Southern Petroleum Laboratories, Inc. Field Safety Audit

• Branch Location

• Conducted on

  Date

• Prepared by

• Location
  Address

• Auditor

• Employees on site:

  Yes

  No

  N/A

Client information:

Work Tasks

• Select Liquid Sample Collection Gas Sample Collection Sample Collection Meter Calibration Full Scale Prover Operation Other

  • Liquid Sample Collection
  • Gas Sample Collection
  • Sample Collection
  • Meter Calibration
  • Full Scale
  • Prover Operation
  • Other

General

• Emergency contact numbers available?

  Yes

  No

  N/A

• First-aid supplies available?

  Yes

  No

  N/A

• Required signage posted?

  Yes

  No

  N/A

• Safe access to work areas?

  Yes

  No

  N/A

• Proper vehicle access?

  Yes

  No

  N/A

Site Specific

• Proper sign in completed?

  Yes

  No

  N/A

• Employee aware of site specific muster point?

  Yes

  No

  N/A

• Employee in compliance with client hot work permit requirements?

  Yes

  No

  N/A

• Site specific hazards identified?

  Yes

  No

  N/A

• Laptop and flow meters used in compliance with hot work regulations?

  Yes

  No

  N/A

• Client site specific training completed?

  Yes

  No

  N/A

• SPL JSA properly completed?

  Yes

  No

  N/A

Personal Protective Equipment

• Hard hats worn by employees?

  Yes

  No

  N/A

• Eye and face protection used where required?

  Yes

  No

  N/A

• Steel toe boots worn?

  Yes

  No

  N/A

• Hearing protection used where required?

  Yes

  No

  N/A

• Respiratory protection used where required?

  Yes

  No

  N/A

• Gloves used when required?

  Yes

  No

  N/A

• H2S monitor in place and in good working condition?

  Yes

  No

  N/A

• Other required PPE used when required?

  Yes

  No

  N/A

• Flame Resistant Clothing in use as outermost layer of clothing?

  Yes

  No

  N/A

• PPE in good condition?

  Yes

  No

  N/A

• PPE appropriate for the work?

  Yes

  No

  N/A

Housekeeping

• Walkways clear of material and debris?

  Yes

  No

  N/A

• Trash and debris cleaned up?

  Yes

  No

  N/A

• Extension cords and hoses kept out of walkways?

  Yes

  No

  N/A

• Liquid spills cleaned up and disposed of properly?

  Yes

  No

  N/A

• Material storage areas kept orderly and clean?

  Yes

  No

  N/A

• Trash receptacles available where required?

  Yes

  No

  N/A

Fire protection

• Fire protection equipment available?

  Yes

  No

  N/A

• Fire extinguishers charged properly?

  Yes

  No

  N/A

• Flammable materials stored properly?

  Yes

  No

  N/A

• Combustible trash cleaned up properly?

  Yes

  No

  N/A

• Proper liquid collection containers used?

  Yes

  No

  N/A

Hand and power tools

• Guards in place where required?

  Yes

  No

  N/A

• Power tools grounded properly?

  Yes

  No

  N/A

• Power tools cords in good condition?

  Yes

  No

  N/A

• Broken or defective tools taken out of service when required?

  Yes

  No

  N/A

• Hand tools in proper working condition?

  Yes

  No

  N/A

• Proper tools being used for the task?

  Yes

  No

  N/A

Electrical

• GFCI's in use?

  Yes

  No

  N/A

• Extension cords free of damage and repairs?

  Yes

  No

  N/A

• LOTO in place where required?

  Yes

  No

  N/A

• Electrical equipment grounded properly?

  Yes

  No

  N/A

Operations

• Metal collection bucket used?

  Yes

  No

  N/A

• Equipment properly grounded?

  Yes

  No

  N/A

• SOP followed?

  Yes

  No

  N/A

• Proper lifting techniques used?

  Yes

  No

  N/A

• Are all hoses and connections in good working order?

  Yes

  No

  N/A

• Proper cylinder labeling?

  Yes

  No

  N/A

• Proper Bill of Lading completed for cylinder transport?

  Yes

  No

  N/A

Environmental

• Spill control measures in place?

  Yes

  No

  N/A

• Waste collected properly?

  Yes

  No

  N/A

• Waste disposal on site?

  Yes

  No

  N/A

• Have all client waste requirements been met?

  Yes

  No

  N/A

Vehicle Inspection:

• Vehicle backed in?

  Yes

  No

  N/A

• Spill kit available?

  Yes

  No

  N/A

• Fire extinguisher available and in good working order?

  Yes

  No

  N/A

• First Aid kit available and properly stocked?

  Yes

  No

  N/A

• Vehicle condition acceptable?

  Yes

  No

  N/A

• Vehicle maintenance up to date?

  Yes

  No

  N/A

• Vehicle interior clean and organized?

  Yes

  No

  N/A

• Accident reporting forms available?

  Yes

  No

  N/A

• Emergency response book available?

  Yes

  No

  N/A

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