Information
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Audit Title
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Document No.
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
JOB PLAN
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This is not a work order. Please refer to the Ivara work order for additional details.
Info
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Work Order #
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Asset#
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Time and date of Job site visit.
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Planner: Dan Courtemanche x.206 ch.1
Location
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Area
- 1A Digester
- Batch Digester
- Screen Room
- SW Bleach
- HW Bleach
- O2 Bleach
- Tall Oil
- R10
- Chemical Unloading
- Cleaners
- CLO2 Storage
- Methanol Storage
- Power House
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Floor
- Ground
- 1-1/2
- 2
- 2-1/2
- 3
- 4
- 5
- 5-1/2
- 6
- 7
- 7-1/2
- 7-3/4
- 8
- Mezzanine
- Operating
- Pier
- Washer
- Filter
- Roof
- Top
- Middle
- Bottom
- Basement
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Control Room for Lock Out
- 1A Digester
- Batch Digester
- Screen Room
- Tall Oil
- Softwood Bleach
- Hardwood Bleach
- Chemical Unloader
- Power House
- Other
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Map
- PP-100
- PP-101
- PP-102
- PP-103
- PP-104
- PP-105
- PP-106
- PP-106 back
- PP-107
- PP-108
- PP-109
- PP-110
- PP-111
- PP-112
- PP-113
- PP-114
- PP-115
- PP-116
- PP-117
- PP-117B
- PP-118
- PP-119
- PP-150A
- PP-150B
- PP-151
- PP-152
- PP-153
- PP-154
- PP-155A
- PP-155B
- PP-156
- PP-157A
- PP-157B
- PP-157C
- PP-158
- PP-159
- PP-160
- PP-161
- PP-162
- PM-622
- PM-623A
- PM-623B
Details
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Problem
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Job Scope
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If job scope changes, check with operator to see if lock out requirements have changed.
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Running condition
- On-the-run
- Spare Equipment
- Bypass Stage
- Reduced Production
- Shutdown
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S/D?
- SW Bleach Area
- HW Bleach Area
- Any Bleach Area
- Mill Wide
- Batch Annual
- Water Wash
- None
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Around the clock?
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Complexity Level
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Exhaustion Level
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Photos
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Sketch
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Drawing required
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Problems to resolve
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Prep work required
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Work acceptance criteria
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Contingency
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Notes
Permits & Procedures
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LOTO required?
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Line break?
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Hot work?
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Working from heights?
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Confined space entry?
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Gas test?
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Lifting Permit?
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Working on tank top?
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TSSA?
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Union Notification?
Resources
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Skills required?
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BOM
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Special tools required?
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PPE required?
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Rigging required?
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Mobile equipment required?
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Bottles and masks?
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Scaffold Required?
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Fall arrest required?
Emergency
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EMERGENCY: Contact Security by Phone ext.316 or Radio ch.1
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Nearest phone
- 272 - Beater Room Control Room
- 324/337 - Bleach Plant Control Room
- 283 - Chemical Unloading Control Room
- 314/436 - Digester Control Room
- 280 - Pipe Shop
- 271 - R10 Control Room
- 302 - Tall Oil Control Room
- 801 - Millwright Shop
- 301 - Power House Stairwell
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Nearest emergency door
- 1 - Electrical shop
- 9A - Alley by Chemical Unloader
- 10 - Bleach high density storages
- 11 - O2 Bleach at ramp
- 19 - 1A Digester big door
- 20 - Salt Dock
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Nearest eyewash / shower
JSA / JHA
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Line of fire
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Slips / Trips
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Fall to lower level
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Struck by / Struck against
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Caught / Crushed
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Cut / Puncture / Abrasion
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Pressurized system / Compressed gas
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Hot / Cold environment
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Thermal Contact
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Chemical Contact
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PSM Chemicals
- Chlorine
- Chlorine Dioxide
- Methanol
- Sodium Chlorate
- Turpentine
- None
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Non-PSM Chemicals
- Black Liquor
- Hydrogen Peroxide
- Magnesium Sulphate
- Oxygen
- Ozone
- Soap
- Sodium Hydroxide
- Sulphuric Acid
- Tall Oil
- White Liquor
- Generator Slurry
- None
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Gas Area - Carry respirator at all times.
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Electrical
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Radiation
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Vibration
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Noise
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Noise Level
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Confined Space
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Entanglement
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Obstruction
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Fire / Explosion
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Dust / Fumes / Vapour
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Ergonomics
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Visibility / Lighting
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Access / Egress
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Working on Roof
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Traffic
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Working Alone
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Drop tool to lower level
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Biohazardous Material
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Insect Bite
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Weather
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Environmental damage
General Instruction
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Perform 10 foot safety circle.
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Ensure controls are in place for all identified hazards.
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Complete job safety check sheet.
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Keep work area tidy for the entire duration of the job.
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Dispose of all garbage properly.
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Place all recyclables in proper bins.
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Return all unused parts to return bin.
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Put away all tools and rigging.
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Leave the job site cleaner than you found it.
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