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Monthly PNG Checklist
Monthly PNG Checklist
Jake Jordan

Monthly PNG Checklist

Pipeline Safety Checklist

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Free Monthly PNG Checklist Checklist

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Information

  • Location

  • TCC Location

    • COH-Springfield (0651)
    • COH-Wintersville (0731)
    • COH-Bellaire (0732)
    • COH-East Liverpool (0733)
    • COH-Columbus SE (0822)
    • COH-Columbus NE (0823)
    • COH-Columbus NW (1324)
    • COH-Columbus Central & SW (1325)
    • COH-Alliance (0971)
    • COH-Findlay (1031)
    • COH-Fremont (1053)
    • COH-Firelands (1054)
    • COH-Toledo (1121)
    • COH-Lorain (1222)
    • COH-Middleburg HTS (1261)
    • COH-New Lexington (1424)
    • COH-Zanesville (1441)
    • COH-Cambridge (1442)
    • COH-Coshocton (1443)
    • COH-Newark (1451)
    • COH-Athens (1521)
    • COH-Chillicothe (1531)
    • COH-Jackson (1533)
    • COH-Portsmouth (1541)
    • COH-Mansfield (1721)
    • COH-Marion (1732)
    • COH-Mt. Vernon (1743)
    • COH-Ironton (1943)
    • CMD-Hagerstown (2141)
    • CMD-Cumberland (2151)
    • CPA-Greencastle (2171)
    • CPA-Mt. Lebanon (2221)
    • CPA-Rochester (2231)
    • CPA-Emleton (2232)
    • CPA-New Bethlehem (2234)
    • CPA-Warren (2239)
    • CPA-Smithfield (2321)
    • CPA-Washington (2391)
    • CPA-York (2421)
    • CPA- New Castle (2231)
    • CPA-State College (2451)
    • CPA-Bradford (2238)
    • CMA-Brockton (8100)
    • CMA-Springfield (8200)
    • CMA-Ludlow (8710)
    • CMA-Brockton-Meadow Ln. (8730)
    • CMA-Easton (8720)
    • CMA-Northampton (8201)
    • CMA-Lawrence (8400)
    • CPA- Uniontown/Connellsville
    • People's Natural Gas (PNG)
    • CPA- Central

  • Performing Work For:

  • Prepared by

  • Contractor Company Name

    • Alex E. Paris Contracting Company, Inc.
    • Allegheny Contracting, LLC
    • Banks Gas Services, Inc.
    • Buckeye Utility Services, LLC
    • C.J. Hughes Construction Company, Inc.
    • Casper Colosimo & Son, Inc.
    • Dekatherm, Inc.
    • Feeney Brothers Excavation, LLC
    • InfraSource Construction Services, LLC
    • InfraSource Construction, LLC
    • Kinsley Construction, Inc.
    • KS Energy Services, LLC
    • Lineal Industries, Inc.
    • M. O'Herron Company
    • Michels Corporation
    • Mid-Ohio Pipeline Company, Inc.
    • Miller Pipeline Corporation
    • Minnesota Limited
    • New England Utility Constructors, Inc.
    • NPL Construction Company
    • R&R Pipeline, Inc.
    • R.L. Coolsaet Construction Co.
    • RH White Construction Company, Inc.
    • Riley Brothers, Inc.
    • RLA Investments, Inc.
    • Robert J. Devereaux Corporation
    • Southeast Connections, LLC
    • Stanley Pipeline, Inc.
    • The Fishel Company
    • Utility Line Services, Inc.
    • W.E. Curling, Inc.
    • AWP

  • Contractor Foreman (Last Name, First Name)

  • Contractor Employee(s) (CREW) (Last Name, First Name)

  • Company Crew Involved?

  • Company Crew Leader Name (Last Name, First Name)

  • Crew Members (Last Name, First Name)

  • Conducted on

  • Document No.

Safety and PPE

Work Zone

  • Work Zone - Traffic Control, Personal and Public Safety Measures

  • Work Zone Properly Marked/ Posted (MUTCD Guidelines, HSE 4100.020).

  • Traffic Control Adequate for Work Site (HSE 4100.020).

