Information
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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
Facility Location and Name
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Area
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Field
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Name of Facility (include RRC# if possible)
Facility Appearance/Houskeeping
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Location free of trash.
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Location free of weeds.
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Mitigation of trip hazards.
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Location free of junk pipe, valves, etc.
Environmental Compliance
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Location free of spills and surface staining.
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Location and equipment free of leaks.
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Netting over open top tanks.
Safety
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Condition of the pad and lease road.
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Condition and placement of wind socks.
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Condition and visibility of the identification sign.
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H2S signs.
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No smoking signs.
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Auto start signs.
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Placards on tanks.
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MSDS sheets or stickers.
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Electrical panels marked.
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Pump and belt guards.
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Secondary containment berms.
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Chemical tanks labeled with secondary containment.
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Ground wires on the load lines.
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Add photos.
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Comments.
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EH&S Coordinator.
