKED

  Acceptable

  Non-Acceptable

  N/A

• 20.4 LIFE JACKETS AVAILABLE & STORED PROPERLY

  Acceptable

  Non-Acceptable

  N/A

• 20.5 ANY SAFETY ITEMS (Sharp edges on bunks, etc.)

  Acceptable

  Non-Acceptable

  N/A

• 20.6 GAS DETECTOR / ALARMS IN PLACE AND PROPERLY SERVICED

  Yes

  No

  N/A

• 21.1 Foreman/Relief Foreman explains the job task to be performed by crew

  Acceptable

  Non-Acceptable

  N/A

• 21.2 Foreman/Relief Foreman engages crew in JSEA and Safety meetings

  Acceptable

  Non-Acceptable

  N/A

• 21.3 General attitude of Foreman/Relief Foreman

  Acceptable

  Non-Acceptable

  N/A

• 21.4 Crew works as a team

  Acceptable

  Non-Acceptable

  N/A

• 21.5 General attitude of crew

  Acceptable

  Non-Acceptable

  N/A

• 21.6 Eagerness of Crew

  Acceptable

  Non-Acceptable

  N/A