LSUSA

• Audit Title: CTB location with Well Site(s)

• Client

• Conducted on

  Date

• Prepared by

• Field Location:
  Address

Storage Tank Battery Area

• Is the location entrance warning signage in place that displays Company Name, Lease Name and acreage along with PPE Required; No Smoking; Authorized Personnel Only; and if needed -Caution Poison Gas Present and Emergency Phone Number?

  Yes

  No

  N/A

• Operator lease sign at the tank battery which includes the Company Name, Lease Name, RR #, and acreage?

  Yes

  No

  N/A

• If fire extinguishers are present are they in compliance?

  Yes

  No

  N/A

• Are H2S signs required at this facility?

  Yes

  No

  N/A

• If H2S is present, is there a Danger "Respiratory Equipment Required Beyond this Point" sign at stairways?

  Yes

  No

  N/A

• Are the NFPA/GHS labels on the storage tanks and VRT(s) and in good condition?

  Yes

  No

  N/A

• Are the tanks labeled with "Danger - Confined Space- Permit Required Entry" signs, and in good condition?

  Yes

  No

  N/A

• Are all of the thief hatches closed on the tanks?

  Yes

  No

  N/A

• How are the Condition of the storage tanks?

  Safe

  At Risk

  N/A

• Are all chemical storage containers labeled with GHS labels, have an SDS attached and in proper secondary containment?

  Yes

  No

  N/A

• Are the VRT(s) properly anchored with guard wires that are marked?

  Yes

  No

  N/A

• Are the electrical panel boxes marked with a "Danger- High Voltage" label?

  Yes

  No

  N/A

• Is the Vapor Recovery Unit free from leaks, oil drum labeled, all lines valves plugged, and current inspection on PRV?

  Yes

  No

  N/A

• Do the lines or valves have plugs where needed?

  Yes

  No

  N/A

• No leaks coming from lines; valves and storage containers?

  Yes

  No

  N/A

• Is the leak small enough that it does not require immediate attention?

  Yes

  No

  N/A

• No signs of contaminated soil in or around berm?

  Yes

  No

  N/A

• Is the berm and containment area around the tanks in good condition?

  Yes

  No

  N/A

• Is there good housekeeping inside and around the berm?

  Yes

  No

  N/A

• Are the stairs and walkways in a safe condition?

  Yes

  No

  N/A

• Condition of Walkway and Stairs

  Select Pinch Points on Hand Rails Slip, Trip Issues on Walkways Walkway Not Secured Properly Broke or Loose Steps Missing rails or toe boards Guide Wires in Walkway Trip Hazards or Items on Walkways

  • Pinch Points on Hand Rails
  • Slip, Trip Issues on Walkways
  • Walkway Not Secured Properly
  • Broke or Loose Steps
  • Missing rails or toe boards
  • Guide Wires in Walkway
  • Trip Hazards or Items on Walkways

• Are the Load lines barricaded if they extend beyond the berm?

  Yes

  No

  N/A

• Are the load line catch pans in good condition with no residue or trash left in them?

  Yes

  No

  N/A

• Is there an identifiable ground connection by or on the load line for the transport haulers to use?

  Yes

  No

  N/A

• Is proper guarding in place on electrical motors and pumps?

  Yes

  No

  N/A

• Are the storage tanks and load lines grounded?

  Yes

  No

  N/A

• Are the meters, vapor recovery units (VRU), transfer motors, and LACT unit(s) individually grounded?

  Yes

  No

  N/A

• Is the windsock present and in good condition?

  Yes

  No

  N/A

• Is the tank battery location safe from driving hazards?

  Yes

  No

  N/A

• Comments

• Pictures

  Media

Heater Treater Area

• Are the separator and heater treaters labeled with NFPA/GHS; Caution Hot Surface; Danger "Confined Space Entry Permit Required" (if required) signage?

  Yes

  No

  N/A

• Is the secondary containment berm in good condition?

  Yes

  No

  N/A

• Do the chemical storage containers around this area have the GHS labeling, an SDS attached and stored in secondary containment?

  Yes

  No

  N/A

• Are all of the Pressure Relief Valves (PRV) current on inspection dates?

  Yes

  No

  N/A

• Do all lines and valves have plugs where needed?

  Yes

  No

  N/A

• No lines or valves presently leaking in this area?

  Yes

  No

  N/A

• No signs of contaminated soil in are around berm?

  Yes

  No

  N/A

• Do vertical ladders that are over 20' have fall protection such as ladder cages?

  Yes

  No

  N/A

• Are all electrical panel boxes marked with "Danger High Voltage" label?

  Yes

  No

  N/A

• Is housekeeping good for this area? (inside and around the berm)

  Yes

  No

  N/A

• Comments

• Pictures

  Media

Flarestack Area

• Is there a Flare Stack at this location?

  Yes

  No

  N/A

• Is there a separator / scrubber or knock-out pot present and does it have the GHS/NFPA labeling?

  Yes

  No

  N/A

• Are all of the PRV's current on inspection date?

  Yes

  No

  N/A

• Is the flare pad or the secondary containment in good condition?

  Yes

  No

  N/A

• Is the flarestack the proper distance from storage tanks (75') and combustable material?

  Yes

  No

  N/A

• Are the flare guide wires anchored properly, marked or flagged?

  Yes

  No

  N/A

• Are all plugs installed on lines and valves?

  Yes

  No

  N/A

• Is there a flare arrestor or check valve in the line?

  Yes

  No

  N/A

• Is the flare ignition set to auto and is it working?

  Yes

  No

  N/A

• What is the overall condition of the flarestack area?

  Safe

  At Risk

  N/A

• Comments

Combuster Area

• Is there a Combuster at this location?

  Yes

  No

  N/A

• If guide wires are being used are they anchored properly, marked, flagged or painted?

  Yes

  No

  N/A

• Do all electrical panels have "DANGER - High Voltage" labels on them?

  Yes

  No

  N/A

• Is the combuster at the proper distance from the storage tanks and combustable material?

  Yes

  No

  N/A

• Are all plugs installed on lines and valves?

  Yes

  No

  N/A

• No chemical leaks, spills or contaminated soil in this area?

  Yes

  No

  N/A

• Is the combuster ignition set to on and is working?

  Yes

  No

  N/A

• Is there a flame arrestor or check valve in the line?

  Yes

  No

  N/A

• What is the overall condition of the combuster area?

  Safe

  At Risk

  N/A

• Comments

Salt Water Disposal Well

• Is there a salt water disposal well on site?

  Yes

  No

  N/A

• Do the tanks have proper signage? (NFPA/GHS, Confined Space- Permit Required)

  Yes

  No

  N/A

• Do all electrical panels have "DANGER - High Voltage" labels on them?

  Yes

  No

  N/A

• Is secondary containment in good condition?

  Yes

  No

  N/A

• Are the stairs and platforms in good condition?

  Yes

  No

  N/A

• Do chemical totes have the GHS label, an SDS attached and in secondary containment when needed?

  Yes

  No

  N/A

• Valves and lines are not leaking product?

  Yes

  No

  N/A

• Are the tanks and all load lines grounded and in good condition?

  Yes

  No

  N/A

• If fire extinguishers are present are they in compliance?

  Yes

  No

  N/A

• Is there good housekeeping around this area?

  Yes

  No

  N/A

• Comments

Pipeline Risers, Meter Runs, and Right of Way

• Is there a pipeline riser or meter run at this location?

  Yes

  No

  N/A

• Are the Pressure Relief Valves (PRVs) within inspection date?

  Yes

  No

  N/A

• Are all plugs installed on lines and valves and lines?

  Yes

  No

  N/A

• Do all electrical panels have "DANGER - High Voltage" labels on them?

  Yes

  No

  N/A

• Good housekeeping in this area?

  Yes

  No

  N/A

• Do chemical containers have GHS labels, an SDS attached and in secondary containment?

  Yes

  No

  N/A

• Is there a separator / scrubber present and does it have the GHS/NFPA labels?

  Yes

  No

  N/A

• Area free of spills or leaks?

  Yes

  No

  N/A

• Do the pipelines have a tracer wire?

  Yes

  No

  N/A

• Are traffic barricades present where needed?

  Yes

  No

  N/A

• Are buried gas lines identified with pipeline markers?

  Yes

  No

  N/A

• Comments

Well Head -1 Area

• Is there a well at this location?

Well Head

• What is the well head name?

• Is the Lease Sign with the operator name and well number present at the well?

  Yes

  No

  N/A

• Power boxe(s) labeled with Danger "High Voltage"

  Yes

  No

  N/A

• Are the power boxes and well head grounded?

  Yes

  No

  N/A

• Have all trip hazards been eliminated around well?

  Yes

  No

  N/A

• Do all chemical containers have GHS labels, an SDS attached and proper secondary containment?

  Yes

  No

  N/A

• Are all valves and lines plugged?

  Yes

  No

  N/A

• No present leaks or spills around well head area?

  Yes

  No

  N/A

• No soil contamination in this area?

  Yes

  No

  N/A

• Is there a pump jack on this location?

  Yes

  No

  N/A

• Are ladders that extend 20' have fall protection such as ladder cages?

  Yes

  No

  N/A

• Are Caution Automatic Start Sign posted?

  Yes

  No

  N/A

• Condition of diesel or gas motor for the pump?

  Safe

  At Risk

  N/A

• Are the pump fly wheels barricaded and with guards that protect from reaching in?

  Yes

  No

  N/A

• Is the cellar and mouse hole covered or back filled?

  Yes

  No

  N/A

• Are the pump belts properly guarded?

  Yes

  No

  N/A

• Is Hearing protection is required in this area?

  Yes

  No

  N/A

• Are signs posted in this area?

  Yes

  No

  N/A

• Is the well pad safe from driving hazards?

  Yes

  No

  N/A

• Good housekeeping around well?

  Yes

  No

  N/A

• Comments

Compressor Area

• Is there a compressor on site?

Compressor

• Is there a compressor on site?

  Yes

  No

  N/A

• What signage is missing around compressor?

  Select Danger High Voltage Hearing Protection Required Danger "Permit Confined Space" Caution Hot Surface None missing

  • Danger High Voltage
  • Hearing Protection Required
  • Danger "Permit Confined Space"
  • Caution Hot Surface
  • None missing

• Do the electrical boxes have DANGER High Voltage signs?

  Yes

  No

  N/A

• Are stairs, walkways and work platforms in safe condition?

  Yes

  No

  N/A

• Are the chemical containers labeled and in proper containment?

  Yes

  No

  N/A

• Is the bulk oil tank properly labeled and in proper containment?

  Yes

  No

  N/A

• Are plugs installed on lines or valves?

  Yes

  No

  N/A

• Are PRV's within inspection dates?

  Yes

  No

  N/A

• No leaks from lines, containers and equipment in this area?

  Yes

  No

  N/A

• No visable sign of contaminated soil?

  Yes

  No

  N/A

• Are compressor skids clean of debris and not leaking fluids?

  Yes

  No

  N/A

• Is there proper machine guarding?

  Yes

  No

  N/A

• Separator present with GHS / NFPA labels?

  Yes

  No

  N/A

• Blow down tank present and does it have the GHS / NFPA?

  Yes

  No

  N/A

• Does it have proper secondary containment?

  Yes

  No

  N/A

• Does it have GHS / NFPA and Confined Space labels.

  Yes

  No

  N/A

• Is the bulk coolant tank properly labeled and in proper containment?

  Yes

  No

  N/A

• Are used oil and oil filters stored properly with a labeled container?

  Yes

  No

  N/A

• Good housekeeping in this area?

  Yes

  No

  N/A

• Are fire extinguishers present?

  Yes

  No

  N/A

• Does the extinguisher have a current Yearly and Monthly inspection tag in place?

  Yes

  No

  N/A

• Is the extinguisher operational?

  Yes

  No

  N/A

• What is the location number or compressor number?

• Are compressor units individually grounded?

  Yes

  No

  N/A

• Are hearing levels below 85 decibels and if not what are the decibel levels?

  Yes

  No

  N/A

• Are "Hearing Protection Required" signs posted?

  Yes

  No

  N/A

• Comments

• Are Frac operations on this site?

  Yes

  No

  N/A

• Name of the Frac Company

• Name of the Frac Supervisor

• Is Personal Protective Equipment being used?

  Yes

  No

  N/A

• Is FR clothing, eye protection, steel toe boots and hard hats being used by all?

  Yes

  No

  N/A

• Are Respirators being used around frac sand movement?

  Yes

  No

  N/A

• Is chemical protection (face, hands, body) being used around chemicals?

  Yes

  No

  N/A

• Is hearing protection being used around pumping equipment?

  Yes

  No

  N/A

• Is Fall protection being used correctly when needed?

  Yes

  No

  N/A

• Proper signage and sign in sheet (JSA) at entrance to pad. Ref. API RP 67 2.4.2, API RP 54 5.1-5.4' I.S., API RP 49, RP54 8.41d, 1910.145(c)(2)(I)

  Yes

  No

  N/A

• Water manifold to tanks free of leaks, all valves to operate present , and in containment if re-use water is used. Ref. CHK BMP, I.S.

  Yes

  No

  N/A

• All tanks are in proper containment?

  Yes

  No

  N/A

• Stairs, handrails, and walkways pinned, connected and not damaged, with no open holes. Ref. RP54 9.3.8, 1910.24(h)

  Yes

  No

  N/A

• Are SDS's available for all chemicals? Ref. 29 CFR 1910.1200

  Yes

  No

  N/A

• Blender, hydration unit, and sand unit caution taped off. Ref. API 5416.1.10

  Yes

  No

  N/A

• Blender, hydration unit, chemical-add units and sand unit properly bonded and grounded?

  Yes

  No

  N/A

• Hammer unions clean and dressed free of mushrooms. Ref. RP54 12.5.1

  Yes

  No

  N/A

• Is emergency shower and eyewash trailer on location? Ref Z358

  Yes

  No

  N/A

• Is the trailer clearly identified as an "EMERGENCY SHOWER/WASH"

  Yes

  No

  N/A

• Is the power supply operational?

  Yes

  No

  N/A

• Is the proper amount of water available?

  Safe

  At Risk

  N/A

• Does the eye wash and shower have water pressure when activated?

  Yes

  No

  N/A

• Are light towers properly grounded? Ref RP 2003

  Yes

  No

  N/A

• All electrical extension cords shall be properly insulated and plugs shall be in good condition. Ref. RP54 9.14.5

  Yes

  No

  N/A

• Walkways and work areas have clear paths?

  Yes

  No

  N/A

• Spotters are used when backing equipment?

  Yes

  No

  N/A

• Pictures of areas.

  Media

• Comments

• Are there drilling operations on this location?

  Yes

  No

  N/A

• Have you filled out the separate drilling rig audit?

  Yes

  No

  N/A

• Notes

• Pictures

  Media