  • Workers Protected by Cones, Barricades that meet Pub 213 and MUTCD guidelines (HSE 4100.040)

  • Pedestrian traffic addressed (HSE 4100.20)

  • Flaggers Present if necessary (HSE 4100.020)

  • Excavation protected by cones and/or barricades (HSE 4100.040)

Housekeeping

  • Housekeeping

  • Properly Maintained Work Site (Housekeeping/Cleanup) (OSHA 29 CFR 1910.22 & ANSI A1264.2-2012) (OSHA 29 CFR 1926.25 House Keeping)

  • Properly Staged and Stored Equipment, Material, Tools (HSE 4100.050)

  • Work area free of trip, slip, and fall hazards

  • Extension cords are not draped in walk areas

  • Work area is neat and organized

PPE

  • Personal Protective Equipment

  • Proper PPE Attire for Task or Site (HSE 4200.050, .040, .030, .020)

  • Hardhat? (HSE 4200.050)

  • Safety glasses? (HSE 4200.030)

  • Foot protection (Steel toed, and metatarsals if applicable) (HSE 4200.020)

  • High Visibility Vest? (HSE 4100.020)

  • Gloves worn where applicable to the job task? (HSE 4200.040)

  • Hearing Protection (HSE 4000.030)

  • All PPE in Clean and Serviceable Condition (HSE 4200 Series)

  • Respiration Protection (Air Purifying - Proper Cartridge) (HSE 4200.010)

Fire Protection/ First Aid

  • Fire Protection/First AId

  • Fire Extinguisher Inspection Tag Complete and Current (HSE 4000.082)

  • Fire Extinguisher Properly inspected with no defects to the hose, and safety pin in place

  • Fire Extinguisher Positioned Properly, within 25 ft. of excavations and placed UPWIND (HSE 4000.082)

  • First Aid Kit Complete, Inspected and Sanitary (HSE 4200.020)

Excavation

  • Excavation Safety

  • Proper One Call and Utilities Marked? (GS 1100.010)

  • Atmospheric monitoring was conducted prior to work? (CGI was taken) (HSE 4100.010)

  • Excavation Protected by Cones, Barricades, Etc... (HSE 4100.040)

  • Proper Techniques Used While Excavating to Prevent Potential Damage (Recognized and Used shovels to dig around buried utilities)(GS 1100.040 MA) (OSHA 1926.651 A)

  • Demonstrated ability to use excavator safely and correctly. Utilized designated spotters, and inspected equipment prior to digging.

  • One Designated Competent Person On Site (HSE 4100.040)

  • Means of Egress Within 25 Feet of Employees (OSHA 1926.651)

  • Egress Provided For >4 Feet Deep, Ladder Extends 3' Above Excavation (OSHA 1926.651 C)

  • Shoring Space/Sloping in Greater Than 5 Feet Depth, Shoring Extends 18" Above Excavation (HSE 4100.040)

  • Spoil Pile, Tools and Equipment Placed 2 Feet From Edge of Excavation (OSHA 1926.651)

  • Vehicle between site and work area (HSE 4100.020)

  • Site Inspected for Changing Conditions (OSHA) (HSE 4100.010) (HSE 4100.040)

  • Hand digging around other buried facilities (GS 1100.040)

Equipment and Tools

  • Equipment and Tools

  • Tools, Equipment and Materials Available and in Safe Working Condition (HSE 4100.050)

  • Air Hoses and Fittings in Good Condition, Whip Check Safety Cord on Connections (OSHA 1926.302 B)

  • Employees bleed off lines prior to disconnecting all pneumatic tools

  • Employees inspected tools and equipment prior to usage. No signs of wear and tear or damages when operating.

  • Employees chose the correct tool for the job

  • Employees maintained good grip while operating tools, and kept hands away from pinch point areas.

  • Employees chose and wore the correct PPE for the selected tool in use

  • Employees kept guards on all Portable Tools (HSE 4100.050)

  • Gauges, Instruments and Equipment Calibrated and Current (GS 1754.010)

  • Power Tools Not Used In a Gaseous Atmosphere (GS 1770.010)

  • Tools, Pipes and Containers Grounded as Required (GS 1770.010)

Electrical and Generators

  • Electrical Components and Generators

  • Electrical Cords on all tools and extension cords in Good Condition (No Cuts, Damage, or Spliced, and Grounding Pin in place) (OSHA 1910.334)

  • Electrical Tools and Extension Cords Double Insulated and Grounded, Checked for Continuity (HSE 4100.050, OSHA 1910.334)

  • Outlets Free of Cracks/ Breaks (HSE 4100.050, OSHA 1926.404)

  • Generator is GFCI protected (if applicable) or GFCI pigtails are used.

  • GFCI'S Checked, Tested and Used on all Power Supplies (HSE 4100.050)

  • Generator is positioned so that carbon monoxide and exhaust fume ventilate into the atmosphere.

  • Generator is at least 5000 watts when plastic fusing

Vehicles

  • Vehicles

  • Wheels Chocked (HSE 4100.050)

  • Engine off When Unattended (HSE 4100.050)

  • Valid License and Medical Card as Required (HSE 4300.010, .035)

  • DOT Pre-Inspection Performed (HSE 4300.010)

  • Vehicles free of clutter? (HSE 4300.010)<br>

  • Parking brake set? (HSE 4100.50)

  • 360 walk around conducted?

  • Vehicles backed into parking spaces where appropriate and employees follow the first move forward policy? (HSE 4300.010)

Material Rigging/ Slings and Chains

  • Material Rigging, Slings/Chains (OSHA 1910.184) if applicable to site

  • Spotters were utilized in order to keep others away from swing radius and ensure clearances of power lines and other obstructions.

  • Employees hands or other body parts are not under the load

  • Operator demonstrated ability to use rigging equipment safely, effectively, and maintained communication with others at all times.

  • Proper rigging configuration (hooks, shackles, etc.) (OSHA 1910.184)

  • Materials inspected prior to rigging

  • In safe condition (OSHA 1910.184)

  • Properly rated (OSHA 1910.184)

  • Powdered fiber between threads, abnormal wear visible, not excessively worn or damaged, not discolored punctured or snagged (OSHA 1910.184)

  • No signs of heat damage (OSHA 1910.184)

  • Warning yarns visible if excessively warn (RED CORE) (OSHA 1910.184)

  • Label is Legible and Properly Rated for Work Being Performed (OSHA 1910.184)

  • Abnormal Wear Visible (OSHA 1910.184)

  • In Safe Working Condition (OSHA 1910.184)

  • Employees performed a load test prior to moving material in place.

  • Prior to lifting, a rigging plan was established in order to move materials into place.

Hazardous Chemicals and Container Labeling

  • HAZMAT/Chemicals/Spill Kits

  • Demonstrates how to Find Chemical MSDS and Information Available (HSE 4000.040)

  • Chemical Container Quantities Below MOT (HSE 4410.010)

  • Containers Labeled, Secured, Sealed and in Good Condition (HSE 4410.010)

  • Flammables in Safety Approved Cans (HSE 4410.010) (OSHA CFR 1910.106)

  • Spill Kits Available and Stocked (HSE 4440.020)

Ergonomics

  • Ergonomics (HSE 4100.020)

  • Employees demonstrate proper body mechanics, proper footing and body positioning when operating tools (OSHA 29 CFR 1926.20)

  • Employees maintain good grip when operating tools.

  • Employees recognize hot surfaces and keep hands away.

  • Employees Positioned Away From Moving Parts or Pinch Points. Employees keep hands away from pinch point areas while operating tools and equipment, while building regulator sets (as applicable), and when fitting or insulating pipe, (HSE 4100.020)

  • Employees utilize proper lifting techniques, does not bend or twist at the back, and lifts with legs. (OSHA 29 CFR 1926.20)

  • Employees use assisted lifting practices when lifting heavy equipment over 45 lbs. (Whacker and Generator for example)

  • Employees utilize worker rotation to reduce excessive exposure to vibration, noise, or any other ergonomic hazards, as required

  • Employees use Skid Steer or Excavator to move heavy equipment, if applicable

Recognition of Potential Hazards

  • Recognition of Hazards/Environment (HSE 4440.020)

  • Employees Can Identify Risks/ Hazards on Site (Pre-Job Briefing Prior to Work) (HSE 4100.020)

  • Employees maintain constant communication with one another at all times and communicate hazards effectively

  • Traffic/ Pedestrian Hazards (HSE 4100.020)

  • Structural Hazards (Floor, Steps, Porch) (HSE 4100.020)

  • Tripping/ Slipping/ Falling Hazards (HSE 4100.020)

  • Employees Recognize Low Clearances and Overhead and Power Line Hazards, and keep at least 10 ft. away (HSE 4100.020)

DOT Compliance and Securing Loads

  • DOT Compliance and Load Securement

  • 360 walk around was conduced

  • Proper tie down was established

  • Vehicle has at least 6 flares or 3 flares and 3 triangles in cab.

  • Fire extinguisher on truck inspected and current

  • Fire extinguisher is properly supported and mounted in the cab

  • Proper manufactured ramps were used in order to load equipment

  • Employee has CDL available if the vehicle has a weight greater than 26,000 lbs. or a combination of weight that is greater than 26,000 lbs.

  • All chains and hooks are in good condition

  • All safety pins are in place

  • Springed hooks are not damaged

OQ Qualification and Overall Appearance

  • Appearance

  • Persons on the crew OQ Qualified

Task Specific Operations/JHA Evaluation

Shoveling and Raking Soil

Power Tool Usage

Hand Tool Usage

  • Hand Tool Useage

  • Employees inspect hand tools prior to usage. All tools in safe operative condition.

  • Employees use the correct tool for the job.

  • Handles are free of cracks and splintered edges.

  • Jaws on wrenches are not sprung.

  • Impact tools (chisels) are not mushroomed.

  • Screwdrivers are not used as impact tools.

  • Employees pull wrenches towards the body and does not push.

  • Employees maintain adequate body positioning and proper footing when operating.

  • Employees maintain good grip on tools wen operating.

  • Employees don correct PPE for the job.

  • Employees keep hands away from pinch point areas when operating.

  • Employees use caution when operating, keeping hands away from the point of operation.

Pogo and Whacker Operations

  • Pogo/Whacker Operations (Tamping coal patch and soil)

  • Employees inspect equipment prior to use.

  • Employees use proper equipment for the job. Pogo is recommended for coal patches, etc.

  • Employees wear proper PPE while operating. (Safety Vest, hardhat, steel toed boots, safety glasses, ear plugs, metatarsals)

  • If using the whacker, employees utilize assisted lifting techniques to carry machine.

  • Safety Whip Check Safety Cords are on all air hose connections.

  • Employees maintain control over the machine

  • Employees maintain good body positioning and adequate footing while operating.

  • Employees keep feet away from tamping baseplate.

Concrete Cutting

  • Concrete Saw Cutting

  • Employees inspect equipment prior to usage

  • Employees do not drop start the machine

  • Employees follow manufactures recommendations while using equipment, and have all guards on the machine

  • Employees use wet methods to reduce exposure to Silica Dust while operating machinery

  • Employees use proper PPE while using machine, including hardhat, ear plugs, dust masks, safety glasses, safety vest, and steel toed boots

  • Employees identify and react to hazardous situations while operating

Jackhammering

  • Jackhammering

  • Employees properly secure jackhammer to vehicle. Chains and locks are used.

  • Jackhammer chains and locks are inspected for securement on vehicle, if applicable.

  • Employees properly remove jackhammer from truck and move to desired position, maintaining good body positioning and using assisted lifting techniques.

  • Employees inspect jackhammer prior to use.

  • Operates ensure all Whip Check Safety Cords are on all air hose connections.

  • Operators use machinery according to manufacturers recommendations.

  • Operators ensure work area is marked and One Call was made.

  • Operators don proper PPE which include hardhat, safety glasses, high visibility vest, steel toed boots, and metatarsals.

  • Operator maintains adequate body positioning when operating jackhammer, keeping control over the machine.

  • Operators does not jackhammer when spotter is in an excavation, or when he/she is in a prone position to get struck by the point of operation of the machine.

  • Operators react to underground utilities.

Directional Drilling (mainline)

  • Directional Drilling

  • Employees demonstrated proper hauling of equipment to jobsite. all chains, spring hooks, in good condition. Proper tie down utilized, and Emergency brake cable used.

  • Employee safely moves drill off of trailer and into desired position, using spotters, maintaining proper footing, and maintaining 360 degree awareness.

  • Employee properly grounds the machine

  • Employee is OQ qualified to operate

  • Employee demonstrates proper methods to operate machine following the gas standards and manufactures recommendations.

  • Operators use outriggers while drilling

  • Drilling area is properly marked and One Call was made.

  • Operator reacts to underground utilities and does not perform drills if underground structures are within the drilling path.

  • Operator reacts to landscapes, achieves proper depth, and adjusts depth of the bore as needed.

  • Operator uses bore gel mix, and demonstrates proper procedures in order to fill bore gel tank with a mixture of water and gel.

  • All hydraulic hoses in good condition and bled prior to disconnection. Designated person utilized to operate valves.

  • Spotters are utilized in order to locate the drill at exact depth and location. Spotter demonstrates ability to read and understand electronic readout of the locator, and maintains communication with the drill operator.

  • Operators back ream as needed, demonstrate proper procedures when back reaming, and react to landscape as applicable.

  • Operators back ream no larger than 1.5 X the pipe diameter

  • Employees use weak link on pulls 50 ft. or greater

  • Employees install tracer wire on pipe. Use safe methods while installing.

  • Employees handle pipe and materials with caution and use assistive devices as needed

  • Employees pull pipe through bore hole to minimize pipe deflection and damage.

  • Spotters are used on pulls and communicate effectively with the drill operator (two way radio used)

Boring (with Pneumatic Piercing Tool/ Mole)

  • Pneumatic Piercing Tool

  • Properly mark and measure desired piercing length of hose with electrical tape

  • Employees inspect equipment prior to usage

  • Employees ensure correct lubrication is added to oiler

  • All Whip Check Safety Cords on all hair hose connections

  • Employees ensure all shut off valves are in operative condition

  • Employees inspect oiler and other components to ensure safe operative condition

  • Employees use spotters while operating to prevent potential damages and equipment malfunction

  • 1 Designated employee operates valves

  • Employees follow manufacturers instructions for maintenance and operations

  • Employees use proper lifting techniques while moving the tool into desired location for drilling

  • Employees keep hands away from drilling edge and pinch point areas

  • Employees use caution when guiding the tool into the ground to start piercing operations

  • Employees maintain proper body positioning while guiding

  • Employees recognize and react to underground utilities

  • Employees properly reverse drill direction using 1 designated person

  • Employees bleed all valves prior to disconnected air hoses

Excavating and Backfilling Ditch

  • Excavator Operations

  • Proper hauling of equipment. Proper tie down methods, and all chains, spring hooks, and cables inspected

  • Operators load and unload equipment safely off of trailers. Spotters are used, and equipment is moved in a manner that reduces the risk for rollover. Operator avoids situations where center of gravity of machine exceeds the fulcrum point resulting in potential rollovers.

  • Operator is OQ qualified

  • Work area is properly marked and One call was made.

  • Fire extinguisher is present and UPWIND of the excavation.

  • Employees properly inspect the excavator prior to use and is in operative condition. Performs maintenance on machine as required.

  • Operator utilizes proper PPE while operating machine, and does NOT wear a safety vest or loose clothing while operating.

  • Operator unloads equipment off of the trailer and into desired position safely and effectively using designated spotters

  • Operator inspects work area and identifies and avoids unstable ground when operating to prevent rollover.

  • Operator maintains adequate communication with spotters at all times during operation, and is aware of blind spots.

  • Operator reacts to buried utility lines to prevent damages.

  • Hand tools are used to dig around buried utilities.

  • Operator demonstrates ability to operate machine effectively and in accordance with manufacturers recommendations.

  • Operator maintains safe distance away from overhead structures and power lines (minimum of 10 ft.)

  • Once work is complete, Operator backfills excavation with proper backfill material, and installs caution tape, and marker ball 6-12 inches fro the buried utility line.

  • After operation, Operator places boom on the ground, and places machine in a stable position.

Bobcat Skid Steer Operations

  • Skid Steer Operations

  • Machine properly tied down to trailer. All hooks, chains, and safety pins in place and in good condition.

  • Machine inspected prior to use and in operative condition. Maintenance of machine is performed as needed.

  • Operator is OQ qualified

  • Operator wears proper PPE and does NOT wear Safety Vest or loose clothing

  • Operator maintains 360 degree awareness when operating and is aware of any blind spots.

  • Spotters are used during operation

  • Skid Steer is used to haul heavy equipment to work area. Equipment is properly secured in bucket.

  • Proper methods of machine operation is utilized and operator follows manufacturer's recommendations.

  • Once work is complete, operator places bucket on the ground, puts the machine in park, and sets emergency brake.

Storing and Handling Gas Piping

  • Pipe Handling and Storage

  • Pipe handled with caution to prevent damages and pipe deflection

  • Assistive devices used to handle pipe as applicable

  • Employees demonstrate proper body positioning when handling pipe.

