Title Page
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Date of Audit
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Auditor
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Auditor Company
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Auditor
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Auditor Company
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Auditor
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Auditor Company
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Unit
- FCC
- Coker
- SRU/BH
- NLIU
- SLIU
- AROMATICS
- OM&S
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AREA
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Permitted Work Task
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Issuing Authority
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Executing Authority
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Entry Supervisor
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IS ISOLATION (LOTO) OR BLANKING REQUIRED TO COMPLETE THE WORK TASK(S)?
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WAS A MWP COMPLETED?
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COMMENTS
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Was job prepared properly?
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Explanation
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Was Isolation Plan Section completed properly?
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Explanation
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Was a blank list completed properly for this job?
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Explanation
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Were Isolation (LOTO) steps completed properly?
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Explanation
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Was equipment and the LOTO board/box properly locked and/or tagged by operations?
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Explanation
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Did craft properly apply their lock(s) to the LOTO board/box?
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Explanation
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Did affected personnel know the isolation points and LOTO method used?
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Explanation
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IS HOT WORK BEING PERFORMED AS PART OF THE WORK TASK(S)?
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List Hot Work activities
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Was HW permit issued to the Craft?
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Explanation
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Are gas testing results for Hot Work activities acceptable? (2% LEL or less)
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Explanation
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Is equipment isolated (blanked) properly for hot work task(s)?
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Explanation
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Was the proper notification made to Operations Supervisor?
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Explanation
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Are proper HW controls in place and being followed in the field?
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Explanation
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What Hot Work Controls are being used?
- COMBUSTIBLES REMOVED
- SEWERS COVERED
- SPARKS CONTAINED
- CONTINUOUS MONITORING
- EXTINGUISHER AT SITE
- FIRE WATCH
- WATER HOSE/WATER SPRAY
- WELD SHIELD
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IS A SWP REQUIRED TO COMPLETE THE WORK TASK(S)?
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Was a SWP completed?
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Explanation
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Were personnel signed into unit?
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Explanation
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Were questions 1-6 in the craft section completed properly?
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Explanation
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Was a job site visit conducted if required?
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Explanation
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Was authorization completed properly?
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Explanation
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Was correct PPE assigned for process hazards?
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Explanation
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Are the process hazards being controlled in the field?
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Explanation
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Did Crafts complete FHA or similar hazard assessment and does it adequately cover the hazards of the task(s)?
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Explanation
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Are the craft hazards being controlled adequately in the field?
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Explanation
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ARE WORK TASKS BEING PERFORMED IN A CONFINED SPACE?
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Was a CSE Permit completed?
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Explanation
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Was the authorization completed properly? (Operator then Entry Supervisor last)
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Explanation
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Is gas testing acceptable for entry? (10% LEL max)
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Explanation
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Is the Attendant/Entrant communication adequate?
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Explanation
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Does the Attendant have a radio for emergency communication and can demonstrate what to do in an emergency?
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Explanation
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Are the entry controls/PPE adequate to control the potential hazards?
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Explanation
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Is the rescue/emergency equipment acceptable for entry?
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Explanation
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Were questions 1-6 in the craft section completed properly?
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Explanation
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Are the entry requirements being followed in the field?
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Explanation
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Did the craft complete FHA or similar hazard assessment?
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Explanation
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Was a First Entry JSA completed for the initial entry?
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Explanation
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Are the craft hazards being controlled adequately?
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Explanation
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Is Craft Support for work outside the space documented as a separate craft or on a SWP?
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Explanation