Information

  • Audit Title/Client/Date (reverse order)

  • Prepared by

  • Location
  • Personnel

EVALUATION

  • Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?

  • Do all persons appear to understand the requirements of the JSEA & have signed off?

  • Are cylinders stored in a well-ventilated storage area away from heat sources, sources of igniton or combustible material?

  • Are cylinders stored & secured in an upright position?

  • Are cylinders protected from contact with corrosion & high temperatures?

  • Have oxygen & fuel gases been stored separately?

  • Have regulators been removed when not in use?

  • Are protective caps used on fittings when in storage?

  • Are both cylinders & fittings uncontaminated by oil, grease or dust?

  • Were cylinders that can not be identified or if the label is not legible, left unused?

  • Are cylinders moved in trolleys?

  • Have cylinders been hydrostatically tested (except acetylene) & the test date is stamped on the cylinder?

  • Were effective flashback arrestors used on acetylene & other flammable gas systems? (Both torch & bottle end)

  • Are ignition sources removed from locations in which gas cylinders are used or stored?

  • Are gas cylinders being stored below ground or in a non-ventilated area?

  • Are there any other risks or issues associated with the activities observed?

  • Location of Observation

  • COMMENTS & RECOMMENDATIONS

  • Comments & recommendations to be actioned by

  • Signature of observer

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