Husky Lima Refinery Quick Audit- Excavation

• Conducted on

  Date

• Prepared by

• Location
  Address

AUDIT DETAILS

• Unit:

  Select FCC/COKER SRU/BOILERHOUSE AWWT NLIU SLIU AROMATICS OM&S

  • FCC/COKER
  • SRU/BOILERHOUSE
  • AWWT
  • NLIU
  • SLIU
  • AROMATICS
  • OM&S

• Area:

• Date & Time:

  Date

• Company being audited:

• Auditor:

• Auditor:

• Auditor:

• Description of excavation and task:

• Equipment being used:

AUDIT

• Estimated excavation depth:

• Soil Type:

  STABLE ROCK

  TYPE A

  TYPE B

  TYPE C

• Is Pre-excavation check list completed and available?

  Yes

  No

  N/A

• Deficiencies noted:

• If excavation is greater than 3 feet in depth, an Excavation Pre-Entry Inspection form has been completed?

  Yes

  No

  N/A

• Deficiencies noted:

• If excavation is greater than 4 feet in depth, Confined Space Entry Permit has been completed?

  Yes

  No

  N/A

• Deficiencies noted:

• If excavation is greater than 5 feet in depth, a protective system is being utilized to prevent cave in?

  Yes

  No

  N/A

• Deficiencies noted:

• Hazardous energy source s have been properly isolated and locked out?

  Yes

  No

  N/A

• Deficiencies noted:

• Excavation is properly barricaded and protected from vehicle traffic?

  Yes

  No

  N/A

• Deficiencies noted:

• Spoils and equipment at least 2 feet from the edge?

  Yes

  No

  N/A

• Deficiencies noted:

• Proper Access/ Egress provided (ladder 25’ max travel, 3’ above and secured)?

  Yes

  No

  N/A

• Deficiencies noted:

• Protective System in place or sloping /benching and adequate?

  Select Yes No N/A

  • Yes
  • No
  • N/A

• List type of System used:

  BENCHING

  SLOPING

  SHORING

  TRENCH BOX

  SPREAD BARS

• Deficiencies noted:

• Personnel always remain inside trench box/shield?

  Compliant

  Non-Compliant

  N/A

• Deficiencies noted:

• Competent person is present if water removal is occurring?

  Yes

  No

  N/A

• Deficiencies noted:

• Overhead hazards are being controlled?

  Compliant

  Non-Compliant

  N/A

• Deficiencies noted:

• Vibrations from equipment or traffic too close?

  Safe

  At Risk

  N/A

• Deficiencies noted:

• Harness being worn or wristlets outside of space?

  Compliant

  Non-Compliant

  N/A

• Deficiencies noted?

• Do entrants have means of rescue if depth is 4ft or greater?

  Yes

  No

  N/A

• Deficiencies noted:

• Any Immediate corrective actions taken?

  Yes

  No

  N/A

• Describe:

• Is any follow up needed?

  Yes

  No

  N/A

• Describe: