Information
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Manager
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Site/crew
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Supervisor
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HSE Tech/ Checklist completed by
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Conducted on
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Location
Checklist
1. Access Points
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1.3 Access unobstructed
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1.4 Cattle panels are in place and gates closed
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1.5 Walking/working surfaces are smooth
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1.2 Weed control
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1.1 Signs (Check-in, Check-out, TRRC comingling, safety multi-sign)
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Comments:
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2. Security
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2.1 Is facility fenced?
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2.2 Can hatches be locked?
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2.3 Valves on load lines & drain lines locked (where appropriate)
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2.4 Limited exposures to ranch occupants
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2.5 Emergency numbers posted
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Comments:
3. Storage Tanks and Secondary Containment
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3.1 Guarding – Stairways & Catwalks have handrails, mid-rails and kick plates and in good condition
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3.2 Structural supports good
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3.3 Stairways & Catwalks free of material, tools, trash, and debris
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3.4 Tank labels (contents, tank number and hazards [Confined Space, NFPA.704 diamond])
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3.5 Grounded
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3.6 Vents installed properly and not leaking
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3.7 Thief hatches are closed, latched and not leaking
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3.8 Wind sock in place, functioning and in good condition
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3.9 Defective tanks are locked and tagged
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3.10 Loading points have grounding/bonding clamps and signage
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3.11 Loading catch basin empty, lid closed
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3.12 Open ended piping have plugs, blinds, covers or caps. No leaks
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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
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3.14 Firewalls free of oil, no puddles and no oil- wet soil (water, oil, mixture, etc.)
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3.15 Access/Egress appropriate and in good condition
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3.16 Area free of excess material, trash, weeds and debris
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Comments:
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4. Electrical Equipment (Automation/Instrumentation/Measurement)
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4.1 J-boxes properly bolted/sealed
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4.2 Explosion proof equipment as required (inside berms)
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4.3 Equipment grounded (includes light plants)
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4.4 Wire/Cables are properly insulated (visual)
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4.5 Control boxes labeled
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4.6 No visible damage
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4.7 Shut-off equipment due to repairs or defects is locked and tagged
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Comments:
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5. Pressure Vessels
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5.1 Marking/Labels and Information Plates in place and legible
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5.2 Open ended piping and valves have plugs, blinds, covers or caps and no leaks
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5.3 Level indicators functioning properly and not damaged
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5.4 Process integrity (no leaking flanges, man ways, fittings, valves, vessels, pop-off valves) or missing bolts
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5.5 Pressure gauges in good condition, functioning properly and correct range
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5.6 Relief valve discharge is aimed away from people and anchored
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5.7 Block valves are locked open up and downstream of Relief valves
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5.8 No vented gas or vapors
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5.9 Closed valves or shut-off equipment is locked and tagged
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5.10 Structural support integrity effective
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6. Piping (Flow lines)
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6.1 Open ended piping and valves have plugs, blinds, covers or caps
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6.2 No Visible leaks, spills or splash-overs (unknown or unreported)
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6.3 No vented gas or vapors
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6.4 No corrosion, dents or cracks
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6.5 Relief valve discharge is aimed away from people and anchored
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6.6 Relief valves block valves are locked open and valves are not leaking
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6.7 Pipe risers, etc. are protected from being hit by vehicles
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6.8 No vented gas or vapors
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6.9 Pressure gauges in good condition, functioning properly and proper pressure range
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Comments:
7. Flares
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7.1 Flares pilots and blowers are functioning and not smoking<br>(cannot smoke >5min/2-hrs)
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7.2 Flame arrestors are in good condition and sealed
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7.3 Guy wires in place, in good condition and anchored properly
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7.4 Berm free of product previously spilled or grass/weeds
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Comments:
8. Compressors
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8.1 “Hearing protection required” signs around compressor
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8.2 Guards in place around rotating parts
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8.3 Equipment grounded
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8.4 Control/Panel box, controls are labeled
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8.5 Electrical explosion-proof equipment as required
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8.6 Compressor oil leaks are controlled and kept from accumulating or spilling off the skid
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8.7 Guarding – Stairways in good condition. Hot piping is guarded
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8.8 Open ended piping and valves have plugs, blinds, covers or caps and no leaks
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Comments:
9. General
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9.1 Equipment onsite matches air permit registration
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9.2 Safe work permit in place
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9.3 Contractor work activities being conducted safely
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9.4 Overall conditions safe
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9.5 H2S facility identified and radius for exposure calculated for facility near public areas
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9.6 Fire extinguishers (inspected, in place and in good condition)
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9.7 Lighting conditions adequate
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Comments:
Additional information:
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Comments:
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Signature:
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On site representative