Title Page
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Prepared by
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Payzone personnel on location
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Customer:
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Lease:
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Job #:
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Asset Number
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Conducted on
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Location:
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Notes from Previous Shift Reviewed?
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Update on Operations Reviewed?
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JSA Complete
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Emergency Plan Reviewed?
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4 Gas Monitors Working Correctly
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Radio's Working
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Tank Valves, Hatches, and Hoses Checked
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Job Status Sent to Office
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Daily Operators Report
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Diesel Level Checked on Generator/Closing Unit Air Compressor
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Choke Indicators are Zeroed
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Transducers Pumped Up and Zeroed
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Pressure Gauges are Checked
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Tank level Monitors Zeroed
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Spare Choke Trim
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Spare Seal Choke Seal Kits
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Spare Needle Valves
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Spare Positive chokes
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Spare Seal Rings
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Spare Hydraulic Hoses
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Spare Gauge Cables
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Spare Tank Monitor Cables
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Spare Pressure Gauges
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By signing, I agree I have completed this inspection as a competent representative of Payzone Completions.
