Information

  • Document No.

  • ONEOK Business Segment

  • ONEOK Operation Site (i.e. OK Gathering, Medford Plant, etc.)

  • Site Location

  • Conducted on

  • Prepared by

  • Location
  • Prime Contractor on site (if applicable)

1. Work Areas

  • C1:1 - General Housekeeping?

  • C1:2 - Walking - Working Surfaces?

  • C1:3 - Unprotected Sides or Holes?

  • C1:4 - Sanitary Facilities Acceptable?

  • C1:5 - Water &Trash Receptacle Lables?

  • C1:6 Is the site location free from significant erosion and/ or soil channeling?

  • C1:7 is the site location clear of vegetation?

  • C 1.8 Is there active construction on-site?

  • C1:9 - Impalement Hazards?

  • C1:10 - Material Storage/Lay Down?

  • C1:11 - Conex, Box 4 U, Gang Box, Roll Offs?

  • Is the security of the site acceptable? (Fence in good condition, gates locked, lighting in working condition, building in good condition and locked)

  • Other:

2. Job Site Posters/Signage

  • C2:1 - Are job-site required posters posted? (i.e. DOL posters, OSHA 300 Log)

  • C2:2 - Emergency Evacuations Plan including; GPS site location and Nearest Hospital Location?(if required)

  • C2:3 - Emergency Contacts List?

  • C2.4 - Is all applicable signage is place (Company Name, Phone number, PPE requirements, Authorized Personnel, No open flame/smoking, ESD, Exit signs)

  • Other:

3. Heath/First Aid

  • C3:1 - CPR/First Aid Training?

  • C3:2 - First Aid Kit (No expired items)?

  • C3:3 - Eye Wash Facilities at Site?

  • C3:4 - Access to Eye Wash?

  • C3:5 - Is AED functioning? (if on-site)

  • C3:6 - Are AED pads expired? (if on-site)

  • Other:

4. PPE

  • Are there any personnel on-site?

  • C4:1 - Hard Hats?

  • C4:2 - Safety glasses with Side Shields?

  • C4:3 - Face Shield/Goggles (if required)?

  • C4:4 - Respiratory Protection (If required)?

  • C4:5 - Hearing Protection (If required)?

  • C4:6 - Clothing (FRC etc. if required)?

  • C4:7 - Gloves on person?

  • C4:8 - Foot Protection?

  • C4.9 - Is additional PPE being used are required?

5. Fall Protection

  • Is there any elevated work being performed?

  • C5:1 - Trained Personnel?

  • C5:2 - Fall Arrest Being Worn Properly?

  • C5:3 - Suitable Anchorage Points?

  • C5:4 - Inspected per manufacturer recommendation?

  • C5:5 - Stored Properly?

  • C5:6 - Emergency Rescue Plan?

6. Ladders

  • Are there any ladders on-site?

  • C6:1 - Base/Footing/Set Up/Proper secured?(i.e. proper tied off , 36 inches above landing surface)

  • C6:2 - Inspections/Color Coded (if Applicable) ?

  • C6:3 - Proper Type for Task?

  • C6:4 - Are label attached and legible?

  • C6:5 - Does ladder show any signs of UV damage?

7. Tools and Equipment

  • Are tools on-site?

  • C7:1 - In Good Condition?

  • C7:2 - Inspected?

  • C7:3 - Whip-Checks?

  • C7.4 - Are all tools equipped with guards as required?

  • Other

8. Excavations

  • Are there any excavation on-site?

  • C8:1 - Trained Competent Person?

  • C8:2 - Access/Egress?(within 25 feet of working area)

  • C8:3 - Soil Condition?

  • C8:4 - Water Accumulating?

  • C8:5 - Shoring/Shielding/Sloping?

  • C8:6 - Barricades?

  • C8:7 - Spoil Pile?(2 feet beyond the edge of the excavation)

  • C8:8 - Air Monitoring?

  • C8:9 - Emergency Rescue Plan?

  • C8.10 - Has one-call been cleared?

  • C8.11- Have utilities been marked?

9. Confined Space

  • Are there any permit required confined spaces on-site?

  • C9:1 - Trained Personnel?

  • C9:2 - Attendant Trained?

  • C9:3 - Entrants Trained?

  • C9:4 - Attendant Documenting Atmospheric Monitoring?

  • C9:5 - Entrant Sign In Sheet?

  • C9:6 - Permit Required?

  • C9:7 - Permit Followed?

  • C9:8 - Air Monitoring?

  • C9:9 - Emergency Rescue Plan?

  • Are there any reclassified confined spaces?

  • Have all the hazard been eliminated and properly documented on the permit?

10. Electrical

  • C10:1 - GFCI's?

  • C10:2 - Extension Cords?

  • C10.3 - Any exposed electrical wiring?

  • C10.4 - Are ARC Flash labels in place?

  • C10.5 - Are electrical breakers and disconnects labeled?

