Title Page
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Document No.
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Audit Title
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Client / Site
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Conducted on
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Prepared by
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Location
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Personnel
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Enter Pump Staiton
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Are their any combustible liquid storage tanks or cabinets?
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No smoking or open flames signs posted in areas where a fire or explsion hazard exists or where flammable and combustible liquids are stored or used.
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No standing flammable/combustible liquids. Contaminated rags are stored in a covered, metal container
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No storage of combustible waste materials (cardboard, wood, liquids, etc.) that could create a fire hazard
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Have no leaking pipes
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Heat sources (heaters) are not near combustible materials
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Separated from ignition or heat sources
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Flammable liquids are not used for cleaning
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Are their any fire extinguishers or fire supression?
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Are ABC type (general-purpose) or appropriate to the type of hazard
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No standing flammable/combustible liquids. Contaminated rags are stored in a covered, metal container
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Are in fire-ready condition (fully charged, hose not BO, pin in place, etc.)
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Have current monthly and annual inspection tag punched.
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No storage of combustible waste materials (cardboard, wood, liquids, etc.) that could create a fire hazard
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Building fire suppression system has a current annual inspection tag.
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Heat sources (heaters) are not near combustible materials
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Are Their Any Compressed Air and Gasses?
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Oxygen and acetylene are segregated in storage.
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Oxygen cylinders are not stored in areas designated for storage of flammable or combustible liquids, including grease
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Gauges and regulators used with oxygen or acetylene cylinders are clean and free of oil and grease
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Oxygen and acetylene cylinder have valves turned-off when not in use.
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Oxygen and acetylene cylinder have valves turned-off when not in use.
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When transported - oxygen and acetylene cylinders have gauges removed and caps on.
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Oxygen and acetylene cylinder have valves turned-off when not in use.
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Oxygen and acetylene cylinder have valves turned-off when not in use.
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Oxygen and acetylene cylinder have valves turned-off when not in use.
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Safety chains/whip checks utilized on 3/4" or greater diameter hose connections.
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Are their any overhead cranes and/or hoisting equipment
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Pre-operational inspection completed and documented prior to use
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Horns/sirens, upper and lower limits tested and functional
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Crane capacity posted on hook block and on bridge of crane
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Crane capacity posted on hook block and on bridge of crane
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Annual inspection is current
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All slings in good order, tagged to indicate rated capacity and coded with colored tape for year
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Any travel ways (walking surfaces and fixed ladders)
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No openings around travel ways through which persons may fall
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For ladders 30ft or longer in length, safety cage is fixed and in good order
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Ladders in good condition and are anchored securely
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Ladders have at least 3” of toe clearance
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Ladders have at least 3” of toe clearance
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Fixed ladders need gate or chain at top to complete handrail system
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Ladders have at least 3” of toe clearance
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Fixed ladders need gate or chain at top to complete handrail system
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Portable ladders have current inspection and are in good condition
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Scaffolds are properly inspected and tagged for use.
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Scaffolds and work platforms are substantial and have handrails and properly laid floorboards and are not overloaded
Electricity
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The overload or short circuit protection for trailing cables is in good order at the barge
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Any abandoned electrical circuits are de-energized, isolated and tagged "out-of-service”
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Electrical conductors (cords) are protected from mechanical damage and vehicle run-over
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No extension cords “installed” for ongoing use or passing through a wall
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Power switches have labels indicating which units they control
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Power wires/cables have adequate insulation and fittings or bushings where they pass into electrical compartments
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No missing cover plates or knockouts on equipment, panels, junction boxes, conduit etc.
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Trailing cables do not have damage and are attached to equipment to prevent damage and strain
MCC Room
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MCC and electrical room doors are closed and locked, appropriate signs in-place and legible
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Distribution panels have a disconnect switch and labels indicating voltage and which circuit each device controls
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Access to electrical equipment and switchgear is not blocked (6-foot clearance)
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All switchgear in MCC rooms have insulated mats for workers to stand on
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All major electrical equipment is labeled with suitable danger signs and arc flash classification
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MCC has arc flash PPE - helmet and face shield, smock, gloves
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All cabinets, breaker panels, doors have clips/fasteners in place and secured
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MCC room is clean, free of debris - paper, cardboard, etc. or standing water
Sub-Stations
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Substation gates are locked
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Substation yard is free of weeds and garbage
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Danger-High Voltage - Authorized Personnel only signs are in-place and legible
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Grounding and bonding wires are intact and in good order for metal cases and fencing at substations
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Are their any machinery or mobil.e equipment?
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Mobile equipment has a pre-operational checklist book available
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Moving machine parts (fan blades, gears, sprockets, chains, shafts etc.) are guarded or out of reach(7ft)
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Machine guards are in place, in good condition and do not present a hazard
Grinders:
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Are firmly attached to working surface
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Gap between wheel and tool rest is 1/8” or less
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Wheel is dressed to smooth surface without grooves
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Have shields that can be positioned to protect from flying debris
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Are not missing a bulb in the light fixture
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Have a face shield in good condition available for use
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Hand tools do not have trigger locks
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All machines, equipment and tools are used per manufacturer design and recommendations with no modifications
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Parked equipment has implements down on the ground and wheel chock(s) in place or turned into bank
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Are their any pressure vessels?
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Pressure vessels are in good condition with current inspection
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Pressure vessels have a pressure gauge and pressure relief valve that are both in good order
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Compressor discharge pipes are clean and free of build-up
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Whip checks on all hose connections and pins in all Chicago couplings
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Are their any hazardous material storage and handling?
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Supplies are not stacked or stored in a manner that creates a tripping or fall-of-material hazard
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Are stored in a manner that prevents release or vapor release
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Are stored in containers suitable for the type of material
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Are stored in containers that are labeled with the contents
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Materials identified as oxidizers are not stored with flammables
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Acids, bases and flammables are not in the same cabinet with each other
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Bleach is not stored in the same cabinet with ammonia
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NFPA labelling is in-place(as required)
Miscellaneous
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All work area lighting (including emergency lights)are in proper working order without missing or burned out lamps
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Land line is working, emergency numbers are posted on land line telephone(s).
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Housekeeping: work area clean and orderly, floors cleaned, draines unplugged, no purotuding nails, plinters or holes in floor and floor grating in good condition
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Toilet facilities are clean and sanitary with hand sanitizer or wash water and soap
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Areas with hazards that are not immediately obvious are blocked or otherwise barricaded/signed
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Refrigerators, microwaves, stoves are clean and sanitary(food items only - no chemicals, samples, etc.)
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Area is free from refuse, food waste receptacles have covers, are clean and sanitary -not full; lunchrooms are sanitary
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Elevators have current inspection by authorized service agent
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Flotation toss rings are in-place and in good condition
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Eye wash stations are clean and inspection is current
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Berms/guardrails are in-place and in good condition in areas where sufficient grade or depth<br>to cause a vehicle to overturn or endanger persons
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Berms/guardrails reach mid-axle height on the largest piece of equipment operating on roadway
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Traffic signs in-place and legible
