Information
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Signature
JOB PLAN
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Planner walk down checklist. Please refer to the Ivara work order for additional details.
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Time and date of Job site visit.
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Planner: Dan Courtemanche x.206 ch.1
Info
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Work Order / Work Request
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Work Order #
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Work Request #
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Asset number on work request verified against asset in field?
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Asset #
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Equipment model(s) in CMMS verified against model in field?
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Enter equipment model(s)
Equipment Model
Location
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Area
- Batch Digester (#2)
- Brown Stock Washing
- Chemical Unloading
- Continuous Digester (1A)
- Hardwood Bleach (#2)
- Maintenance Shop
- Mill Stores
- O2 Bleach
- Power House
- R10 Generator
- Screen Room
- Softwood Bleach (#1)
- Tall Oil
- Thickener / Cleaners
- Other
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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
- Bottom
- Basement
- Other
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Control Room for Lock Out
- Batch Digester (#2)
- Brown Stock Washing
- Chemical Unloading
- Continuous Digester (1A)
- Hardwood Bleach (#2)
- Maintenance Shop
- Mill Stores
- O2 Bleach
- Power House
- R10 Generator
- Screen Room
- Softwood Bleach (#1)
- Tall Oil
- Thickener / Cleaners
- Other
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Map
- Not on maps
- 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 Description
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Photos
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Sketch
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Job Scope
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Enter task description(s)
Task
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If job scope changes, check with operator to see if lock out requirements have changed.
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Prep work required?
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Enter prep task description(s) and duration(s)
Prep Task
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Follow-up work required?
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- PMG acceptance test
- Equipment rebuild
- Ship equipment for rebuild
- Other
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Enter follow-up tasks.
Task
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Problems to resolve?
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Enter problem details
Problem
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Work acceptance criteria
- 4 smiley faces
- Acceptable drip rate
- No process leaks
- No oil leaks
- Acceptable VA baseline
- Inspection by supervisor
- Inspection by NDT Tech
- Inspection by engineer
- Proper belt tension
- Other
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Additional acceptance criteria.
Acceptance criteria
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Rigging required?
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A competent craftspersons must develop a sound rigging plan to be reviewed with his supervisor prior to starting the job.
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Rigging options
- Rated lifting beam
- non-rated lifting bean
- Non-rated rigging point
- Limited rigging options
- Accessible with mobile equipment
- No access with mobile equipment
- Complex rigging required
- Drift required
- Other
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Other rigging options.
Rigging option
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Running condition
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S/D?
- Any Area
- Batch Digester Annual
- Hardwood Area
- Mill Wide Annual
- Softwood Area
- Water Wash
- Other
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Advanced details
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Around-the-clock?
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Complexity level
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Exhaustion level
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Contingency
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Notes
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Support documents required?
- Engineering Drawings
- Manuals
- MSDS
- Other
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Other support documents required.
Document
Permits & Procedures
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LOTO required?
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No exposure to energy sources
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Line / Process break?
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Attach line breaking procedures to Ivara work order.
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Hot work required?
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Attach hot work permit to work order package.
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Confined space entry?
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Operations is responsible for developing a CSE plan, arranging for breathing air, attendants, gas testing and continuous monitoring.
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Gas test required?
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Reason for gas test
- Enclosed space
- Oxygen area
- Ozone area
- LEL / PID area
- Turpentine area
- Other
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Supervisor must arrange to have a gas test done.
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Lifting over 25 tons?
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Attach lifting permit to work order for all lifts over 25 tons.
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TSSA?
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Attach ITP (Inspect and Test Plan) to work order package. Please initial and date all applicable sections of the ITP.
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Working on top of tank?
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Attach completed permit for working on top of tanks to the work order package.
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Work to be performed by a contractor?
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Submit contracting out notification to Local:
- 74
- 74-1
- 156
- 956
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All services above $25,000 require competitive bidding or an exception form.
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Working from heights?
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Attach working from heights procedure to work order.
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Is fall arrest required?
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Inspect all components and tie-off point(s).
Resources
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Skills required?
