Title Page
-
Conducted on
-
Prepared by
-
Location
-
Site conducted
Facility Audit
Location Information
-
Is the well site location sign visible from the location entrance?
-
Location Name:
-
Latitude:
-
Longitude:
-
Unit:
-
Section:
-
Township:
-
Range:
-
API Number (30-039):
-
Elevation:
-
County
-
State:
-
Emergency Phone Number Available?
Signage
-
Are there no smoking signs present?
-
Is there any H2S Signage?
-
Danger or Warning?
-
Is a wind sock present?
-
Are there PPE requirement signs present?
-
Where applicable, is there "Automatic Startup" signage?
-
Where applicable, is there "High Voltage" signage?
Wellhead
-
Current status of the Well?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Any missing bull plugs?
Pumping Unit
-
Current status of the pumping unit?
-
Have PRVs been inspected?
-
Date?
-
Any indications of overheating (discoloration)?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Are all applicable guards in place?
Separator
-
Current status of the separator?
-
Have PRVs been inspected?
-
Date?
-
Any indications of overheating (discoloration)?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Condition of the flame arrestor?
Compressor
-
Current status of the compressor?
-
Have PRVs been inspected?
-
Date?
-
Any indications of overheating (discoloration)?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Are all applicable guards in place?
-
Is sound abatement required for this compressor?
-
Condition of sound abatement.
-
Are there any permanent ladders attached to the compressor?
-
Condition?
-
Are there any day tanks associated with the pumping unit on location?
-
Condition
-
Berm condition?
Tanks
-
Current status of tank or tank battery?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Condition of the liner (if applicable)?
-
Condition of stairs and landing?
-
Is the thief hatch closed?
-
Condition of the Enardo Valve?
-
Condition of the berm?
-
Is the appropriate HMIS/NFPA labeling present?
-
Is the tank height present on the tank?
-
Are all bolts in place on the tank access?
-
Is the car seal present and unbroken?
-
Does the tank require confined space labeling?
-
Condition of label?
Pits
-
Current status of pit?
-
Any indications of corrosion?
-
Were there any leaks identified?
-
Condition of the berm?
-
Condition of the liner (if applicable)?
-
Is the appropriate HMIS/NFPA labeling present?
-
Does the tank require confined space labeling?
-
Condition of label?
Transfer Pumps
-
Current status of the transfer pump?
-
Any indications of corrosion?
-
Were there any leaks identified?
Wildlife
-
Rats Nest?
-
Bees/Wasps nests?
-
Are all openings in pits/tanks/containers closed?
-
Are all applicable bird cones in place?
Miscellaneous
-
Is the location overgrown with weeds or vegetation?
-
If applicable, are there "No Trespassing" signs?
-
Any stained soil on location?
-
Any slip, trip, or fall hazards?
-
If applicable, is the location fencing in good condition (city limits)?
-
If applicable, are fire extinguishers available?
-
Last inspection date?
-
Are there any hazards present that pose a danger to the general public?
-
Is there cellular service available?
-
Is there any "out of service" equipment/piping that can be removed
Additional Comments
-
Comments
Inspection Completed By:
-
Name:
-
Signature: