Monthly AVO Inspection

• Facility Name

  Select
Asset Name

• Conducted on

  Date

• Prepared by

• Weather

• Location
  Address

• Inspection Start Time

  Date

Closed Vent System

• Are there any defects in storage tank closed vents systems that could result in air emissions including, but not limited to; visible cracks, holes or gaps in piping, loose connections, liquid leaks, or broken or missing caps or other closure devices?

  Yes

  No

  N/A

Thief Hatches

• Are there any defects in storage tank thief hatches that could result in air emissions, including, but not limited to; visible cracks, holes or gaps in the thief hatch, or between the cover and the separator wall; broken, cracked, or otherwise damaged seals or gaskets on closure devices; and broken or missing hatches, access covers, caps, or other closure devices?

  Yes

  No

  N/A

Bypass Devices / Pressure Relief Valve (PRV)

Equipment Accessibility

• Are there any parts of the closed vent, cover system, or any other well equipment that are unsafe or difficult to inspect?

  Yes

  No

  N/A

Flowlines

• Are on location, above ground flow lines free of evidence of a leak at the time of this inspection?

  Yes

  No

  N/A

• Are on location, below ground dump lines free of evidence of a leak at the time of this inspection?

  Yes

  No

  N/A

Leaks

Leak

• Leaking Equipemt

  Wellhead

  Tank

  Separator

  Piping

  Meter

• Leaking Component

  Select Valve Fitting Gasket Thief Hatch PRV Controller Union Weld Other

  • Valve
  • Fitting
  • Gasket
  • Thief Hatch
  • PRV
  • Controller
  • Union
  • Weld
  • Other

• Description

• Leak Repaired on the spot (FOS)?

  Yes

  No

• Total Leaks Found

• Total Leaks Repaired

• Leaks Needing Workorders

Facility

• Are all gates closed and secured?

  Yes

  No

• All perimeter fences upright and in good condition?

  Yes

  No

• Are all thief hatches latched and secured?

  Yes

  No

• No noticeable staining, leaks or spills that need to be cleaned up and reported?

  Yes

  No

• Is house keeping good on location including excess equipment?

  Yes

  No

• Is all equipment on, functioning, and operational (heater treaters, flares, combustors, VRUs, etc)?

  Yes

  No

• Inspection End Time

  Date

• Add signature

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