  • Pipe stored in a safe accessible location

  • Pipe does not pose tripping hazards

  • Pipe is properly chocked

Flagging Operations

  • Flagging

  • Flaggers are OQ qualified through PennDOT guidelines

  • Flaggers properly set up the 5 area's of a work zone which include the advanced warning area, transition area, buffer area, work area, and termination area, in the correct order.

  • Flaggers maintain 360 degree awareness while setting signs and cones up, and anticipate and react to traffic patterns

  • Flaggers properly set up road work signs 500 ft. apart following PUB 213 and MUTCD guidelines.

  • Flaggers properly set up the tapper which incudes a minimum of 6 devices, or cones, and is at least 50 ft. in length.

  • Flaggers utilize proper equipment to direct traffic. Slow/Stop paddles are used for one or two lane traffic, meeting MUTCD guidelines, and Red Flags are used in intersections and emergencies ONLY.

  • Flaggers use arrow boards that meet MUTCD guidelines when applicable.

  • Flaggers demonstrate ability to direct traffic using the proper methods, and following PennDOT guidelines.

  • Flagger positioning is 40 ft. away from the tapper area.

  • Flaggers communicate effectively with one another to direct traffic with the use of a 2 way radio, and have no other duties.

  • Flaggers utilize proper PPE including hardhat, class 2 high visibility safety vest, and steel toed boots.

  • While directing traffic, flaggers maintain 360 degree awareness, but face on coming traffic at all times.

  • Flaggers have an escape route

  • Flaggers do not put slow/stop paddle in a cone for support.

  • Flaggers are equipped with air horns to alert workers of potential work zone encroachment.

  • Flaggers are not texting or on the phone while flagging.

  • Flaggers are relived for bathroom breaks periodically.

  • Flaggers are the first and last employees on the jobsite

  • When work is complete, flaggers remove all signs and cones, in the correct sequence.

Plant and Construction/Gas Compliance

Welding Steel and Cast Iron Pipe

Fusing Gas Pipelines

  • Plastic Fusion

  • Butt Fusion

  • OQ Valid/Fusion Certification Card (GS 1301.010)

  • Employee Name/Date/Cool Time Written on Fusion

  • Properly Inspected, Protected, Prepared and Aligned Pipe Surfaces (GS 1302.010)

  • Equipment in Good Condition (GS 1316.010)

  • Verified Proper Heater Plate Temperature (400-450 Degrees F) (GS 1302.010)

  • Fusion Machine Operated Properly (GS 1302.010)

  • Employees use caution while fusing and keep hands away from heater plate

  • Employees keep iron in proper heater cover, and handle with care.

  • Employees allow for proper cooling time.

  • Inspected Joint for Quality; Removed if Unacceptable (GS 1302.010)

  • Electrofusion

  • OQ Valid/Fusion Certification Card (GS 1301.010)

  • Employee Name/Date/Cool Time Written on Fusion

  • Properly Inspected, Protected, Prepared and Aligned Pipe Surfaces (GS 1304.010)

  • Proper markings prior to scraping (GS 1304.010)

  • Scraping satisfactory (GS 1304.010)

  • Fitting positioned and clamped correctly (GS 1304.010)

  • Verified That the Control Box Functioned Properly (Prior to an During Fusion) (GS 1304.010)

  • Used proper extension cord (GS 1304.010)

  • Conditioned fittings and control box to worksite temperature (GS 1304.010)

  • Control box has correct connected fitting (GS 1304.010)

  • Employees out of excavation before starting the fusion process (GS 1304.010)

  • Allowed Joint to Cool for Specified Time Before Removing Clamp (GS 1304.010)

  • Inspected Joint for Quality; Removed if Unacceptable (GS 1304.010)

  • Socket Fusion

  • OQ Valid/Fusion Certification Card (GS 1301.010)

  • Employee Name/Date/Cool Time Written on Fusion

  • Properly Inspected, Protected, Prepared and Aligned Pipe Surfaces (GS 1308.010)

  • Properly Positioned Cold Ring Clamp (GS 1308.010)

  • Verified Proper Heater Plate Temperature (500 Degrees +/- 10 Degrees) (GS 1308.010)

  • Machine operated properly

  • Employees use caution when fusing and keep hands away from heater plate.

  • Employees keep iron in proper heater cover and handle with care.

  • Employees allow for proper cooling time.

