Hilcorp Facility Audit

• Conducted on

  Date

• Prepared by

• Location
  Address

• Site conducted

Location Information

• Is the well site location sign visible from the location entrance?

  Yes

  No

  N/A

• Location Name:

• Latitude:

• Longitude:

• Unit:

• Section:

• Township:

• Range:

• API Number (30-039):

• Elevation:

• County

• State:

• Emergency Phone Number Available?

  Yes

  No

  N/A

Signage

• Are there no smoking signs present?

  Yes

  No

  N/A

• Is there any H2S Signage?

  Yes

  No

  N/A

• Danger or Warning?

• Is a wind sock present?

  Yes

  No

  N/A

• Are there PPE requirement signs present?

  Yes

  No

  N/A

• Where applicable, is there "Automatic Startup" signage?

  Yes

  No

  N/A

• Where applicable, is there "High Voltage" signage?

  Yes

  No

  N/A

Wellhead

• Current status of the Well?

  In Service

  Out of Service

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Any missing bull plugs?

  Yes

  No

  N/A

Pumping Unit

• Current status of the pumping unit?

  In Service

  Out of Service

  N/A

• Have PRVs been inspected?

  Yes

  No

  N/A

• Date?

• Any indications of overheating (discoloration)?

  Yes

  No

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Are all applicable guards in place?

  Yes

  No

  N/A

Separator

• Current status of the separator?

  In Service

  Out of Service

  N/A

• Have PRVs been inspected?

  Yes

  No

  N/A

• Date?

• Any indications of overheating (discoloration)?

  Yes

  No

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Condition of the flame arrestor?

  Good

  Fair

  Poor

  N/A

Compressor

• Current status of the compressor?

  In Service

  Out of Service

  N/A

• Have PRVs been inspected?

  Yes

  No

  N/A

• Date?

• Any indications of overheating (discoloration)?

  Yes

  No

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Are all applicable guards in place?

  Yes

  No

  N/A

• Is sound abatement required for this compressor?

  Yes

  No

  N/A

• Condition of sound abatement.

  Good

  Fair

  Poor

  N/A

• Are there any permanent ladders attached to the compressor?

  Yes

  No

  N/A

• Condition?

  Good

  Fair

  Poor

  N/A

• Are there any day tanks associated with the pumping unit on location?

  Yes

  No

  N/A

• Condition

  Good

  Fair

  Poor

  N/A

• Berm condition?

  Good

  Fair

  Poor

  N/A

Tanks

• Current status of tank or tank battery?

  In Service

  Out of Service

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Condition of the liner (if applicable)?

  Good

  Fair

  Poor

  N/A

• Condition of stairs and landing?

  Good

  Fair

  Poor

  N/A

• Is the thief hatch closed?

  Yes

  No

  N/A

• Condition of the Enardo Valve?

  Good

  Fair

  Poor

  N/A

• Condition of the berm?

  Good

  Fair

  Poor

  N/A

• Is the appropriate HMIS/NFPA labeling present?

  Yes

  No

  N/A

• Is the tank height present on the tank?

  Yes

  No

  N/A

• Are all bolts in place on the tank access?

  Yes

  No

  N/A

• Is the car seal present and unbroken?

  Yes

  No

  N/A

• Does the tank require confined space labeling?

  Yes

  No

  N/A

• Condition of label?

  Good

  Fair

  Poor

  N/A

Pits

• Current status of pit?

  In Service

  Out of Service

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

• Condition of the berm?

  Good

  Fair

  Poor

  N/A

• Condition of the liner (if applicable)?

  Good

  Fair

  Poor

  N/A

• Is the appropriate HMIS/NFPA labeling present?

  Yes

  No

  N/A

• Does the tank require confined space labeling?

  Yes

  No

  N/A

• Condition of label?

  Good

  Fair

  Poor

  N/A

Transfer Pumps

• Current status of the transfer pump?

  In Service

  Out of Service

  N/A

• Any indications of corrosion?

  Yes

  No

  N/A

• Were there any leaks identified?

  Yes

  No

  N/A

Wildlife

• Rats Nest?

  Yes

  No

  N/A

• Bees/Wasps nests?

  Yes

  No

  N/A

• Are all openings in pits/tanks/containers closed?

  Yes

  No

  N/A

• Are all applicable bird cones in place?

  Yes

  No

  N/A

Miscellaneous

• Is the location overgrown with weeds or vegetation?

  Yes

  No

  N/A

• If applicable, are there "No Trespassing" signs?

  Yes

  No

  N/A

• Any stained soil on location?

  Yes

  No

  N/A

• Any slip, trip, or fall hazards?

  Yes

  No

  N/A

• If applicable, is the location fencing in good condition (city limits)?

  Yes

  No

  N/A

• If applicable, are fire extinguishers available?

  Yes

  No

  N/A

• Last inspection date?

• Are there any hazards present that pose a danger to the general public?

  Yes

  No

  N/A

• Is there cellular service available?

  Yes

  No

  N/A

• Is there any "out of service" equipment/piping that can be removed

  Yes

  No

  N/A

Additional Comments

• Comments

Inspection Completed By:

• Name:

• Signature:

  Sign