Title Page
-
Area/Field
-
Well/Battery
-
Conducted on
-
EHS Representative
-
Location
Location (General)
-
Gate and Cattle Guard operational?
-
Well sign is posted with No Smoking and authorized personnel only?
-
Location properly identified with the lease sign containing Operator Information, Emergency Numbers and Well Name?
-
Describe the location/Equipment
-
Is the pumping unit properly guarded?
-
Are the automatic start signs visible?
-
Is there any ongoing pollution?
-
Are there any Oil Stains around the well head or gear box?
-
How many water tanks?
-
How many Oil Tanks?
-
How many Heater Treaters?
-
How many Separators?
-
List any other Equipment not listed above.
-
Are the tank valves close?
-
Are the load lines inside containment?
-
Are the load line valves closed?
-
Are the load line pots in good condition?
-
Is the firewall in good condition?
-
Is the perimeter fencing in good condition?
-
Are there any Overhead Power lines across the location?
-
Is the location free of trash?
-
Is the location free of weeds?
-
Is the location free of unused or junk equipment?
-
Are the deadman anchors marked?
-
Is the well pad in good condition?
-
Are all the above ground piping and flow lines in good conditions and free of leaks?
Electrical
-
Are the electric motors grounded?
-
Are there automatic start signs where necessary?
-
Is the conduit and wiring in acceptable condition?
-
Are all the electrical panels and switch gear properly labeled?
Guarding:
-
Are all belts and pulleys totally enclosed?
-
Are fans, flywheels and other moving parts properly guarded?
-
Are all sight glasses guarded and in good condition?
-
Are open cellars, valve boxes or open holes properly covered or identified?
Tank Battery:
-
Are all H2S warning signs up?
-
Are all wind socks in good condition and functional?
-
Do tanks have Identification numbers?
-
Do tanks have the proper placards and labels
-
Do all tanks appear to have good integrity and free of leaks?
-
Are the stairs to the catwalk in good condition?
-
Are there fall protection cages on fixed ladders above 20 feet?
-
Are there top-rail mid-rail and toe boards on the catwalks?
-
Do the thief hatches appear to be in good condition and sealed?
-
Is the dike walkover in good condition and being used?
-
Are the tank foundations in good condition and free of washouts or undercutting?
Heaters/Separators/Dehydration Units
-
Are the vessels stamped with allowable test pressures?
-
Are all pressure gauges operational?
-
Are all pressure vessels protected with relief valves?
-
Do all relief valves discharge up?
-
Does the maximum allowed vessel pressure and pressure relief valve set at or below the vessels max pressure?
-
Are all bolts in place around the the flame arrester, fire tube and inspection plate?
-
Are open ended valves protected with bull plugs and or handle removal?
-
Are there any visible leaks?
-
Do all fired vessels have stack covers to prevent wildlife entry?
Compressors:
-
Do the compressor skids have drip pans?
-
Are drip rail plugs installed?
-
Are hearing protection signs posted?
-
Are the lube oil tanks properly labeled as to manufacture guidelines?
-
Do all lubrication oil tanks over 55 gallons have secondary containment?
-
Is the bulk lube oil containment empty?
Chemical Tanks:
-
Are supply lines free of leaks and damage?
-
Are supply lines equipped with isolation valves?
-
Are chemical tanks properly labeled as to the manufacturer guidelines?
-
All chemical tanks over 55 gallons equipped with secondary containment?
-
Is the secondary containment free of chemical or rainwater?
-
Has an SDS been provided for each chemical being used?
Additional comments and photos:
-
Comments
-
Photos
-
EHS Representative Signature.