Information
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Audit Title/Client/Date (reverse order)
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Prepared by
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Location
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Personnel
EVALUATION
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Are all activities performed in compliance with an accepted JSEA that is still adequate for the current tasks & conditions?
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Do all persons appear to understand the requirements of the JSEA & have signed off?
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Are cylinders stored in a well-ventilated storage area away from heat sources, sources of igniton or combustible material?
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Are cylinders stored & secured in an upright position?
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Are cylinders protected from contact with corrosion & high temperatures?
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Have oxygen & fuel gases been stored separately?
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Have regulators been removed when not in use?
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Are protective caps used on fittings when in storage?
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Are both cylinders & fittings uncontaminated by oil, grease or dust?
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Were cylinders that can not be identified or if the label is not legible, left unused?
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Are cylinders moved in trolleys?
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Have cylinders been hydrostatically tested (except acetylene) & the test date is stamped on the cylinder?
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Were effective flashback arrestors used on acetylene & other flammable gas systems? (Both torch & bottle end)
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Are ignition sources removed from locations in which gas cylinders are used or stored?
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Are gas cylinders being stored below ground or in a non-ventilated area?
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Are there any other risks or issues associated with the activities observed?
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Location of Observation
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COMMENTS & RECOMMENDATIONS
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Comments & recommendations to be actioned by
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Signature of observer