  • Inspected Joint for Quality; Removed if Unacceptable (GS 1308.010)

Pressure Testing Pipelines

  • Pressure Testing Pipelines

  • OQ Valid (GS 1500.010) (CFR 192.805)

  • Backfilled Ditch (if Practical) (GS 1500.010)

  • Determined the Safety Procedures to be Used Prior to Testing (GS 1500.010)

  • Used an Appropriate test Gauge and Fitting(s) (GS 1500.010)

  • Test tree in correct configuration

  • All Whip Check Safety Cords on all air hose connections

  • Gauges Calibrated (as Applicable) (GS 1500.010)

  • Tested Mains and Services at the Appropriate Pressure and Duration (GS 1500.010)

  • Documented Test Results (GS 1500.010)

  • Bled all valves, and shut air compressor off prior to disconnecting air hoses.

Gas Mainline Installation/ Repair

  • Install/Replace Main Lines

  • OQ Valid (CFR 192.805)

  • Pipe Protected from damage: Properly Handled, Stored and Inspected Prior to Installation (GS 3000.020, .010)

  • Located all Underground Facilities Prior to Excavating/Boring (GS 1100.050)

  • Installed Pipe With the Proper Cover (GS 3010.090)

  • Followed Proper Excavation Methods (OQ M8)

  • Maintained Proper Clearance with Other Underground Structures (GS 3010.080)

  • Pipe Properly Installed (GS 3010.050)

  • Trench Bottom Properly Prepared (Smooth Surface, Padded as Required) (GS 3010.050)

  • Bore Method

  • Proper Boring Methods Used (GS1100.050)

  • Located all Underground Facilities Prior to Excavating/Boring (GS 1100.050)

  • Used a "Weak Link" on Pulls 100' or Greater (GS 3010.060)

  • Pipe Examined for Damage (GS 3010.100)

  • Casing

  • Properly Inserted Main in Casing (GS 3010.070)

  • At Least 5' of Leading End of Carrier Pipe Inspected After Insertion (GS 3010.060)

  • Plastic Pipe Continuously Supported Where it Enters and Leaves the Casing (GS 3010.070)

  • End Seals Insulated on Steel Carrier Pipe Following the Manufacturer's Installation Instructions (GS 3010.070)

  • Insertion

  • Maintained Approved "Pipe Cover" Requirements (GS 3010.060)

  • Leading End of Carrier Pipe Closed Prior to Insertion (GS 3010.060)

  • At Least 5' of Leading End of Carrier Pipe Inspected After Insertion (GS 3010.060)

  • Pipe Continuously Supported Where it Enters and Leaves the Casing (GS 3060.060)

  • Steel Pipe Bending

  • Used Proper Bending Methods (GS 3010.030)

  • Followed the Maximum Deflection Guidelines (Per Procedure) (GS 3010.030)

  • Recognized That Wrinkle Bends are Prohibited (GS 3010.030)

  • Properly Placed Pipe Seam Prior to Bending (GS 3010.030)

  • Tracer Wire Installation

  • Made Accessible for Above-Ground Connection (Free Ends Coated) (GS 3010.060)

  • Properly Placed Line Markers (GS 1720.010)

  • Temporary Bonding

  • Used Correct Size Bonding Cable #8 Minimum (GS 1770.010)

  • Properly Grounded Squeeze-Off Tools With a #12 AWG Wire (GS 1680.040)

  • Backfilling

  • Excavated Rocks Removed or Proper Padding Used (GS 3010.050)

  • Proper Compaction was Used (GS 3010.050)

  • Excavators Were Not Used For Tamping (GS 3010.050)

  • Anchors and Supports

  • Short Sections Viewed for Obstruction, or Longer Sections Pigged (GS 3000.500)

  • Pipe Bends Anchored as Directed (GS 3000.500)

Final Page

  • Further Action Required

  • General comments

  • Number of Unsafe acts observed

  • Number of Employees performing unsafe acts:

  • Overall Safety Awareness On Site

  • Safety Coordinator Signature

Monthly PNG Checklist
Jake Jordan

Monthly PNG Checklist

Pipeline Safety Checklist

Use this Template
The templates available in our Public Library have been created by our customers and employees to help get you started using SafetyCulture's solutions. The templates are intended to be used as hypothetical examples only and should not be used as a substitute for professional advice. You should seek your own professional advice to determine if the use of a template is permissible in your workplace or jurisdiction. You should independently determine whether the template is suitable for your circumstances.

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