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
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Is the site in order?
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Is the company representative viable?
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Is company owned equipment viable?
Safety Protocols
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Are all containments setup and in writing order?
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Are all sides of the containment guarded against leaks?
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Is there any standing water in the containment?
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Are there any visable holes or patches that could cause leaks?
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Are there any unaddressed hazards?
Equipment
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Are the fuel levels of equipment at or above half of a tank?
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Is all equipment properly placed?
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Are the hoses braced and off the barriers, cams Lockheed and pinned, are all joints and connections tapped or guarded against leaks?
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Are manifolds free of leaks and debris?
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Are all open valves properly capped our plugged, and proper sill prevention measures accounted for?
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Is there a proper spill kit on location?
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Are light plants properly extended, in working order, contained, and grounded?
PPE
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Did the employee have on steel toe boots?
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FR clothing?
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Safety glasses?
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Hearing protection?
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Gloves?
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Hardhat?
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Safety training sticker?
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H2S monitor tested and wore properly?
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Personal vehicle 100ft away from equipment containing hydrocarbons?
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Employee neat in appearance?
Overall functionality and flow of site
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Is there a JSA properly filled out and signed by all members?
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Has a pre job safety discussion been completed?
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Is equipment clean and visible?
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Is the overall appearance of the site orderly?
