Title Page
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Area/Field
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Well/Battery
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Conducted on
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EHS Representative
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Location
Location (General)
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Gate and Cattle Guard operational?
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Well sign is posted with No Smoking and authorized personnel only?
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Location properly identified with the lease sign containing Operator Information, Emergency Numbers and Well Name?
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Well is:
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Is the pumping unit properly guarded?
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Are the automatic start signs visible?
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Is there any ongoing pollution?
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Are there any Oil Stains around the well head or gear box?
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How many water tanks?
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How many Oil Tanks?
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How many Heater Treaters?
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How many Separators?
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List any other Equipment not listed above.
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Are the tank valves close?
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Are the load lines inside containment?
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Are the load line valves closed?
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Are the load line pots in good condition?
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Is the firewall in good condition?
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Is the perimeter fencing in good condition?
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Is the location free of trash?
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Is the location free of weeds?
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Is the location free of unused or junk equipment?
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Are the deadman anchors marked?
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Is the well pad in good condition?
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Are all the above ground piping and flow lines in good conditions and free of leaks?
Electrical
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Are the electric motors grounded?
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Is the conduit and wiring in acceptable condition?
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Are all the electrical panels and switch gear properly labeled?
Guarding:
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Are all belts and pulleys totally enclosed?
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Are fans, flywheels and other moving parts properly guarded?
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Are all sight glasses guarded and in good condition?
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Are open cellars, valve boxes or open holes properly covered or identified?
Tank Battery:
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Are all H2S warning signs up?
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Are all wind socks in good condition and functional?
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Do tanks have Identification numbers?
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Do tanks have the proper placards and labels
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Do all tanks appear to have good integrity and free of leaks?
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Are the stairs to the catwalk in good condition?
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Are there top-rail mid-rail and toe boards on the catwalks?
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Do the thief hatches appear to be in good condition and sealed?
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Is the dike walkover in good condition and being used?
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Are the tank foundations in good condition and free of washouts or undercutting?
Heaters/Separators/Dehydration Units
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Are the vessels stamped with allowable test pressures?
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Are all pressure gauges operational?
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Are all pressure vessels protected with relief valves?
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Do all relief valves discharge up?
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Does the maximum allowed vessel pressure and pressure relief valve set at or below the vessels max pressure?
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Are all bolts in place around the the flame arrester, fire tube and inspection plate?
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Are open ended valves protected with bull plugs and or handle removal?
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Are there any visible leaks?
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Do all fired vessels have stack covers to prevent wildlife entry?
Compressors:
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Do the compressor skids have drip pans?
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Are drip rail plugs installed?
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Are hearing protection signs posted?
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Are the lube oil tanks properly labeled as to manufacture guidelines?
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Do all lubrication oil tanks over 55 gallons have secondary containment?
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Is the bulk lube oil containment empty?
Chemical Tanks:
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Are supply lines free of leaks and damage?
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Are supply lines equipped with isolation valves?
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Are chemical tanks properly labeled as to the manufacturer guidelines?
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All chemical tanks over 55 gallons equipped with secondary containment?
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Is the secondary containment free of chemical or rainwater?
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Has an SDS been provided for each chemical being used?
Additional comments and photos:
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Comments
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Photos
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EHS Representative Signature.