- Carpenter
- Electrician
- Fiberglasser
- Instrument Tech
- Lube Tech
- Millwright
- Pipefitter
- Rigger
- Vibration Analyst
- Welder
- Contractor
- Waterblaster
- Other
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Other skills required.
Skill
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Bill of Materials
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Add item to BOM
Item
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Special tools required?
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- Optalign
- Laser sheave alignment tool
- Belt tensioner
- Packing puller
- Other
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Additional specialty tools required.
Tool
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PPE required?
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- Rubber suit
- Rubber gloves
- Rubber boots
- Googles
- Face shield
- SCBA
- Half mask respirator
- Full face respirator
- Chemical suit
- Other
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Additional PPE required.
Item
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Rigging required?
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Additional rigging items required.
Item
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Scaffold required?
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Scaffolding details.
Details
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Mobile equipment required?
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- Fork lift
- Forklift with boom
- P&H (crane)
- Boom truck
- Handy Herman
- Scissor lift
- Broderson
- Other
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Other mobile equipment required.
Equipment
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External services required?
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- Boom Truck / Crane
- Confined Space Attendant
- HP Cleaning / Vacuum Truck
- Waterblasting
- NDE
- Fitter / Welder
- Millwright
- Other
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Other external services required.
Service
EMERGENCY: Contact Security by Phone ext.316 or Radio ch.1
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Advanced emergency info
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Nearest eyewash / shower
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Nearest phone
- 271 - R10 control room
- 272 - Beater Room control room
- 280 - Pipe Shop
- 283 - Chemical Unloading control room
- 301 - Power House stairwell
- 302 - Tall Oil control room
- 314/436 - Digester control room
- 324/337 - Bleach Plant control room
- 801 - Millwright Shop
- Other
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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
- Other
JSA / JHA
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Perform Job Safety / Hazard Analysis?
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A Job Safety / Hazard Analysis has not been performed.
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Line of fire
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Add media
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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
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Non-PSM Chemicals
- Black Liquor
- Caustic
- Hydrogen Peroxide
- White Liquor
- Sulphuric Acid
- Other
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Gas Area
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Possible exposure to
- Chlorine Dioxide
- Hydrogen Sulphide
- Oxygen
- Ozone
- Other
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May be required to carry an H2S monitor. Check with the operator.
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Other gas?
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Carry approved respirator at all times.
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Designated Substances?
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Possible exposure to
- Acrylonitrile
- Arsenic
- Asbestos
- Benzene
- Coke Oven Emmisions
- Ethylene Oxide
- Isocyanates
- Lead
- Mercury
- Silica
- Vinyl Chloride
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Radiation
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Electrical
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Vibration
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Noise
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Over 85 dB - Hearing protection required.
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Confined Space Entry
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Check that all requirements on the CSE have been met.
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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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Approved respirator and cartridges must be work during exposure.
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Ergonomics
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Visibility / Lighting
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Addition lighting may be required.
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Access / Egress
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Working on Roof
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Requires use of buddy system.
Must not be closer than 6 feet from edge unless a physical barricade is erected. -
Traffic
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Traffic hazard
- Adjacent to mobile equipment route
- Adjacent to road
- Adjacent to train tracks
- Watch for people and equipment while operation mobile equipment
- Other
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Working Alone
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Use buddy system or maintain periodic radio contact.
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Drop tool to lower level
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Drop hazard
- Working from scaffold or platform
- Working on grating
- Working adjacent to handrail
- Working from man-lift
- Working near roof edge
- Working adjacent to opening in floor
- Working adjacent to opening in wall
- Working below / Drop from above
- Drop into equipment
- Other
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Biohazardous Material
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Insect Bite
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Weather
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Environmental damage
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- Draining contents of tank to sewer
- Equipment outside of contained area
- Venting of emissions to atmosphere
- Other
General Instructions
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Perform 10 foot safety circle.
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Complete job safety check sheet.
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Ensure controls are in place for all identified hazards.
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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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Put away all tools and rigging.
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Return all unused parts to mill stores return bin.
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Leave the job site cleaner than you found it.
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Report activity as "Complete" in Ivara and leave feedback.