  • C10.6 - Are combustible materials stored 4 feet away from electrical equipment?

  • C10.7 - Is equipment bonded or grounded adequately?

  • C10.8 - Are CO2 extinguishers provided for electrical instrumentation building?

  • Is Arc Flash Protection and signage a scope of this audit?

  • Is the Arc Flash PPE in good condition?

  • Is the inspection of the Arc Flash PPE up to date?

  • Is the signs for proper use of Arc Flash PPE satisfactory?

11. Fire Safety

  • Is Hot Work being performed?

  • C11:1 - Hot Work Permit?

  • C11:2 - Fire Watch Assigned and Properly Trained?

  • C11:3 - Hot Work Barricade (if required)?

  • C11:4 - Fire Extinguisher current with monthly and annual inspection?

  • C11:5 - Combustibles Removed/Isolated?

  • C11:6 - Is appropriate Flammable Gas Cans? (Metal can with flame arrestor)

  • C11.7 - Are flammable properly stored? (in flammable cabinet)

  • C11.8 - If flammable cabinet is available, is it in good condition?

12. Rigging and Hoisting

  • Is there any Rigging and Hoisting equipment on-site?

  • C12:1 - Capacity Tags attached and legible?

  • C12:2 - Hooks and Latches?

  • C12:3 - Chain Falls/Come-a-Longs?

  • C12:4 - Tag Lines?

  • C12:5 - Has the rigging equipment been inspected prior to use?

  • C12.6 - Stored Properly?

  • C12:7 - Designated Rigger?

13. Scaffold

  • Is any scaffolding on-site?

  • C13:1 - Trained Competent Person?

  • C13:2 - Hand and Mid-Rails, Toeboards?

  • C13:3 - Platform Decked/Secured?

  • C13:4 - Level Footing/Set Up?

  • C13:5 - Access/Egress?

  • C13:6 - Away from Power lines?

  • C13:7 - Barricades?(Fall Zone)

  • C13:8 - Inspection/Tagged Correctly?

14. Crane Equipment

  • Is a crane on-site?

  • C14:1 - Crane Inspection?

  • C14:2 - Operator Manual?

  • C14:3 - Crane Setup?

  • C14:4 - Crane Swing Radius?

  • C14:5 - Flagman with Vest?

  • C14:6 - Operator Qualified and Certified?

  • C14:7 - Designated Qualified Signaler?

  • C14:8 - Fall Zone Procedures?

  • C14.9 - Critical Lift Plan?

15. Mobile Equipment

  • Is there any mobile equipment on-site?

  • C15:1 - Equipment Inspections?

  • C15:2 - Operator Qualified?

  • C15:3 - Operator Manual?

  • C15:4 - Flagman/Spotter?

  • C15:5 - Proper Setup and Use?

16. Hazcom

  • C16:1 - SDS For All Chemicals Onsite are available?

  • C16:2 - Proper Storage of Chemicals?

  • C16:3 - Proper PPE for Handling Chemicals?

17. Energy Control

  • Is there an energy control in place?

  • Energy Control Number:

  • C17.1 - Has personnel verified all isolation of stored energy?

  • C17.2 - Are all authorized and affected personnel on the lockbox? (if on-site including group lock)

  • C17.3 - Does authorized employee demonstrate specific knowledge of the energy control procedure?

18. Process Equipment

  • Is process equipment in the scope of this audit?

  • C18.1 - Are valve indicators in place and functioning?

  • C18.2 - Are all flange bolts flush with the nut or extend past the nut?

  • C18.3 - Are all valves and pipe opening plugged?

  • C18.4 - Does isolated piping, equipment and instruments in traffic areas have barricades and/or visible indicators?

  • C18.5 - Does piping or equipment free from any signs of weak points or leaks?

  • Are DOT regulated valves in the scope of this audit?

  • C18.6 - Is explosion proof equipment properly sealed and all bolts in place?

  • C18.7 - Are DOT valves marked with the valve ID number?

  • C18.8 - Are over-pressure devices isolation sealed in open position (include thermal relief and isolation valves)?

  • Are DOT regulated piping in the scope of this audit?

  • C18.9 - Is conduit and small diameter pipe visibly stress-free?

  • C18.10 - Is piping atmosphere-to-ground interface properly coated?

  • Are DOT regulated Pig Launcher/Receiver in the scope of this audit?

  • C18.11 - Do pig traps have containers for sediments?

  • C18.12 - Are jumpers and bonding wires and grounding rods in place?

  • C18.13 - Do all containers have lids to prevent rain collections and are secured from the wind?

  • C18.14 - Are mainline valves on pig traps locked in normal position?

  • C18.15 - Do trap and vessel enclosure have tattle-tail with chain connected to enclosure?

19. Inspection Conclusion

  • C19.1 - Inspection Notes:

  • C19.2 - Positive Observation:

  • Prepared By:

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