Information

  • Manager

  • Site/crew

  • Supervisor

  • HSE Tech/ Checklist completed by

  • Conducted on

  • Location

Checklist

1. Access Points

  • 1.3 Access unobstructed

  • 1.4 Cattle panels are in place and gates closed

  • 1.5 Walking/working surfaces are smooth

  • 1.2 Weed control

  • 1.1 Signs (Check-in, Check-out, TRRC comingling, safety multi-sign)

  • Comments:

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2. Security

  • 2.1 Is facility fenced?

  • 2.2 Can hatches be locked?

  • 2.3 Valves on load lines & drain lines locked (where appropriate)

  • 2.4 Limited exposures to ranch occupants

  • 2.5 Emergency numbers posted

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  • Comments:

3. Storage Tanks and Secondary Containment

  • 3.1 Guarding – Stairways & Catwalks have handrails, mid-rails and kick plates and in good condition

  • 3.2 Structural supports good

  • 3.3 Stairways & Catwalks free of material, tools, trash, and debris

  • 3.4 Tank labels (contents, tank number and hazards [Confined Space, NFPA.704 diamond])

  • 3.5 Grounded

  • 3.6 Vents installed properly and not leaking

  • 3.7 Thief hatches are closed, latched and not leaking

  • 3.8 Wind sock in place, functioning and in good condition

  • 3.9 Defective tanks are locked and tagged

  • 3.10 Loading points have grounding/bonding clamps and signage

  • 3.11 Loading catch basin empty, lid closed

  • 3.12 Open ended piping have plugs, blinds, covers or caps. No leaks

  • 3.13 Berms in good condition and not worn down, also large enough to hold volume of largest tank plus 10% ;secondary containment around lube oil and bulk chemical tanks

  • 3.14 Firewalls free of oil, no puddles and no oil- wet soil (water, oil, mixture, etc.)

  • 3.15 Access/Egress appropriate and in good condition

  • 3.16 Area free of excess material, trash, weeds and debris

  • Comments:

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4. Electrical Equipment (Automation/Instrumentation/Measurement)

  • 4.1 J-boxes properly bolted/sealed

  • 4.2 Explosion proof equipment as required (inside berms)

  • 4.3 Equipment grounded (includes light plants)

  • 4.4 Wire/Cables are properly insulated (visual)

  • 4.5 Control boxes labeled

  • 4.6 No visible damage

  • 4.7 Shut-off equipment due to repairs or defects is locked and tagged

  • Comments:

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5. Pressure Vessels

  • 5.1 Marking/Labels and Information Plates in place and legible

  • 5.2 Open ended piping and valves have plugs, blinds, covers or caps and no leaks

  • 5.3 Level indicators functioning properly and not damaged

  • 5.4 Process integrity (no leaking flanges, man ways, fittings, valves, vessels, pop-off valves) or missing bolts

  • 5.5 Pressure gauges in good condition, functioning properly and correct range

  • 5.6 Relief valve discharge is aimed away from people and anchored

  • 5.7 Block valves are locked open up and downstream of Relief valves

  • 5.8 No vented gas or vapors

  • 5.9 Closed valves or shut-off equipment is locked and tagged

  • 5.10 Structural support integrity effective

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6. Piping (Flow lines)

  • 6.1 Open ended piping and valves have plugs, blinds, covers or caps

  • 6.2 No Visible leaks, spills or splash-overs (unknown or unreported)

  • 6.3 No vented gas or vapors

  • 6.4 No corrosion, dents or cracks

  • 6.5 Relief valve discharge is aimed away from people and anchored

  • 6.6 Relief valves block valves are locked open and valves are not leaking

  • 6.7 Pipe risers, etc. are protected from being hit by vehicles

  • 6.8 No vented gas or vapors

  • 6.9 Pressure gauges in good condition, functioning properly and proper pressure range

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  • Comments:

7. Flares

  • 7.1 Flares pilots and blowers are functioning and not smoking<br>(cannot smoke >5min/2-hrs)

  • 7.2 Flame arrestors are in good condition and sealed

  • 7.3 Guy wires in place, in good condition and anchored properly

  • 7.4 Berm free of product previously spilled or grass/weeds

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  • Comments:

8. Compressors

  • 8.1 “Hearing protection required” signs around compressor

  • 8.2 Guards in place around rotating parts

  • 8.3 Equipment grounded

  • 8.4 Control/Panel box, controls are labeled

  • 8.5 Electrical explosion-proof equipment as required

  • 8.6 Compressor oil leaks are controlled and kept from accumulating or spilling off the skid

  • 8.7 Guarding – Stairways in good condition. Hot piping is guarded

  • 8.8 Open ended piping and valves have plugs, blinds, covers or caps and no leaks

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  • Comments:

9. General

  • 9.1 Equipment onsite matches air permit registration

  • 9.2 Safe work permit in place

  • 9.3 Contractor work activities being conducted safely

  • 9.4 Overall conditions safe

  • 9.5 H2S facility identified and radius for exposure calculated for facility near public areas

  • 9.6 Fire extinguishers (inspected, in place and in good condition)

  • 9.7 Lighting conditions adequate

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  • Comments:

Additional information:

  • Comments:

  • Signature:

  • On site representative

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