Title Page
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Location Name
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Foreman
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Safety Captain
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Conducted on
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Expected Completion Date
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Prepared by
General
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Is there cattle panels in place around production tree?
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Is the walking/working surface smooth and free of obstruction in the entrance and/or location?
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Are the weeds controlled?
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Is the facility fenced or blocked off?
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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?
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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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Does 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?
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Is the Enardo Valve in place?
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Are the thief hatch gaskets in good condition?
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Is there a wind sock in place?
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Are there lightning eliminators 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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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 the car seals in place on the relief valves?
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Are the relief valves anchored?
Compressor
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Is the compressor unit(s) have hearing protection sign signs?
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Is the compressor grounded?
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Is the compressor oils leaks contained within the skid?
Overall
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Is the fire extinguisher checked and inspected?
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Is there a SCBA properly staged with signage?
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Additional Comments
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Safety Tech