Location Audit - Hilcorp

• Conducted on

  Date

• Prepared by

• Well Name

• Location
  Address

General

• Weeds

  Yes

  No

• Comments

• Slips/Trips/Falls

  Yes

  No

• Comments

• Signs of overheating (Discoloration)

  Yes

  No

• Comments

• Corrosion

  Yes

  No

• Comments

• Fire Extinguishers (City Limits)

  Yes

  No

• Comments

• Fencing (City Limits)

  Yes

  No

• Comments

• Public/Civilian hazards

  Yes

  No

• Comments

• CellService/Communication

  Yes

  No

• Comments

• LOTO

  Yes

  No

• Comments

• Security

  Yes

  No

• Comments

• Leaks

  Yes

  No

• Comments

• Stained Soil

  Yes

  No

• Comments

• Out of Service Equipment/Piping that can be removed

  Yes

  No

• Comments

• Steps/Ladder/Platform

  Yes

  No

• Comments

• Unprotected piping that could be damaged by a vehicle - Low line surgace areas

  Yes

  No

• Comments

• Bull Plugs

  Yes

  No

• Comments

• Enardo Valves (has it been burned)

  Yes

  No

• Comments

• Thief Hatches (is shut)

  Yes

  No

• Comments

• Riser

  Yes

  No

• Comments

Signs

• Automatic Startup

  Yes

  No

• Comments

• Voltage

  Yes

  No

• Comments

• PPE (Hearing, Glasses, Gloves, Safety toe)

  Yes

  No

• Comments

Location

• Hilcorp Energy Company

• Location Name

• Lat:

• Unit/Section/Township/Range

• Footages

• API No. 30-039

• Lease # Elevation

• County, State

• Emergency Number: 505-324-5170

• No Smoking

  Yes

  No

• No Trespassing

  Yes

  No

• Comments

• H2S

  Yes

  No

• Wind Sock (H2S designated pad)

  Yes

  No

• Comments

Tanks

• Pit Liners

  Yes

  No

• Comments

• Berms/Grade bands/Secondary containment conditions

  Yes

  No

• Comments

• HMIS/NFPA Stickers

  Yes

  No

• Comments

• Tank Height Stamp

  Yes

  No

• Comments

• Carseals

  Yes

  No

• Comments

• Bolts on openings of skirt tanks

  Yes

  No

• Comments

• Flame Arrestor

  Yes

  No

• Comments

Pits

• Pit liners

  Yes

  No

• Comments

• Below Grade Tank

  Yes

  No

• Comments

• Confines Space Entry Sign

  Yes

  No

• Comments

• Berms/ Grade Bands/ Secondary containment conditions

  Yes

  No

• Comments

Pumping Units

• Machine Guarding

  Yes

  No

• Comments

• Stuffing Boxes on pumping unit

  Yes

  No

• Comments

• Sound abatement equipment condition

  Yes

  No

• Comments

• PRV/PSV has been inspected

  Yes

  No

• Comments

Separator

• Sound abatement eqipment condition

  Yes

  No

• Comments

• PRV/PSV has been inspected

  Yes

  No

• Comments

• Venting Cap

  Yes

  No

• Comments

• Flame Arrestor

  Yes

  No

• Comments

Compressor

• Sound abatement eqipment condition

  Yes

  No

• Comments

• PRV/PSV has been inspected

  Yes

  No

• Comments

• Machine Guarding

  Yes

  No

• Comments

Wild Life

• Rats nests

  Yes

  No

• Comments

• Bee and Wasp Nests

  Yes

  No

• Comments

• Opening in Pits/Tanks/Containers

  Yes

  No

• Comments

• Bird Cones on Burner Tubes

  Yes

  No

• Comments

Over all Comments

• Over all Comments