Title Page

  • Location Name:

  • Foreman:

  • Conducted on:

  • Prepared by:

General

  • Are there adequate barricades around the well head?

  • Is the walking/working surface smooth and free of obstruction at the entrance of the facility?

  • Are the weeds controlled within the facility/location?

  • Is the fence around the facility in good condition?

  • Is an emergency number posted?

  • Is the entrance signage properly displayed on location?

  • Are there H2S signs in the appropriate areas? If applicable

  • Is there a PPE Required sign on location?

Tanks

  • Structural support good? Stairways and Catwalks in good condition?

  • Are there chains with signage across stairs?

  • Do the tank(s) have NFPA labels?

  • Are the tanks/load lines grounded?

  • Do the thief hatches close and latch properly? Seals/Gaskets in good condition? (do not check if working alone at a H2S location)

  • Is the Enardo Valve in place?

  • Is the wind sock in good condition?

  • Is there lightning protection/static dissipaters in place?

  • Are the Berms/Firewalls in good condition?

  • Is there a working Murphy Meter/other gauge in place?

Separators

  • Are the level indicators functioning and not damaged?

  • Has the Pineapple been inspected?

  • Are the pressure gauges in good condition?

  • Are weep holes in place on low and high pressure separators?

  • Are there car seals (locks) in place on the relief valves to ensure they cannot be bypassed?

  • Are the relief valves anchored?

  • Do the relief valve(s) have caps in place to act as a notification device for a possible disturbance?

Compressor

  • Does the compressor unit(s) have hearing protection signs in place?

  • Is the compressor grounded?

  • Is the compressor free of any oil/fluid leaks?

  • If leaks are present, are they contained within the skid?

Overall

  • Is the fire extinguisher in good condition? Current inspection?

  • Is there a SCBA properly staged with signage? If applicable

  • Additional Comments:

  • Safety Tech:

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