Title Page
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Location Name:
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Foreman:
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Conducted on:
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Prepared by:
General
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Are there adequate barricades around the well head?
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Is the walking/working surface smooth and free of obstruction at the entrance of the facility?
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Are the weeds controlled within the facility/location?
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Is the fence around the facility in good condition?
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Is an emergency number posted?
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Is the entrance signage properly displayed on location?
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Are there H2S signs in the appropriate areas? If applicable
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Is there a PPE Required sign on location?
Tanks
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Structural support good? Stairways and Catwalks in good condition?
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Are there chains with signage across stairs?
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Do the tank(s) have NFPA labels?
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Are the tanks/load lines grounded?
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Do the thief hatches close and latch properly? Seals/Gaskets in good condition? (do not check if working alone at a H2S location)
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Is the Enardo Valve in place?
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Is the wind sock in good condition?
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Is there lightning protection/static dissipaters in place?
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Are the Berms/Firewalls in good condition?
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Is there a working Murphy Meter/other gauge in place?
Separators
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Are the level indicators functioning and not damaged?
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Has the Pineapple been inspected?
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Are the pressure gauges in good condition?
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Are weep holes in place on low and high pressure separators?
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Are there car seals (locks) in place on the relief valves to ensure they cannot be bypassed?
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Are the relief valves anchored?
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Do the relief valve(s) have caps in place to act as a notification device for a possible disturbance?
Compressor
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Does the compressor unit(s) have hearing protection signs in place?
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Is the compressor grounded?
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Is the compressor free of any oil/fluid leaks?
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If leaks are present, are they contained within the skid?
Overall
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Is the fire extinguisher in good condition? Current inspection?
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Is there a SCBA properly staged with signage? If applicable
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Additional Comments:
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Safety Tech: